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November 1926

UTILIZATION OF SKIN-MUSCLE PEDICLED FLAP IN OPERATION FOR LUNG ABSCESSPRELIMINARY REPORT

Author Affiliations

SAYRE, PA.
From the surgical service, Robert Packer Hospital.

Arch Surg. 1926;13(5):667-676. doi:10.1001/archsurg.1926.01130110068006
Abstract

In the descriptions that follow it will be easy to perceive the influence of Schede and Estlander, of Lockwood, Keller and Graham, for there is nothing new in large square or oval flaps when operating on the thoracic cavity, nor is there anything new in leaving skin edges unsutured after operations on infected areas. However, in the literature dealing with lung abscess, there have been discovered no references to the purposeful creation of a large skin-muscle pedicled flap, with the predetermined intent of suturing it to the chest wall, wide open, muscle side exposed, once the abscess cavity has been fairly opened, and so leaving it for four or five weeks, until secondary suture can be safely carried out. Such a procedure has given satisfactory results in a small series of cases, and therefore a preliminary report is now submitted.

Operation for lung abscess is far from being standardized. It

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