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July 9, 1932

Über die neuere Entwicklung der chirurgischen Behandlung der Lungentuberkulose.

JAMA. 1932;99(2):160. doi:10.1001/jama.1932.02740540068046

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This monograph from Sauerbruch's clinic deals with the latest developments in the surgical treatment of pulmonary tuberculosis. The indications for and limitations of intrapleural pneumolysis, partial thoracoplasty, and especially plombage, are discussed in relation to partial pneumothorax collapse, to paralysis of the diaphragm by phrenic neurectomy, and to the posterior and combined posterior and anterolateral extrapleural thoracoplasty. Extrapleural pneumothorax following pneumolysis is discussed and the treatment of secondarily infected tuberculous empyema briefly outlined. A test of cardiac function by having the patient breathe air under positive and under negative tension is referred to; mediastinal flutter and wound infection are briefly discussed as the most serious postoperative complications. A short table on end-results is included. The author states that improved technic and clearer cut indications will extend the usefulness of all accepted methods and will prevent failures that result from their improper or incomplete application. The monograph is recommended to all