. Annals of surgery . have been verv dangerous, if not impossible. With i^uidance in two dimensions absoluteprecision obviates unnecessary trauma. He did not regard thoracojiunctureas the proper procedure for every aspirated foreign body. Any good broncho-scopist can remove such bodies through the mouth with a bronchoscope; butan unskilled bronchoscopist may need a thoracic surgeon to repair themediastinum—if the patient survives. Doctor Sh.\ said that the whole question of removing foreignbodies from the lungs had been greatly altered by the War. Irevious tothat time very little was done
. Annals of surgery . have been verv dangerous, if not impossible. With i^uidance in two dimensions absoluteprecision obviates unnecessary trauma. He did not regard thoracojiunctureas the proper procedure for every aspirated foreign body. Any good broncho-scopist can remove such bodies through the mouth with a bronchoscope; butan unskilled bronchoscopist may need a thoracic surgeon to repair themediastinum—if the patient survives. Doctor Sh.\ said that the whole question of removing foreignbodies from the lungs had been greatly altered by the War. Irevious tothat time very little was done in a systematic way. During the period ofthe War. Duval attacked the problem of the removal of foreign bodies fromthe lungs by resecting a piece of rilj, herniating the lung, isolating the foreignbody with the fingers, cutting into the lung and removing the foreign body,controlling the hemorrhage with sutures. Marion suggested suturing theparietal and the visceral pleura if they are not adherent. Me penetrated 537. ACADEMY OF SURGERY the Imii, with the finger, isolated the foreign body and passed a clamp alonghis finger, using the finger as a guide to direct him to the foreign bodv,and removed it. The bleeding was controlled by a tampon. Mauclaireadvised the removal of foreign bodies through a small opening. In somecases he resected the rib. He introduced a slender instrument through thechest wall and lung, and, with the aid of a fluoroscope, he removed theforeign body. Marions technic was modified by Pettit de la Villeon. Underlocal an;esthesia he penetrated the chest wall and the lung and with the aidof a fluoroscoiie removed the foreign body. This method is similar to thatused by Doctor Jackson in his case. A case under his own caie was associated with a streptococcic was a stajile in the posterior mediastinum, having been pushed therethrough the bronchus during an attempt at removal with the ribs over the abscess cavity we
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
