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Article
January 1926

PATIENTS WITH PULMONARY TUBERCULOSIS IN GENERAL HOSPITALSIS IT JUSTIFIABLE TO REFUSE THEM TEMPORARY ADMISSION TO SURGICAL WARDS WHEN IN NEED OF OPERATIVE HELP?

Arch Surg. 1926;12(1):311-319. doi:10.1001/archsurg.1926.01130010315020

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Abstract

Today it is generally recognized that pulmonary tuberculosis has become a borderline disease, by virtue of the surgeon's ability to improve or cure a certain percentage of such consumptives whose affliction has proved intractable and irresponsive to any medical or hygienic regimen.

Extrapleural thoracoplasty for the purpose of collapsing the lung with the chest wall to which it has become attached and extraction of the phrenic nerve from the anterior mediastinum are the two operations that principally come into consideration. Neither operation is difficult, technically, and they should be done by competent surgeons in well conducted hospitals everywhere. Untrained surgeons should never touch them.

What is not easy is the proper selection of the patients to be subjected to operation, and the question of determining which of the two operations is indicated in the given case. Scientific cooperation, "teamwork" by internist or phthisiotherapist and surgeon, is here the keynote for

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