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- W2034787657 abstract "Closed intrapleural pneumonolysis is a highly valuable procedure which has a definite place in surgical collapse therapy of pulmonary tuberculosis. In well selected cases which show that the pneumothorax is unsatisfactory due to single or multiple adhesions, lysis of adhesions will convert it to a satisfactory one. Suitability of adhesions for lysis can only be predicted with a fair degree of accuracy prior to thoracoscopy. Therefore, this should be performed in all cases of unsatisfactory pneumothorax where there is a possibility of division of the adhesions. The percentage of complete technical failures in our series (6.8 per cent) is lower than in Kunstler (9.4 per cent), but this is probably because in recent years there has been a gradual trend toward the use of pneumoperitoneum and phrenic crush, so that fewer cases are having pneumothorax, therefore fewer cases for thoracoscopy. Complications, resulting from pneumothorax and pneumonolysis are mainly those from prolonged pneumothorax, but are increased by thoracoscopy and lysis of adhesions. Of 110 cases, in whom thoracoscopy was performed 132 times, only 60 had satisfactory pneumothorax. In 33 cases pneumothorax was abandoned, six had subsequent thoracoplasty and two, major pulmonary resection. It is this high incidence of complications, which often render pneumothorax irreversible that has resulted in the loss of popularity of pneumothorax and pneumonolysis. Nevertheless it is a valuable procedure in well selected cases, and rightfully occupies a place in the surgical collapse therapy of pulmonary tuberculosis." @default.
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- W2034787657 date "1951-01-01" @default.
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- W2034787657 title "Complications of Pneumothorax and Pneumonolysis * *Department of Surgery, Louisiana State University School of Medicine, and Charity Hospital of New Orleans, Louisiana." @default.
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- W2034787657 doi "https://doi.org/10.1378/chest.19.1.78" @default.
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