Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
Subjects:
Publisher: New York, London : D. Appleton and company

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
in cases where any doubt as to themargins exists. The region of the clamped artery becomes pale within a fewseconds, and, if the branch is found to be the one desired, it is ligated and 1 M. Zondek, Die Topogi-aphie dor Niere und ihre Bedeutung fiir die Nierenehirurgic,Berlin, 1903. 432 THE SURGICAL ANATOMY OF THE KIDNEY. resected with its territory. It is advisable to begin resection at the main branchand extend it toward the perijjherj. Seniibliint resection is preferable tosharp. The subcutaneous tears of the kidney following violent trauma occur, as arule, in the interspaces between the large arteries. Such tears radiate fromthe hilum toward the lateral border, or else one pole (the lower more frequent-ly) may be torn from the rest of the organ. The depth of the tear is variableand may reach the calices and even the pelvis. THE VEINS. The interlobular veins in the cortical substance are divisible into super-ficial and deep veins. The superficial veins drain toward the surface into
Text Appearing After Image:
Fig. 208.—Stellate Veins of Capsule. Posterior ^^ew to the left; anterior, to the right.The arrangement of these veins is very important since they represent topographicallandmarks. Hold the picture at a distance and note how the large veins form con-tinuous lines corresponding to the location of the columns of Bertin, which carry thelarge blood-vessels in the depth. We have thus a means of determining the boun-daries of lobes even when the surface of the kidney is perfectly smooth. £>tellate vein Cortex Renalvein

Note About Images