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Volume 46, Issue 8
Displaying 1-6 of 6 articles from this issue
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Masaaki Ohkoshi, Yoshio Iki1955 Volume 46 Issue 8 Pages 543-551
Published: 1955
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSDownload PDF (4848K) -
ESTIMATION OF TOTAL 17-HYDROXYCORTICOIDS IN URINE (ICHIKAWA-WAKU-ISHIMOTO METHOD) AND ACTH-GEL TESTMasayoshi Waku1955 Volume 46 Issue 8 Pages 552-560
Published: 1955
Released on J-STAGE: July 23, 2010
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THE 4 TH REPORT OF PARTIAL NEPHRECTOMYMotoo Ito1955 Volume 46 Issue 8 Pages 561-570
Published: 1955
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSChanges of the renal circulation after the partial nephrectomy were examined by the injection of Indian ink into the abdominal aorta on 36 dogs. The changes of the renal circulatiyn were apprenciated by a distribution of Indian ink. The obtained results are as follws:
1) Marked ischemia of the cortex and hyperemia of the medulla were observed for 24 hours after operation. These changes being transient, the normal distribution was regained within 10 days. When the renal pedicle was clamped, the changes were more marked than when the pedicle was treated with finger compression.
2) Similar changes of the renal circulation occurred even when the renal pedicle was clamped without resecting renal parenchyma. This fact indicates that the renal circulation after the partial nephrectomy are chiefly due to clamping the renal pedicle during the resection.
3) The postoperative changes of the renal circulation were observed not only in the kidney, a portion of which was resected, but also in another kidney. Restoration from these changes of the contralateral kidney were more rapid.
4) The described changes bear a resemblance to “renal vascular shunt” of Trueta.View full abstractDownload PDF (4205K) -
THE 5TH REPORT FOR THE STUDY OF PARTIAL NEPHRECTOMYAkira Suzuki1955 Volume 46 Issue 8 Pages 571-577
Published: 1955
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSAn experimental angiographic study was made to determine the renal circulation of 25 dogs after the left partial nephrectomy with intact right kidney.
The angiograms made at two hours after release of the clamp which occluded the renal vessels, all showed obvious constriction of the renal and intrarenal arteries of the left kidney. The nephrograms made at 1 hour to 24 hours after the operation all showed some cortical ischemia in the both kidneys, but the right kidney showed slighter ischemia than that of the left kidney. These changes were gradually restored to regain their normal conditions from the 7th to 10th post-operative days. When the renal pedicle was clamped, the changes were more marked than when the renal pedicle was treated with finger compression.
On the other hand, similar changes of the renal circulation were seen even when the renal vessels were occluded with a clmp without resecting the renal parenchyma. This fatc indicates that the changes of the renal circulation after partial nephrectomy are chiefly due to clamping the renal pedicle during the resection of the renal parenchyma.
Then, in the partial nephrectomy, the renal pedicle should be terated carefully to minimize the changes of the renal circulation which causes the post-operative renal damage.View full abstractDownload PDF (5517K) -
ESPECIALLY ON THE BLOOD RETARDATIVE ACTION AND THE SPECIFIC HEMAGGLUTINATION TESTKeiichi Ikegami1955 Volume 46 Issue 8 Pages 578-586
Published: 1955
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSThis study was performed to make clear the immuno-serological state in the renal tuberculosis. The blood retardative action, the inhibitory action of the blood on the growth of tubercle bacilli, by the slide cell culture and the specific hemagglutination titer in the patients and in the experimental animals with renal tuberculosis were investigated. Detailed data so far obtained were presented at the Annual Meetings of the Japanese Urological Society during the past three years, and were published in the Kumamoto Medical Journal as the original articles. In the present paper, all of these results were summarized and commented upon.
In renal tuberculosis, the titer of the specific hemagglutination test increases specifically and the blood retardative action increases also. The former increases or decreases fairly in parallel with the activity of the diseases, on the other hand, the latter is considerably influenced by nonspecific aggressions. The removal of the affected kidney does not bring a sudden change in the immuno-serological state of renal tuberculosis but it brings a gradual decrease at least of the serum antibodies.View full abstractDownload PDF (1729K) -
Hisashi Ikari, Takashi Kitabatake1955 Volume 46 Issue 8 Pages 587-591
Published: 1955
Released on J-STAGE: July 23, 2010
JOURNAL FREE ACCESSThe author performed the moulding of the kidney by means of application of the Round. Sight Rotatography, one type of Rotatography.
This method was devised by Palmieri, G. G., who had moulded on the heart. The author applied to mould conformed to nephrogram got by pneumoretroperitoneum.
1) As the sphere of rotation is from 0° to 180°, he fixed to make the patient at the sideposition laying examined side downward, so that the nephrogram of the examined side would be clearer than that of the opposite side.
2) The patient was laid on the table to make setting the length-axis which passes through the upper and lower pole of the kidney run paral to the axis of rotation. He kept the patient's respiration peaceful, and made the patient stop to breathe when exposuring.
3) He exposured every 10°, and got nineteen films. He traced nephrogram of the films on the card-board, and decided to make the foot of central x-ray on the middle of the standard-line being drawn on the nephrogram. Thus the distortion of the moulded kidney caused by breathing and unexpected slight moving of the body is out of the question.
4) He moulded the left kidneies in two cases; one cases is that of 36 year old healthy wife and the other 34 year old nephrophthisic wife. The forms of the moulded kidneies were severely effected with the neighbouring organs and muscles etc. He found the compressions effected by the above organs and muscles and the rising caused by arteria and vena renalis by the side of the renal hilus.
In the second case, he compared the form of the moulded kidney with that of the extirpatedd kidney. And he observed that a large cavity of the anterior surface on the extirpated kidney was flatly because of the ventricular compression on the moulded kidney, and that a small cavity of the posterior surface showed the rising in spite of being muscular compression.
5) He compared with and discussed the some radiographies each other which were possiblee to see the kidney as solid bodies in the conventional authorities.View full abstractDownload PDF (2403K)
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