2012, ISBN: 1236464036

[EAN: 9781236464033], Neubuch, [PU: Rarebooksclub.com, United States], Language: English Brand New Book ***** Print on Demand *****. This historic book may have numerous typos and missing… More...

[EAN: 9781236464033], Neubuch, [PU: Rarebooksclub.com, United States], Language: English Brand New Book ***** Print on Demand *****. 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. 1921 Excerpt: . first rib, leaving a large open space. Two inches of the third rib were then excised, and Yz inch of the fourth, about in the line of the nipple. The pleura was freed back over the third, well to the side. As a result the upper lobe was thoroughly liberated over most of its upper and anterior surfaces, but not well down posteriorly. It was decided not to go further, on account of the possible danger of rupturing the lung by working blindly at the back; one also did not wish to prolong the operation unduly. This could be done later if necessary, from the back. The whole central portion of the great pectoral was then isolated by blunt separation of its fibers close to the clavicle, leaving the clavicular portion, and by a similar separation as low as the level of the third rib. This portion was cut off about one inch from the humeral attachment, and was loosened from its rib insertions below so that it could be curled up and stuffed into the upper space left by the separation of the parietal pleura. It filled it very well. The first rib was not cut, thus leaving a brace for the muscle plug. The lesser pectoral was then separated from its rib attachments down to the fourth space, leaving a bulky free end which was packed into the separated area underlying the second space and the third rib. About eight catgut sutures were used to tack the muscle down to the remains of the intercostals and rib periosteum. The ultimate compression obtained seemed to be good. Skin flap sutured without drain. The post-operative course can be resumed briefly. The patient had surprisingly little distress on the whole, and needed no sedative whatever for cough; in fact, from the time of operation on, his cough was practicaly abolished, and likewise his sputum. On January 8, 1920, I .<

2012, ISBN: 1236464036

[EAN: 9781236464033], Neubuch, [PU: Rarebooksclub.com, United States], Language: English Brand New Book ***** Print on Demand *****.This historic book may have numerous typos and missing … More...

[EAN: 9781236464033], Neubuch, [PU: Rarebooksclub.com, United States], Language: English Brand New Book ***** Print on Demand *****.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. 1921 Excerpt: . first rib, leaving a large open space. Two inches of the third rib were then excised, and Yz inch of the fourth, about in the line of the nipple. The pleura was freed back over the third, well to the side. As a result the upper lobe was thoroughly liberated over most of its upper and anterior surfaces, but not well down posteriorly. It was decided not to go further, on account of the possible danger of rupturing the lung by working blindly at the back; one also did not wish to prolong the operation unduly. This could be done later if necessary, from the back. The whole central portion of the great pectoral was then isolated by blunt separation of its fibers close to the clavicle, leaving the clavicular portion, and by a similar separation as low as the level of the third rib. This portion was cut off about one inch from the humeral attachment, and was loosened from its rib insertions below so that it could be curled up and stuffed into the upper space left by the separation of the parietal pleura. It filled it very well. The first rib was not cut, thus leaving a brace for the muscle plug. The lesser pectoral was then separated from its rib attachments down to the fourth space, leaving a bulky free end which was packed into the separated area underlying the second space and the third rib. About eight catgut sutures were used to tack the muscle down to the remains of the intercostals and rib periosteum. The ultimate compression obtained seemed to be good. Skin flap sutured without drain. The post-operative course can be resumed briefly. The patient had surprisingly little distress on the whole, and needed no sedative whatever for cough; in fact, from the time of operation on, his cough was practicaly abolished, and likewise his sputum. On January 8, 1920, I .<