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THE VALUE OF NEPHROSTOMY AND DECAPSULATION IN ANURIA

GEORGE R. LIVERMORE, M.D.
JAMA. 1937;109(19):1528-1529. doi:10.1001/jama.1937.02780450032009.
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In a paper read before the American Association of Genito-Urinary Surgeons in May 1933 I stressed the value of nephrostomy in anuria and reported four cases in which I was successful both in establishing diuresis and in saving life. I also reported a case of anuria due to poisoning with mercury bichloride from Dr. W. H. McNeill's service at Bellevue Hospital in New York City in which the treatment had the same happy result. I now wish to present another successful result, in a case of anuria due to poisoning with saponated solution of cresol.

In 1914 I1 reported a surgical treatment for anuria which consisted of decapsulation, nephrotomy and packing the pelvis through the nephrostomy wound with gauze saturated with 10 per cent ichthammol in glycerin. I now feel that the pack adds nothing that cannot be accomplished by the nephrostomy tube and decapsulation. Having recently used the

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