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Article
June 27, 1931

RIO DE JANEIRO

JAMA. 1931;96(26):2224-2225. doi:10.1001/jama.1931.02720520052021

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Abstract

Technic of Section of Pleural Adhesions  Prof. J. Souza Mendes, privatdozent of the Otorrhinolaringologic Clinic of the University of Rio de Janeiro, in a recent article states that the fixation of the tuberculous lung to the thoracic wall by pleural adhesions prevents collapse of cavities and thus interferes with the end-result of artificial pneumothorax. He says that Jacobaeus's method of galvanocauterization of the adherent pleural layers, though successful at the end, is a difficult operation which has some dangers, not the least important of which is hemorrhage. The author proposes a new technic for the sectioning of pleural adhesions through a small opening in the thoracic wall, the operation being guided by direct endoscopy of the pleural cavity. The author has obtained good results in three patients. The technic is as follows: A few hours before the operation is performed, the patient should be given a dose of a preparation

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