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RESECTION AND ANASTOMOSIS OF THE DIVIDED URETER.

HOWARD A. KELLY, M.D.
JAMA. 1900;XXXV(14):860-864. doi:10.1001/jama.1900.24620400008001a.
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ABSTRACT

I desire to lay before the Section on Gynecology several matters in connection with resection of the ureter; and I shall take the liberty of including under my title not only those cases in which a piece of the ureter is sacrificed and the ends brought together—uretero-ureterostomy, resection in the stricter sense of the term —but those cases as well in which the vesical end of the ureter is sacrificed and the upper end is anastomosed directly into the bladder—ureterocystostomy—cases which for practical purposes may be included in the same category.

The importance of my subject is enhanced by two factors, measured by the importance of the ureter as an emunctory, and by its liability to injury in the course of an abdominal or of a vaginal operation. The difficulty in the way of a successful performance of a ureteral anastomosis can only be appreciated by one who has tried

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