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June 7, 1941


JAMA. 1941;116(23):2599-2600. doi:10.1001/jama.1941.02820230043014

The aim of modern therapy of tuberculous cavitation of the lungs has been the most extensive possible collapse of the diseased lung. The relatively simple procedures of pneumothorax and phrenic nerve evulsion were soon followed by more efficient, even though more formidable, thoracoplastic interventions. Now comes Monaldi1 with an original and entirely different approach. At a meeting of the Italian Antituberculosis Society on July 15, 1938 he described a direct method of draining a tuberculous cavity. In this procedure the location of the cavity is carefully determined by lateral projection films and by tomography. With the patient in a supine position on a fluoroscopy table, a slender exploratory needle is passed in a predetermined direction. When the cavity is localized, the needle is removed and a two-way trocar is introduced along the same path. One barrel of the trocar is connected with a monometer to facilitate recognition that the

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