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Article
January 1939

MECHANICAL EFFECT OF ARTIFICIAL PNEUMOPERITONEUM AND PHRENIC NERVE BLOCKA COMPARATIVE STUDY

Author Affiliations

WAUWATOSA, WIS.
From the Muirdale Sanatorium and from the Medical Department, Marquette University Medical School.

Arch Surg. 1939;38(1):148-154. doi:10.1001/archsurg.1939.01200070151012
Abstract

I have been using artificial pneumoperitoneum for the treatment of pulmonary tuberculosis since 1931. The applicability of this method was discussed by me in previous publications.1 The first case of pulmonary tuberculosis in which the condition was treated by the combination of phrenic nerve block and artificial pneumoperitoneum was recorded in another paper.2 Clinical observations showed that repeated injections of moderate amounts of air into the peritoneal cavity are capable of improving the general and pulmonary condition of some patients.3 This is of great significance, because practically all patients treated by this measure were patients for whom artificial pneumothorax had failed to produce relief, or patients who were not eligible for other types of mechanical intervention because of age, general debility, low vital pulmonary capacity or advanced stage of pulmonary involvement. Undoubtedly, some of the benefits of this treatment were due to the fact that the intestinal

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