PERSISTENT THORACIC SINUS FOLLOWING EMPYEMA

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Abstract
The persistent sinuses which occasionally follow pyothorax have long brought annoyance and perplexity to surgeons and ill health and disappointment to patients. Thoracoplasty has usually been tried for their relief, with varying degrees of success, and since Fowler1in 1893 and De Lorme2three months later, dissected away the constricting pulmonary pleura their operation of "lung decortication" has attracted considerable attention. This operation has become rather more firmly established on the continent of Europe than here and has been used by many surgeons. Bergeat3has recently made a very complete report of the subject from Dr. Sick's clinic in Hamburg, where the Schede operation was first elaborated: lung decortication was here done seven times in the treatment of twenty-one cases of persistent empyema, and it was done more commonly in the later than in the earlier cases. It was always done in conjunction with more or less resection of the chest wall and its value is appreciated. Jordan,4Kurpjurorit5and

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