The observations reported in this paper are based upon cases at the Lenox Hill Hospital on the service of Dr. Willy Meyer, under whose guidance and assistance the method has been worked out.
Empyema, or more correctly acute suppurative pleurisy, offers a wide latitude in choice of operative procedure. As Robinson1 aptly states: "The literature on this subject abounds in reports of small groups of cases with uninterrupted recoveries of short duration, treated with or without methods of drainage or suction, and the recovery of such cases should be credited to their early recognition more than to the method of handling."
The three standard types of operation usually employed are: (1) aspiration by needle puncture; (2) the open method, either with or without resection of rib, and (3) the closed method, popularized in this country by Kenyon,2 although used first by Bülau3 in Germany in 1891.
PICKHARDT OC. OPERATION FOR ACUTE EMPYEMA ON PHYSIOLOGIC LINES. Arch Surg. 1924;8(1):293-307. doi:10.1001/archsurg.1924.01120040304014