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December 1929, Vol 19, No. 6 >
ARTICLE | December 1929

PHRENICECTOMY IN THREE HUNDRED CASES OF PULMONARY TUBERCULOSIS

E. S. WELLES, M.D.
Arch Surg. 1929;19(6):1169-1174. doi:10.1001/archsurg.1929.01150060231012.
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It is not my purpose to go into the history of the surgery of the phrenic nerve, nor to review the literature on phrenic exeresis in the treatment of pulmonary tuberculosis. I desire merely to report the results in a series of 300 such operations, done on all types of tuberculous patients, and to determine what conclusions can be drawn as to the value of the procedure.

The operation is simple, involving division or crushing of the phrenic nerve in the neck in order to produce permanent or temporary paralysis of the diaphragm on one side. It is done under local anesthesia through an incision about an inch long placed accurately in one of the transverse folds of skin about an inch above the clavicle and with its center over the anterior scalene muscle which lies beneath the outer border of the sternomastoid. This incision gives a much less conspicuous

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AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
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