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There are so many methods of trocar drainage of empyema cavities that I have hesitated to suggest another. However, since most of these methods have certain defects and are cumbersome and difficult of application, I thought it would be wise to describe a method minus such difficulties that I have used for the last four years.
At present there does not exist much antagonism to puncture drainage of an empyemic cavity; but four years ago such a procedure was radical, and was regarded with a good deal of skepticism. It was contended that a wide hole in the chest wall was necessary for empyema drainage, and it was held that drainage could not be thoroughly established through a small opening. It was also held that if a small opening should be made into the chest wall and a drainage tube inserted through this opening, the impinging of the ribs against
Behan RJ. BLOODLESS THORACOSTOMY. JAMA. 1920;74(16):1081-1082. doi:10.1001/jama.1920.26210160001007