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A REVIEW OF UROLOGIC SURGERY

ALBERT J. SCHOLL, M.D.; E. STARR JUDD, M.D.; LINWOOD D. KEYSER, M.D.; GORDON S. FOULDS, M.D.; JEAN VERBRUGGE, M.D.; ADOLPH A. KUTZMANN, M.D.
Arch Surg. 1928;17(1):161-178. doi:10.1001/archsurg.1928.01140070164008.
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KIDNEY 

Surgical Technic.  —Rovsing1 discusses his technic in operations on the kidney. The conditions most conducive to good results are the position of the patient and the incision which will give free access to the swollen, friable and adherent kidney. According to his procedure, the patient is placed on his back, in such a position that the edge of the table coincides with the free border of the erector spinae muscle, from which the lumbar region is readily accessible for the incision that begins midway between the twelfth rib and the iliac crest and continues forward to the border of the rectus muscle in cases of large tumor. In cases in which the ureter is to be exposed, the incision passes around the anterior superior spine of the ilium obliquely down toward the symphysis pubis. Through this incision, the hand may be introduced into the retroperitoneal space, and the

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