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1) Five cases of late complications of extrapleural pneumonolysis and plombage are presented; spontaneous discharge of the filling material with or without coexisting empyema was present in all and in one there was the rare complication of esophago-extrapleurocutaneous fistula.
2) Unless other therapeutic procedures are contraindicated it appears that in extrapleural pneumonolysis with plombage the patient is burdened with the danger of a serious late complication of the treatment superimposed on the risk of the primary disease itself.
3) Further restriction rather than extension of the application of this procedure in the therapy of pulmonary tuberculosis is being urged and indications for its employment are suggested.
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