Preparatory and after treatment in operative cases . However, the measure is employed in childrenand feeble persons, and with care in the after-treatment the woundmay be kept sufficiently patent to achieve sufficient relief to, per-haps, permit of more radical measures at a later period. After the incision has been made, an ordinary large-sizedmetal tracheotomy tube (Fig. 258) is introduced into the pleuralcavity and fastened with tapes about the chest. The tube maybe cut off at its intrathoracic end to suit the purpose. Careshould be taken to see that the plate guard of the tube lies flatupon
Preparatory and after treatment in operative cases . However, the measure is employed in childrenand feeble persons, and with care in the after-treatment the woundmay be kept sufficiently patent to achieve sufficient relief to, per-haps, permit of more radical measures at a later period. After the incision has been made, an ordinary large-sizedmetal tracheotomy tube (Fig. 258) is introduced into the pleuralcavity and fastened with tapes about the chest. The tube maybe cut off at its intrathoracic end to suit the purpose. Careshould be taken to see that the plate guard of the tube lies flatupon the thorax. A rubber tube may be passed through the metalone for purposes of drainage or suction. The metal tube shouldbe removed only at long intervals if at all, as the ribs will en-croach upon the space at once when it is withdrawn. The after- 400 OPERATIONS ON THE THORAX treatment following this method of drainage is in all respectssimilar to that employed following resection of a rib. Fig. 267shows the tracheotomy tube in situ held by Fig. 267.—Method of Drainage of Pleural Cavity after Simple Thoracotomy. Excision* of part of a rib permits of more liberal drainageand removal of fibrinous exudate. After discharge of the con-tents of the pleural cavity, tnbe drainage is introduced and the distal ends ofthe wound closedby suture. Silk-worm gut suturesare most commonlyemployed for thepurpose, for reasonsalready indicatedwith regard to in-fected the operationis finished, the wound presents the appearance shown in The dressing should consist of a large quantity of antisepticgauze, preferably fluffed (Fig. 188), as this form of dressing-enhances absorption of the discharges. The dressing should bechanged every day for several weeks, and may then be changed
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
