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The risks of such an incision are much less than those of nephrectomy, and the patient would have the incalculable advantage of being left with two kidneys instead In answer to the second question I think the lumbar incision is to be preferred for nephrectomy for calculous kidneys, and that it is the only incision which ought to be The arguments which have been advanced in favour of the anterior or abdominal nephrectomy are: (a) when the peritoneal cavity is opened there is more room for the that he is doing, and can secure the renal vessels before commencing to enucleate the kidney; (c) that the existence of a second kidney, and its condition, can be ascertained, and the operation abandoned, if only a solitary kidney or the ureter can be brought out of the wound, and that thus the danger of suppuration along the tube can be avoided; (e) that in certain cases, such as hydronephrosis, pyonephrosis, and hydatid and simple cystic enlargements, the peritoneal method, by making evident the nature of the disease, has enabled the surgeon effectually to treat the case by incision and drainage, and thus to do away with Of these reasons the first two have only an occasional importance, and need not be considered in calculous affections; whilst the others are for the most part purely theoretical, and may sometimes lead to pernicious results.

They consist of nucleated masses of protoplasm, which are often exceedingly minute, always surrounded by a wall of greater or less thickness, and either rounded and isolated from one another, or stellate and furnished with processes communicating with (trazodone hydrochloride schedule) those of neighbouring cells.