NEPHRO-OMENTOPEXY, COMPENSATORY RENAL HYPERFUNCTION, AND PARALLEL MEASUREMENTS OF RENAL DYNAMICS

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Abstract
It was not possible to augment renal function by any type of nephro-omentopexy. On the contrary, renal function was reduced by the procedure. Nephro-omentopexy did not prevent renal atrophy after subsequent division of the renal artery. There was a marked and almost immediate rise in function of the contralateral kidney after division of one renal artery or after nephrectomy. Maximum hyperfunction was attained at the end of about 2 months. A dog was capable of living on a hypertrophied 25% of its renal mass. Already acquired renal hyperfunction was not inhibited by denervation. Hyperfunction of one kidney as a result of removal of its mate was not prevented by initially denervating that kidney. Even an infected with reduced function underwent hyperfunction after its mate was removed or strangulated.