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(Chest. 1948;14:694-706.)
© 1948 American College of Chest Physicians

Surgical Treatment of Residual Cavities Following Thoracoplasties for Tuberculosis

J. D. MURPHY M.D., F.C.C.P.1; P. D. ELROD M.D.2; H. E. WALKUP M.D.2; and E. R. KOONTZ M.D.3

1 The Department of Surgery, U. S. Veterans Hospital, Oteen, N. C., Chief, Surgical Service, Veterans Hospital.
2 The Department of Surgery, U. S. Veterans Hospital, Oteen, N. C.
3 The Department of Surgery, U. S. Veterans Hospital, Oteen, N. C., Surgical Service, Veterans Hospital.

1) In an effort to salvage 79 failures from a series of 325 patients who had undergone a thoracoplasty, 89 secondary operations were performed.

2) Fifty of these patients had a conversion of sputum, a salvage of 68.8 per cent.

3) These secondary operations were performed with only two deaths, an operative mortality of 2.5 per cent.

4) In the light of our present knowledge, the best results in cases of thoracoplasty failure are obtained with lobectomy or pneumonectomy.

5) If a single cavity persists in a patient unsuited for excision, an open cavernostomy offers a good chance of sputum conversion.






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Copyright © 1948 by the American College of Chest Physicians.