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January 17, 1925

Traitement chirurgical de la dilatation bronchique.

JAMA. 1925;84(3):225. doi:10.1001/jama.1925.02660290069041

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The author goes directly to the point. He divides the disease into two general divisions: bronchiectasis (1) of the infant and (2) of the adult. The end-result without surgical intervention is fatal, and the prognosis is bad. In infants medical treatment is always resorted to, while in adults the treatment is always surgical. Roentgen-ray examination of the lungs, after introduction of lipiodol, i. e., iodized oil, almost invariably makes the diagnosis clear.

The four varieties of operative procedure in various types of cases are classified as: 1. Compression of lung: (a) artificial pneumothorax; (b) loosening up of the parietal pleura; (c) direct compression of lung; (d) thoracoplasty, extrapleural.

2. Drainage of the bronchial cavities (pneumonotomy).

3. Operation causing atrophy of the lung by ligated vessels at the hilum.

4. Resection of the lobe involved (lobectomy). He then describes the various forms, clinical as well as anatomic, in which these surgical

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