Pleuroscopy For Disease

Most pleural diseases require a large

external opening for drainage, and even here the pleuroscope may be of

some use in exploring the cavities. Usually there are many adhesions

and careful ray study may reveal one or more the breaking up of which

will improve drainage to such an extent as to cure an empyema of long

standing. Repeated severing of adhesions, aspiration and sometimes

incision of the thickened visceral pleura may be necessary. The author

is so strongly imbued with the idea that local examination under full

illumination has so revolutionized the surgery of every region of the

body to which it has been applied, that every accessible region should

be thus studied. The pleural cavity is quite accessible with or

without rib-resection, and there is practically no risk in careful


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