. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. ill up thecavity; but if the lung does not expand sufficiently, Depages operationshould be resorted to, and one or more ribs resected from the pleuralsurfaces of the raised flap, commencing with the lowest one. OPERATIONS. 185 Christie, Jr., reports a most gratifying result from the followingmethod: The ease is treated as a simple drainage case—that is, with re-section of one rib and drainage through a tube for three wee
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. ill up thecavity; but if the lung does not expand sufficiently, Depages operationshould be resorted to, and one or more ribs resected from the pleuralsurfaces of the raised flap, commencing with the lowest one. OPERATIONS. 185 Christie, Jr., reports a most gratifying result from the followingmethod: The ease is treated as a simple drainage case—that is, with re-section of one rib and drainage through a tube for three weeks. At thistime union and moderately firm cicatrization of the cutaneous and sub-cutaneous incision will have been secured, and there will remain a simplesinus leading into the pleural cavity. By means of a simple apparatuswhich is attached to the vacuum chamber of an ordinary aspirator heforcibly extracts all the air from the pleural cavity and at once securesthe effect of full atmospheric pressure within the lung and against thethoracic wall, which forcibly induces the immediate expansion of thelung, after which the wound is effectually plugged by means of a water-. Fig. 59.—External Wound Partly Sutured; Double Drain in Place.—(Senn.) cushion and rubber dam eight inches wide; the purpose of the dam beingto form an impervious contact with the chest walls. Should irrigation of the pleural cavity at any time be considereddesirable, normal salt solution or weak iodin solution only should beused. The drainage-tube must be continued until all discharges haveceased entirely. The patients, who are, as a rule, very much emaciated,should be placed upon tonics with forced nutrition. Senns Method of Drainage and After-treatment.—Tubular drain-age is the ideal method of draining a suppurating pleural cavity. Twofenestrated tubular drains the size of the little finger and about fourinches in length, securely fastened together with a large safety-pin or astitch through each end, sh
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