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improvement after operation, and in some instances interesting clinical observations have been made that warrant careful atterition. | It is apparent that after medical means have failed to bring about improvement, we are in certain cases justified in considering the advisability of surgical measures, not with the idea of converting tissues hopelessly diseased into normal ones, but rather in the hope that through drainage and relief of tension, cells not completely destroyed may be enabled at least partially to resume their proper function. This opinion is justified by the fact that improvement is more likely to occur in acute toxic nephritis or in cheapest xenical australia what may be acute exacerbation in the chronic form. It seems in the study of some of these cases that the little additional help which comes from the relief of tension and drainage, may tide the patient over a critical period and permit further prolongation of life. The large amount of scar tissue present about the kidney in cases oper- ated in by the writer, proves that the inflammatory reaction, as a result of the infection, is very exten- sive in some instances. The freeing of the kidney from a bed of dense connective tissue may assist in restoring function. It is the consensus among those who have operated and given careful study to the case, that the nephritic process itself is not per- manently influenced, and although the general health is improved, the signs of nephritis, as shown in the urine, persist. It is therefore regarded roche xenical orlistat 120mg as a temporary life saving measure in certain forms of oliguria, especially with uremia in acute nephritis, and in this case it is thought by some to have a favorable influence on the nephritis itself. Tisseraud reports two cases of acute nephritis from mercurial poisoning. Both patients do i need a prescription for xenical in australia died, but the prompt return of urination after the decapsula- tion demonstrated the cheap xenical orlistat benefit derived from the operation. He concludes that it should be done as a routine procedure in every case of nephritis from poisoning as soon as anuria occurs. Results lead to the belief that in acute cheapest generic xenical nephritis following the in- fectious diseases, the kidney should be decapsulated when internal remedies fail to improve the oliguria or the uremic symptoms. Experiments have demon- strated, in nephritis produced by cantharides in rabbits and dogs, that those subjected to decapsula- tion were saved in the majority of instances, xenical online no prescription uk much does xenical cost new zealand while the controls died. It is also true cost xenical diet pill that the most en- couraging reports are of young persons or children. It is in these cases, particularly when the disease follows scarlet fever, in which there is a rapid diminution in the urinary output, with the presence xenical cheap australia of blootl and large quantities of albumin, compli- cated by coma or convulsions, that we find the most wonderful results reported. In certain cases of eclampsia when the symptoms have been due mainly to disease of the kidneys, and relief was not followed by delivery of the child, some xenical no prescription uk brilliant results are reported. On the other hand, it has been a disappointment in many cases. This is not difificult to understand when we consider that organs other than the kidney are at fault in the great majority of cases. Certainly no aid could be expected from a surgical procedure upon the kid- ney, when necrosis is already present in the liver. It appears from a careful review that decapsula- tion and nephrotomy are entitled to a place in the treatment of nephritis. The success and value of the operation will depend entirely upon the care and judgment with which cases are selected, we being mindful at all times that the immediate mortality orlistat xenical quanto costa must be high, and the use of the scalpel occupies the same position as do diuretics or hot baths ; it is not curative, but is a measure indicated in the emer- gency with a hopeftil prospect of prolonged life. It is not to be used until all other methods have failed, and when employed it must not be done indiscrim- inately. Its use seems to be indicated : I. In toxic nephritis following acute poisoning by mercury or carbolic acid. _'. In nephritis following infection, especially the acute infectious diseases, such as scarlet fever, etc., where there is great xenical prescription weight loss edema or buy xenical online australia no prescription in the presence of uremia ; its use should be considered as soon as med- costo xenical colombia ical measures have been thoroughly tried without relief. This buy xenical online no prescription uk is true especially in young adults and children. 3. In severe hemorrhage complicating chronic nephritis, when the bleeding is practically buy xenical online australia limited to one side. In these cases a nephrotomy should be done to make venta xenical costa rica sure of the exact cause of the hem- orrhage. buy xenical uk only 4. It may be indicated for the relief of renal pain which sometimes occurs in the course of chronic nephritis. 5. It may be of value in uremia and anuria during the course of chronic nephritis, merely as an emer- where can i buy xenical in uk gency measure. 6. In eclampsia, when the symptoms are due to

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