title: [Renal decapsulation for the treatment of anuria : A "forgotten" treatment from the early 20th century].
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.
authors.affiliation: Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland. desiree.draeger@med.uni-rostock.de.
authors.forename: D L
authors.initials: DL
authors.lastname: Dräger
authors.affiliation: Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Protzel
authors.affiliation: Klinik und Poliklinik für Urologie, Universitätsmedizin Rostock, Ernst-Heydemann-Str. 6, 18057, Rostock, Deutschland.
authors.forename: O W
authors.initials: OW
authors.lastname: Hakenberg
mesh_terms: D001002:Anuria / Q000266:history* / Q000628:therapy*; D005858:Germany; D049673:History, 20th Century; D009392:Nephrectomy / Q000266:history*; D009398:Nephrology / Q000266:history*
keywords: Anuria; Decapsulation, renal; Pre-antibiotic era; Renal cleavage; Renal glaucoma