. Transactions of the Western Surgical Association. robably 50 per cent of all frac-tures of the thigh still suppurate after ten months*treatment. Can any one of us realize what an amountof suffering this causes and what expense and laborare involved in dressing these wounds, aside from theeconomic loss caused by the incapacity of this vastnumber of men? We shall divide the subject into two parts: 1. The treatment of chronic empyema and lung-abscess after prolonged suppuration. 2. The treatment of chronic suppuration resultingfrom bone-infection. There is a vast amount of literature on each of
. Transactions of the Western Surgical Association. robably 50 per cent of all frac-tures of the thigh still suppurate after ten months*treatment. Can any one of us realize what an amountof suffering this causes and what expense and laborare involved in dressing these wounds, aside from theeconomic loss caused by the incapacity of this vastnumber of men? We shall divide the subject into two parts: 1. The treatment of chronic empyema and lung-abscess after prolonged suppuration. 2. The treatment of chronic suppuration resultingfrom bone-infection. There is a vast amount of literature on each of thesesubjects. The evolution of methods of treatment,varying from decade to decade, is well known to sur-geons, but the fact that thousands of cases remainuncured indicates that we have not yet perfected ourmethods. We still encounter chronic suppurative em-pyema and lung-abscesses, as well as sinuses frombones and joints, which have persisted for a quarterof a century, although they may have been operatedon repeatedly by most competent :*« Fig. 1. Empyema sliowing thickened pleura di-viding chest cavity; to the left tlie compressed lung,to the right the ompyema cavity.
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Keywords: ., bookcentury1900, booksubjectgeneralsurgery, booksubjectsurgery
