Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . on and a complicated convalescence should be expected. Lilien-thal wisely calls attention to the value of open-air treatment in these cases,and reports great improvement after a few days and nights in the open. Extirpation of the diseased lobe or lobes is the radical operation, and maybe regarded as the only curative operation. The results of the other pro-cedures are doubtful and rarely curative. S. Robinson (Surg. Gyn. and Obst., Feb., 1917) concluded that colla
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . on and a complicated convalescence should be expected. Lilien-thal wisely calls attention to the value of open-air treatment in these cases,and reports great improvement after a few days and nights in the open. Extirpation of the diseased lobe or lobes is the radical operation, and maybe regarded as the only curative operation. The results of the other pro-cedures are doubtful and rarely curative. S. Robinson (Surg. Gyn. and Obst., Feb., 1917) concluded that collapsetherapy is not curative, and that excision of the diseased portion of the lungis the only curative treatment for advanced cases. The operation should bedone in two or three stages. The intercostal operation is to be preferred. Rigidity of the Chest (A Condition of Fixedness of the Ribs, Giving Rise toAsthma and Emphysema, Observed in the Arteriosclerotic, in which the ChestBecomes Barrel-shaped and Loses its Power of Elastic Contraction).—Medicaltreatment has been helpless against this disease. Surgery has much to Fig. i 100.—Resection of Costal Cartilages in the Treatment of Rigidity of the cartilages and perichondrium are removed and the muscles sewed across the gap. To give mobility to a chest wall which has become rigid and in which thecostal cartilages have become hardened, removal of the cartilages of the sec-ond, third, fourth, and fifth ribs is most effective. By removing these carti-lages an interval of 3 or 4 cm. (1^ inch) is provided, in which the ribs notonly develop a hinge action but the free ends of the ribs move backwardand forward and inward and outward with respiration. The perichondriummust all be removed; if it is not there is a tendency for regeneration of carti-lage. A unilateral operation gives great relief; a bilateral gives still moreimprovement. The resections may be done through short incisions parallelwith each cartilage or t
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
