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(Chest. 1947;13:248-252.)
© 1947 American College of Chest Physicians

Intrapleural Pneumonolysis

JOHN B. ANDOSCA M.D., F.C.C.P., M.R.C.S., L.R.C.P.1 and JOHN A. FOLEY M.D., F.A.C.P.1

1 The Medical and Surgical Services, Boston Sanatorium, and Department of Medicine, Boston University School of Medicine.

1. From 1934 to 1944 inclusive, 612 patients at the Boston sanatorium were submitted to thoracoscopy.

2. In 533 patients a series of 605 pneumonolyses were performed. In 79 cases a pneumonolysis was not attempted because of the character of the adhesions.

3. The Coryllos thoracoscope and galvanocautery was employed in every case.

4. The optimum time for pneumonolysis is 2 to 3 months following induction of pneumothorax.

5. Sputum conversion was effected in 63 per cent of the cases operated upon.

6. The operation is not without danger. The complications are enumerated.

7. Intrapleural pneumonolysis is a highly valuable operation in helping to bring about a satisfactory and effective collapse.






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Copyright © 1947 by the American College of Chest Physicians.