THE SURGICAL TREATMENT OF NEPHRITIS

Since Reginald Harrison, in 1896, reported an unexpected improvement in the symptoms of acute and subacute nephritis after incision of the renal capsule, operation has been performed with apparent success in many cases of nephritis of various types. Ruge,¹who carefully reviews the literature, points out that the examination of kidneys exposed in these operations, as well as recent experimental work, in some ways have revolutionized our ideas about nephritis. Thus, it has been established that albuminuria, even when accompanied by casts and red blood cells, does not necessarily indicate nephritis as the term is understood usually, for purely mechanical factors may so interfere with the renal filter as to produce the urinary picture of nephritis. Conversely, in chronic nephritis as determined by microscopic examination, all symptoms may be absent, or a severe hemorrhage or colic may be the first and indeed the only sign. Of especial interest are

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