Vol. 60, 1909 - University of North Carolina at Chapel Hill

428 THE CHARLOTTE MKIUCAL JOUKNA.
The Etiology of So-Called
Congenital Dislocation of
the Hip 267
Treatment of Postpartum
Hemorrhage, 268
Treatment of Lobar Phru- ing,
monia, 338 Vaccinal
Treatment of Incoei .-,ihle Childhood
Jmmiinitv
Vomiting of Pi-egnHi, '.v. 120 Vegetarian Dietia HeaUb, 33»
Tumorir of the Cerehellum ir j t tj- i
inChildren 121 Value of Kinesolherapy in jj
Erythematosus 334 Uterine Cnncer m Uterine Hemorrhage,.. The Treatment of Lupus
, 178 i
.
Tubercle Bacilli in Caseated Use and Abuse o? r.r.prie- X-Ray 1 reatraent of limg- f
Lymph Glands, 33fl tary Foods in lufant-kod- worm of the Scalp 191 !
Hypcrncpbroma.—W. Trotter, in the
London Lancet, finds 75 cent, of cases of
tumors of the kidney to be hypernephromata;
the remainder are made up mostly
of sarcomata, to a much less extent of equamous
epitheliomata of the pelvis, while a
true carcinoma of the kidney apart from
hypernephroma is a very great rarity, or
possibly does not exist. The kidney tumors
of children are practically all sarcomatar
there is but one case of hypernephroma
in an infant. Malignant disease of the
kidney affects earliest childhood and middle
age, but rarely young adults and the
aged. Hence hypernephroma is the common
kidney tumor of adults; conversely,
any given tumor in an adiilt is much more
likely to be one of this type than anything
else. This is probably the only absolutely
etiological factor bearing on the disease.
There is the history of injury, but the conditions
here render this history suspicious.
The tumor may be present for a long time
before it is discovered, so that injury may
come to have its apparent importance merely
by calling attention to the part; moreover,
an injury may induce a hemorrhage
from a kidney the seat of a tumor when it
would not do so from a sound one. Once
the diagnosis is established the treatment
is clear; such a kidney must be removed.
A local resection when the tumor is small
will not do; nothing less than total nephrectomy
is justifiable. In the absence of
secondary growths mere size of the tumor
is no contraindication unless there is obvious
iuvolment of other abdominal organs.
Although tumors of the colon suitably
placed frequently involve the kidney, tumors
of the latter rarely involve the colon.
In favorable cases there is always an excellent
probability of very prolonged immunity—
a period of ten years' freedom
from recurrence is not unknown; it is probable,
however, that unless operation can
be done a good deal earlier than at present
permanent cures are likely to be rare.
Transplantation of Organs by Vessel
SaiuFc.— ( Archiv. f. Kliit. Chic.) has successfully
transplanted the kidneys and thyroid
glands of animals by means of vessel
suture.
The extirpated kidneys were transplanted
with their vessels, the vessels being
lf*7
338 •
sutured to the vessels in the same animal |
o'- another animal (dogs being used), the 5
ureter led to the surface through the skin. •
The < rgan
secreted urine abundantly for '
several days. The animals died, however, ,
in a s^iort time (at the latest ten tUiys) of j
ascending pyelonephritis. The writer, i
therefore, planted the kidnev vessels in the y
iliac vessels, and planted the ureter in the ^
blarkler. The animal died three weeks "j
'
after the operation, of chronic, localized, J
suppurative peritonitis. The transplanted
kidney was found macroscopically and microscopically
unchanged.
Further research dealt with transijlantatiou
of the thyroid gland. Both lobes of
the thyroid gland of a dog were extirpated;
the left lobe was then implanted on the
right side of the neck by vessel suture.
After fifty days examination showed that
the reimplanted thyroid obtained circulation
from surrounding tissue, and was macrascopicall
and microscopically normal.
He has also successfully transplanted
thyroid gland from other animals, always
from the same species, however.
Election of Officers.
At a recent meeting of the Medical Association
of the Southwest held in San Anto-
nio, Texas, the following officers were elected:
President, Dr. H. G. Moody, San Antonio;
vice-presidents: Missouri, Dr. Howard
Hill, Kansas City; Kansas, Dr. C. E.
Bowers, Wichita; Oklahoma, Dr. D. A.
Meyers, Lawton; Arkansas, Dr. A.J. Vance,
Harrison; secretary -treasurer. Dr. F. H.
Clark, El Reno; executive committee: Missouri,
Dr. S. G. Burnett, Kansas City;
Kansas, Dr. J. F. Gsell, Wichita; Oklahoma,
Dr. E. S. Laine, Oklahoma City;
Arkansas, Dr. J. A. Foltz, Fort Smith;
Texas, Dr. K. H. Carv, Dallas.
The Southern Surgical and Gynecologi- j
cal Association will hold its twenty-second 1
annual meeting at the Hot Springs Hotel, S
Hot Springs, Va., December 14, 15, and i
16, 1909. The president of the association '<
is Dr. Stuart McGuire, of Richmond, Va.; i
the secretary is Dr. W. D. Haggard of >
Nashville, Tenn., and the chairman of the ;fl
committee of arrangements is Dr. Lewis C. |
Roscher of Richmond, Va. f