Thoracic resection for tumors growing from the bony wall of the chest / F.W. Parham.

  • Parham, Frederick W.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Thoracic resection for tumors growing from the bony wall of the chest / F.W. Parham. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    34/182 page 26
    made with the end in view of mobilizing a large portion of the thoracic wall, on which the tumor was seated. There- upon the tumor was separated under the ribs by the method of pleuro-parietal stripping. The pleura, being thick, was quite easily denuded. Through it the movements of the lung could be perceived. The wound could mA be completely cov- ered. A hiatus of the size of the palm of the hand remained. Immediate autoplasty was practisal by fashioniug a broad, quadrilateral flap, pedicled in the neighboring parts, twisted on its pedicle and sutured to the circumference of the wound to be filled in. Healing per primam. Inoperable recurrence three months later. Death from cachexia four months later. Case XXV. Second case of Quenu and Longuet, 1896, osteochondroma {Revue de Chirurgie, May 10, 1898, p. 401). Man, aged nineteen years, entered October 19,1896. Began three years ago as a small nodosity of the size of a hazelnut, seated on the third rib, left side. It increased M'ithout pain to the size of a walnut, and became visible externally. It was for this deformity he came to be cured. On examination the tumor was of the volume indicated. Amalgamated with the anterior extremity of the third rib. Was fairly well rounded, of elastic consistence, and without pain. Operation October 23, 1896. The tumor was dissected out, the fibres of the great pectoral muscle being easily sepa- rated. The third costal cartilage was denuded with the rugiue, likewise the anterior extremity of the third rib, 5 cm, of this chondro-costal fragment being resected. This had served as a support for the neoplasm. The pectoral fibres were sutured, and the wound closed by superficial cutaneous sutures. The movements of the lung and heart could \>e plainly seen through the thin and sn]>i>le pleura. Union ])er primam. Six months later no recurrence. Examination of the si)ecimen showed a cartilaginous con- sistence; the implantation appeared to be at the union of the
    digitised image 1
    digitised image 2
    digitised image 3