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June 15, 1935

Die künstliche Zwerchfellähmung bei der Behandlung der Lungentuberkulose

JAMA. 1935;104(24):2206. doi:10.1001/jama.1935.02760240066029

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This treatise systematically and thoroughly discusses the technical and clinical phases concerned with phrenic nerve surgery, considering not only the authors' idea and experiences but also the facts and opinions that have been presented by others in the extensive literature on the subject. The anatomy of the accessory branches and the communications with the sympathetic system are carefully described. Many varying views concerning the part played by the diaphragm in respiration and expectoration and the effect of paralysis on these functions are presented, which indicates that there is no universal agreement on these problems. The technic of the permanent and of the temporary operations is given in detail. The large number of surgical accidents accumulated from the literature emphasizes that the operation is not a simple one, and the late complications suggest that the procedure is not to be undertaken lightly. In considering the indications for the operation, the authors

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