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EMPYEMA:  TREATMENT BY TIDAL IRRIGATION AND SUCTION

DERYL HART, M.D.
Arch Surg. 1929;19(6):1732-1766. doi:10.1001/archsurg.1929.01150060794045.
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A survey of the treatment for empyema by continuous tidal irrigation1 and supplementary suction for the past eighteen months2 has shown that this method can be used in the presence of practically any type of organism; that it is satisfactory for patients of all ages; that it works best with a trocar thoracotomy but can be adapted for use with patients having a resection of the ribs; that many patients with chronic empyema can be cured without mutilating operations; that bronchial fistulas close within a few days; that the period of convalescence is shortened; that the mortality is relatively low, and that no patient has left the hospital with a draining sinus. The treatment has also simplified the postoperative care, eliminated the difficult and painful dressings, removed the necessity for special exercises and blowing of bottles to give expansion of the lung and chest, and decreased the amount

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