Springer Online Journal Archives 1860-2000
Abstract Relying on literary data and their own experiences, authors are against a resigned attitude in dealing with bilateral staghorn stones of the renal cavity, and recommend active organ-saving intervention. Nephrectomy is justified only if the kidney is completely incompetent, or there is pyonephrosis. Provided local conditions are adequate, transverse nephrotomy yields satisfactory results in cases of staghorn calculi. This method facilitates a good general view of the operative area; bleeding and cicatrization are negligible if the incision is made expertly, and it is easy to resect the kidney in the same session, if necessary. The method is described in detail, with four illustrative case histories. Coral stone operations are successful only if they make postoperative medication, dietetic and balneological treatments feasible.
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