The Practice of Surgery; a Treatise On Surgery for the Use of Practitioners And Students

Cover The Practice of Surgery; a Treatise On Surgery for the Use of Practitioners And Students
The Practice of Surgery; a Treatise On Surgery for the Use of Practitioners And Students
Wharton, Henry R. (Henry Redwood), 1853-1925
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The operation is performed by making an elliptical incision over the seat of cavity in the chest and removing three or four inches of two or three contiguous ribs, or a larger opening may be made ; the thickened costal, diaphragmatic, and jjulmonary pleura are then carefully separated by a blunt dissection and removed, and the external wound closed to permit of expansion of the lung. The removal should be as complete as possible, but if it is found impossible to perform a comj)lete operation th...e pulmonary l^leura should be removed. The mortality following the operation has not been great, — three deaths in forty-one cases. According to Fowler it is applicable to all cases of old emxjysema in which tuberculous lesions in the lungs are not present, and is to be preferred to Estlander's or Schede's operation, as it is followed by a more complete restoration of the functions of the lung.
OPERATIONS UPON THE LUNGS.
Pneumonotomy. — This opei'ation, which consists in making an inci- sion into the tissue of the lung, may be employed for the drainage of abscesses or cysts, in the treatment of gangrene of the lung, for the removal of foreign bodies, in cases of bronchiectasis from foreign bodies, and for the exposure and treatment of tubercular cavities.


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