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Surgery of the Thorax and Its Viscera, Symptoms, Diagnosis

Surgery of the Thorax and Its Viscera, Symptoms, Diagnosis

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Medical Reference

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ISBN10: 1150290684
ISBN13: 9781150290688
Publisher: General Books
Pages: 230
Weight: 0.92
Height: 0.48 Width: 7.44 Depth: 9.69
Language: English
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1918 Excerpt: ... SURGERY OF THE MEDIASTINUM OTHER THAN FOR INJURY AND DISEASE OF THE CARDIOVASCULAR SYSTEM. Mediastinal, next to cardio-aortic surgery, is the most recent of any applied to the thorax and its viscera. This has been due to pneumothorax resulting from exposing the space directly or indirectly to atmospheric pressure, but now that ways and means have been devised to overcome this condition, any one or all of its four divisions may be exposed at the same time with comparative safety. The cavity being formed by the soft structures of the neck above, the diaphragm below, sternum in front, vertebrae behind, and visceral pleurae and pericardium laterally, together with the cardio-aortic system, esophagus, pneumogastric nerves, superior vena cava, thoracic duct, thymus and bronchial glands contained within it, render it a most frequent locality for disease and injury. The relations of the spaces, in the absence of injury or disease, are not constant, because they are many times embryologically defective. With all forms of neoplasms the relations are more or less varied, while the presence of fluids, such as pus, serum, blood and chyle, only temporarily change the relations. This is demonstrated by their return to normal after their withdrawal. Neoplasms, however, possess adhesions which may cause the space to become temporarily or permanently obliterated. Fluids, foreign bodies or neoplasms, may form within or enter from without the space and remain there, or disappear into other cavities or tissues, Read before the Western Surgical and Gynecological Association, Chicago, December 19-20, 1910. or they may make their appearance externally, or in many instances disappear altogether by absorption. Hare's (1888) Prize Essay must be the basis for future reckoning with inj...

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