Preparatory and after treatment in operative cases . Fig. 278. -Deformity Following Extensive Resec-tion of Rius. (von Berc/mann.) 414 OPERATIONS ON THE THORAX seated at a machine or desk, the chair he occupies should be fittedwith a slanting seat, so arranged as to carry the curve of the spinetoward the afflicted side. Women should be encouraged to wearcorsets which do not take the place of muscular effort. If, forcosmetic reasons, the patient be found intractable in this connec-tion, a few hours a day should be occupied without the presence. Fig. 279.—Retraction of Flap Following Thoracoplas
Preparatory and after treatment in operative cases . Fig. 278. -Deformity Following Extensive Resec-tion of Rius. (von Berc/mann.) 414 OPERATIONS ON THE THORAX seated at a machine or desk, the chair he occupies should be fittedwith a slanting seat, so arranged as to carry the curve of the spinetoward the afflicted side. Women should be encouraged to wearcorsets which do not take the place of muscular effort. If, forcosmetic reasons, the patient be found intractable in this connec-tion, a few hours a day should be occupied without the presence. Fig. 279.—Retraction of Flap Following Thoracoplasty, (von Bergmann.) of the corest. In all cases the general tone of the patient shouldbe brought to as high a level as is feasible by attention to diet, theadministration of tonics, creosote and fat emulsions. The admin-istration of iodin seems to be of benefit. A mixture of syrup ofthe iodid of iron in an emulsion of the mixed fats has proven ofapparent benefit. The causative factor which produced the con-dition calling for operative relief is, of course, the most determin-ing prognostic element. However, even in tuberculous processes,a favorable ultimate outcome will not infrequently prove sequen-tial to painstaking attention to details in the after-treatment. THE DEFORMITY 415 Following thoracoplasty by the flap method the cavity leftbeneath the flap, not having any osseous wall, contracts and bulgeswith deep respiration or coughing. This has been regarded asthe outcome of distention or collapse of the lung (Figs. 279 and280). KAL
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