The New England medical gazette : a monthly journal of Homoeopathic medicine, surgery, and the collateral sciences . As you will note, they show a very large cavity, runningupward and backward in the hollow between the vertebralcolumn and the posterior ribs and connecting at the bottom withthe sinus to the 8th rib space. April 4th through a posteriorincision, I removed what remained of the 7th and 8th ribs, inthe back, to the spine, cleaned out the cavity with curette andiodine, and endeavored, by treating the cavity as an openwound, packed with iodoform gauze, to obliterate the was a
The New England medical gazette : a monthly journal of Homoeopathic medicine, surgery, and the collateral sciences . As you will note, they show a very large cavity, runningupward and backward in the hollow between the vertebralcolumn and the posterior ribs and connecting at the bottom withthe sinus to the 8th rib space. April 4th through a posteriorincision, I removed what remained of the 7th and 8th ribs, inthe back, to the spine, cleaned out the cavity with curette andiodine, and endeavored, by treating the cavity as an openwound, packed with iodoform gauze, to obliterate the was at this time that I found the piece of drainage tube to 32 The New England Medical Gazette Jan., which I have previously referred. While the patient was bene-fitted by this operation, it did not relieve him of his troubles,for the muscles and skin grew ahead of the deeper tissues, andsoon had a cavity enclosed Plate II Showing clear lung tissue from topto bottom: regeneration of ribs atside. On Aug. 27th, 1914. I did a radical Estlanders operation,removing six ribs from the spine to the axillary line, and col-lapsing the muscles, fascia, and periosteum of the ribs into thecavity, after the same had been thoroughly curetted andcleansed. Drainage was inserted. A very good recovery wasmade from this operation, and the case seemed to be cleared up,but along in October the signs were unfavorable, so I probedopen the wound, found a little pus there in a slit-like cavity,and was convinced that it would soon open up the whole fieldif allowed to accumulate. But my patient was made of good stuff, and he was willingto trust me to try once more to relieve him. I operated October19th, 1914, making a long U-shaped flap, this time severingthe muscles which held the scapula to the chest, raising thearm above the head, and freely exposing the entire old fieldwhich extended from the diaphragm to the apex of
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