Surgical aid has made a place for itself in the treatment of pulmonary tuberculosis. Phrenico-exeresis or evulsion of the phrenic nerve to paralyze one half of the diaphragm, thoracoplasty or the removal of a portion of the ribs and the cauterization of pleural adhesions to facilitate pneumothorax are established procedures with but slight operative mortality in well selected patients in experienced hands. Surgeons and internists are agreed to this extent; but there is still disagreement on the selection of patient and procedure, the technic of the operation and the causes of mortality and poor results. It is therefore important for experience to be recorded and end-results critically studied.
The publications on the subject in this country have been largely confined to special journals, and there are still ten contributions in foreign journals to one in English organs. This has probably been fortunate in that it has tended to prevent overenthusiasm
DUNHAM K, ASBURY E. THORACOPLASTY IN PULMONARY TUBERCULOSISGENERAL AND ECONOMIC CONSIDERATIONS. JAMA. 1932;99(5):360–366. doi:10.1001/jama.1932.02740570006003