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September 17, 1887

THE SURGICAL TREATMENT OF SUPPURATIVE PLEURITIS IN CHILDREN.Read in the Section on Surgery and Anatomy, at the Thirty-Eighth Annual Meeting of the American Medical Association, June, 1887.

JAMA. 1887;IX(12):353-357. doi:10.1001/jama.1887.02400110001001

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In the very brief paper which I shall present, it is not my purpose to discuss tne history of this disease, its etiology, its pathology, its progress or its general treatment. I propose simply to confine my remarks to the comparative merits of the operation of removing the pus by the old method of the trocar and drainage tube, with the more modern one of resecting or excising a portion of one or more ribs, restricting this comparison of the two surgical procedures, to the cases ocurring in children.

It is known that as far back as the time of Hippocrates, the operation for the removal of pleuritic effusion, whether of pus, serum or blood, was practiced by the ancients, many crude and imperfect instruments being employed for this purpose, and circumstantial details of all the minutiæ necessary at each stage of the operation laid down by Hippocrates himself. Not

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