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Urologe A. 2017 Jan;56(1):54-59. doi: 10.1007/s00120-016-0298-8.

[Renal decapsulation for the treatment of anuria : A "forgotten" treatment from the early 20th century].

[Article in German]

Author information

1
Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland. desiree.draeger@med.uni-rostock.de.
2
Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.

Abstract

In the early 20th century, Harrison first performed renal decapsulation in anuric children with scarlet fever and observed improvement in renal function postoperatively. The pathophysiological explanation was seen in intraparenchymal renal pressure due to edema which was improved by surgical decapsulation. The technique of decapsulation was simple excision after incision and blunt dissection of the renal parenchyma. Renal decapsulation then became a procedure commonly used for many indications in inflammatory renal conditions; indications were renal angioneurosis, hydronephrosis, toxic, bacterial and chronic nephritis, renal abscess and even eclampsia. With the beginning of the antibiotic era, renal decapsulation became obsolete and has disappeared from the urological spectrum completely.

KEYWORDS:

Anuria; Decapsulation, renal; Pre-antibiotic era; Renal cleavage; Renal glaucoma

PMID:
27975208
DOI:
10.1007/s00120-016-0298-8
[Indexed for MEDLINE]

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