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1 The Department of Surgery, Baltimore City Hospitals.
2 The Department of Surgery, School of Medicine, University of Maryland.
1) Extrapleural lucite ball plombage has been used 72 times in 64 patients.
2) There have been two deaths, one postoperatively three days after operation from extensive flare-up of disease, and one from recurrent tuberculous meningitis several months after pulmonary plombage. No other complications have developed.
3) In 64 patients 54.7 per cent have negative sputa and none has been made worse. If the patients with bilateral disease are separated from those with unilateral disease the results are better. In 36 patients with unilateral disease 86.1 per cent have negative sputa. The patients have been followed six to 24 months after operation.
4) Factors are discussed that will undoubtedly bring about better end results.
5) Extrapleural lucite ball plombage has a definite place in the treatment of pulmonary tuberculosis and probably will be used more extensively in the future.
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