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Transactions of the Section on Surgery, General and Abdominal of the American Medical Association at the Annual Session (Volume 71)

Transactions of the Section on Surgery, General and Abdominal of the American Medical Association at the Annual Session (Volume 71)


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1920. Excerpt: ... Progress in the operative treatment of pleuritic effusions has, until recently, been impeded by the concentration of surgical attention on the cure of empyema. This is an important part of the problem, but only a part, as purulent pleurisy is merely the late stage of some of these affections. The first advance, in the treatment of pleurisy, made about five centuries B. C, was the conversion of a closed into an open pyothorax to start drainage. The second notable step forward, taken some twenty-four centuries later, was the conversion of an open pyothorax into a closed thorax to stop drainage. A third line of progress, started with this latter period, has developed a method of airtight drainage whereby both prophylactic and curative measures can find their simplest application. Open thoracic drainage was introduced by Hyppocrates, who recognized that simple acute, fetid, or chronic empyema could be idiopathic, traumatic, postpneumonic, or might precede or follow phthisis. He learned that the drain should be placed low, and that open drainage should neither be established too early nor be permitted to proceed too rapidly. Twenty-four hundred years' experience and observation have added very little to these teachings. Closure of an open pyothorax has always been a serious problem because in a certain proportion of individuals spontaneous healing fails to occur after thoracostomy. No doubt Hippocrates was confronted with the identical dilemma, such as a death from amyloid disease, an operative failure or considerable physical and functional disability. There are only three ways healing can be fostered under these conditions: (1) By collapsing the thoracic parietes against the retracted lung through some form of costoplasty, a method with which the names of Es...


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Product Details
  • ISBN-13: 9781154110937
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 70
  • Spine Width: 4 mm
  • Width: 189 mm
  • ISBN-10: 1154110931
  • Publisher Date: 01 Jan 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 195 gr


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Transactions of the Section on Surgery, General and Abdominal of the American Medical Association at the Annual Session (Volume 71)
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