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162 the medical society of the state of north carolina to the case. It is impossible to predict how much rise one will obtain. The operation is simple and, in the hands of a skilled surgeon, free from Fig. 3. Same case as Fig. 2 after internal pneumolysis. Note complete compression of lung and displacement of heart to the right. risk. The results are sometimes striking. Fig. 4 shows the condition before phrenicectomy in a case in which pneumothorax had been impossible. Note the large cavity in the right side with thick, heavy walls. Fig. 5 shows the result one year after phrenicectomy, the cavity having been obliterated and converted into a fibrous tuft. Thoracoplasty When pneumothorax has failed and phrenicectomy has not achieved the desired result, provided that it is believed that the contralateral lung is in satisfactory condition, thoracoplasty is the operation of choice. Eleven ribs on the damaged side are bisected in part, beginning near their vertebral extremity. In a complete thoracoplasty, a total of about 120 cc. of rib is removed. It is the all-important and also the most difficult portion of the operation to remove a satisfactory amount of the first rib so that the dome of the lung may satisfactorily collapse. The operation is a serious one and is to be entered upon, like the marriage state, "soberly, discreetly and in the fear of God." Results are surprisingly good and complete recovery frequently is brought about. Fig. 6 shows a condition after pneumothorax had been attempted and failed and after phrenicectomy had produced no results. Fig. 7 shows
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1932 |
Identifier | NCHH-16-079 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 79 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-079.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-079 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Revision History | done |
Description
Fixed Title * | Page 162 (image) |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1932 |
Identifier | NCHH-16-079-0196 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactions791932medi_0196.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 79 |
Page Number | 162 |
Health Discipline | Medicine |
Full Text | 162 the medical society of the state of north carolina to the case. It is impossible to predict how much rise one will obtain. The operation is simple and, in the hands of a skilled surgeon, free from Fig. 3. Same case as Fig. 2 after internal pneumolysis. Note complete compression of lung and displacement of heart to the right. risk. The results are sometimes striking. Fig. 4 shows the condition before phrenicectomy in a case in which pneumothorax had been impossible. Note the large cavity in the right side with thick, heavy walls. Fig. 5 shows the result one year after phrenicectomy, the cavity having been obliterated and converted into a fibrous tuft. Thoracoplasty When pneumothorax has failed and phrenicectomy has not achieved the desired result, provided that it is believed that the contralateral lung is in satisfactory condition, thoracoplasty is the operation of choice. Eleven ribs on the damaged side are bisected in part, beginning near their vertebral extremity. In a complete thoracoplasty, a total of about 120 cc. of rib is removed. It is the all-important and also the most difficult portion of the operation to remove a satisfactory amount of the first rib so that the dome of the lung may satisfactorily collapse. The operation is a serious one and is to be entered upon, like the marriage state, "soberly, discreetly and in the fear of God." Results are surprisingly good and complete recovery frequently is brought about. Fig. 6 shows a condition after pneumothorax had been attempted and failed and after phrenicectomy had produced no results. Fig. 7 shows |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-079.pdf |
Document Sort | all; group-d; nchh-16 |
Article Title | Modern Trends In The Treatment Of Tuberculosis |
Article Author | Paul H. Ringer |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-079 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Revision History | done |
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