. Annals of surgery . enetratingforceps (thoraco-pcnetrator) de-signed (Fig. 3) because the parallel sides of its shaft would occlude its ownopening during the work, and the blunt conical wedge-shaped point would pushaside and stretch the tissue the elasticity of which would close the wound ofpenetration after the withdrawal of the forceps and foreign body, which latterwas to \k withdrawn lengthwise, not crosswise. Because of the location of theforeign body close to the pericardium, the pulmonary artery and the root of thelung it was thought the procedure would call lor the utmost care and pre
. Annals of surgery . enetratingforceps (thoraco-pcnetrator) de-signed (Fig. 3) because the parallel sides of its shaft would occlude its ownopening during the work, and the blunt conical wedge-shaped point would pushaside and stretch the tissue the elasticity of which would close the wound ofpenetration after the withdrawal of the forceps and foreign body, which latterwas to \k withdrawn lengthwise, not crosswise. Because of the location of theforeign body close to the pericardium, the pulmonary artery and the root of thelung it was thought the procedure would call lor the utmost care and precisionin the penetration, seizure and removal of the foreign body so as to limit thewound of penetration to the track made by the forceps, which track was plannedto avoid the internal mammary artery. The utmost care would be necessary toavoid penetration or laceration beyond the foreign body as the pulmonary arterywas only i cm. deeper than the foreign body in the prolongation of the designeddirection of approach. 503. JACKSON Pircaulioiis agaiiisl Hcmorrliiiiic From past experience the author hasreached the conchisions that the best method of combating in severetraumatic puhiionary hemorrhage involving a bronchus is by casing off thebleeding king with a large bronchoscoi>e which at the same time pipes air downinto the sound lung. Any blood that might leak past the casing bronchoscopeis automatically removed through the aspirating canal; clots are wiped out withbronchoscopic sponges. Oxygen is supplied through the insufflation of the
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
