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June 4, 1904


JAMA. 1904;XLII(23):1489-1490. doi:10.1001/jama.1904.92490680029001e

As the surgical treatment of pulmonary abscess still presents many difficulties to be overcome and problems for solution, the personal experience of operators in this line of work, even though that experience is limited, will be of assistance in formulating rules for future guidance.

No résumé of the literature will be attempted, as several scholarly articles published during the past two years have anticipated and rendered unnecessary such a procedure.

Experience has demonstrated that multiple lung abscesses and those accompanied by bronchiectasis are, as a rule, not benefited by operation. Tubercular abscesses and those due to the presence of a foreign body in the lung will not be considered, as they present complications placing them in classes by themselves, and with their surgical treatment I have had no experience. Metastatic and embolic lung abscesses are multiple and not amenable to surgical treatment.

This leaves for our consideration those cases of

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