Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . come to operation. Operation should be under-taken deliberately, with a full understanding of the local and general con-dition, and with the purpose of saving the patient. A fatal outcome maybe avoided by not attempting too much. The formidable bloody thoraco-plastic operations should not be done or at least not completed in onestage. The appearance of shock should not be the signal to stop; the pa-tient should be sent back to bed before the symptoms of shock appe
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . come to operation. Operation should be under-taken deliberately, with a full understanding of the local and general con-dition, and with the purpose of saving the patient. A fatal outcome maybe avoided by not attempting too much. The formidable bloody thoraco-plastic operations should not be done or at least not completed in onestage. The appearance of shock should not be the signal to stop; the pa-tient should be sent back to bed before the symptoms of shock should be prevented. The least depressing anesthesia should beadministered. Failure of the lung to expand after empyema, leaves a cavity between thelung and thoracic wall, which must be cured by expansion of the lung or bycollapse of the chest wall. Unless one or the other of these is accomplished thepatient will succumb to long-continued suppuration. Exercises to expandthe lung and increase the mobility of the chest, and measures to improvethe general health should be exhausted before operation is attempted. The. 410 SURGICAL TREATMENT parietal pleura in old cases will be found enormously thickened. This con-dition is best prevented by the early evacuation of the pus in empyema. Incases which are not of long standing, expansion may be secured by insertingthe finger in the pleural sac and breaking up adhesions. This, of course,fails if the plastic deposit is thick as it is apt to be in old cases. Operations upon chronic empyema cavities to accomplish their oblitera-tion should not be done until a large drainage opening at the lowest level hasbeen made, and a period of six weeks at least allowed for it to effect a opening should represent the resection of at least cm. (1 inch) ofrib, and should be provided with a large drainage tube. The new drainagemay cure the case. If it does not, then operation may be proceeded radical operation should be do
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
