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Surgery of the Lung.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Romanis, W. H. C. |
| Abstract | The surgery of the lung has probably advanced in the last ten years as much and as definitely as any part of medicine or surgery. It can be said now to have passed beyond that experimental stage which is naturally the initial step in any such progress, and to have established itself definitely and permanently on a sound scientific basis. Its progress is still somewhat hampered by the fact that the particular type of case suitable for some of these operative procedures is uncommon. Such patients are very rare indeed at a General Hospital, and not too many of them are seen at special Chest Hospitals, while it must also be remembered that these cases in the first instance come before the physician, with whom the selection of those suitable for operation naturally lies very largely, and on whose activeness and progressive-mindedness the supply of material will to some extent depend. A large part of modem chest surgery has resulted from the main fact that it is now possible to explore the chest by an operation known as an exploratory thoracotomy, with as much ease, and by doing as little damage, as it is possible to explore the abdomen; indeed probably, with less in the way of after effects, for either operation may produce adhesions within the cavity concerned, and intra-pleural adhesions are certainly less troublesome than abdominal adhesions may be. This operation of exploratory thoracotomy which is so easily done, is performed nowadays by first collapsing the lung by means of artificial pneumothorax, and then opening the chest without taking out a rib at all, by a long incision between two ribs, which are then forced apart by powerful retraction. It may sometimes be rendered easier either by cutting across one or other of the ribs involved at the dorsal end of the incision, or by taking out a small piece of them. This, however, is in no sense essential. The standard method of thoracotomy is really in every way comparable to the standard methods of laparotomy. There are four main diseases with which the surgery of the lung deals: abscess of lung, phthisis, bronchiectasis and growths of the lung, and in all of these many different lines of treatment are available. Abscess of Lung. Abscesses of lung are surprisingly common in chest Hospitals, and though some of them follow pneumonia, influenza, or even unknown causes, it is found … |
| Starting Page | 58 |
| Ending Page | 62 |
| Page Count | 5 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://pmj.bmj.com/content/postgradmedj/10/100/58.full.pdf |
| PubMed reference number | 21312866v1 |
| Volume Number | 10 |
| Issue Number | 100 |
| Journal | Postgraduate medical journal |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Artificial pneumothorax for collapse of lung Bone structure of rib Bronchiectasis Chest Pain Dental caries Growth Laparotomy Lung Abscess Operative Surgical Procedures Patients Pneumonia Structure of parenchyma of lung Surgical incisions Thoracic Surgical Procedures Thoracotomy Tissue Adhesions Tuberculosis, Pulmonary |
| Content Type | Text |
| Resource Type | Article |
