Wednesday Morning, May 6, 1936
9:00 a. m. Scientific Session. Plummer Hall, 14th
floor, Mayo Clinic.
20. The
Treatment of Pulmonary Tuberculosis by Means of Ambulatory Artificial
Pneumothorax.
J. A. Myers, Minneapolis.
Abst. The paper deals with two main
groups of patients: one consists of those who had long periods of bed rest and
artificial pneumothorax treatment; the other consists of those who had brief
periods of bed rest not to exceed three months, or no period of strict bed rest
and have been carried for the most part on ambulatory artificial pneumothorax
treatment. The longest period of observation has been 10 years. The total
number of patients is approximately 300. The patients are classified as to
extent of disease, time of beginning treatment, duration of treatment, present
working capacity, etc.
21. A
Control Group for Studying the End Results of Thoracoplasty; an Analysis of
Those Patients Refusing Operation.
S. O. Freedlander and S.
E. Wolpaw, Cleveland.
(By Invitation)
Abst. In the period between 1932 and 1934 at the
Chest Clinic conferences of the Cleveland City Hospital 156 thoracoplasty
recommendations were made for patients with pulmonary tuberculosis who did not
have empyema. Of this number 87 were operated upon, 61 refused operation, and 8
were operated upon more than one year after their original refusal. All
recommendations were made without any knowledge of whether the patient would
refuse or accept. Since the only difference between the groups was that of
operation, those patients refusing operation form an excellent control group
for comparison of results. With a few exceptions, every patient surviving has
been examined personally and checked roentgenologically within the first three
months of 1936. The groups have been analyzed from the point of view of
therapeutic result, functional result, and the effect of delaying operation.
They have also been separated into the good and bad "chronics."
22. Studies on Tuberculin
Hypersensitiveness. I. The Relation of Hypersensitiveness to Tuberculin to the
Post Thoracoplasty Mortality.
W. M. Tuttle, Detroit.
Abst. "This work has been done
following out the premise that post-thoracoplasty reaction and
post-thoracoplasty deaths are intimately related with the individual patient's
sensitiveness to tuberculin. It offers proof that autotuberculinization, which
is frequently spoken of in the literature, actually exists."
23. Diagnosis, Treatment, and Prognosis
in Tuberculous Tracheobronchitis.
Paul C. Samson, Ann Arbor.
(By Invitation)
Abst. The term "tuberculous
tracheobronchitis" refers to a specific tuberculous infection of the mucosa and
submucosa of the trachea or bronchi or both, occurring almost entirely as a
complication of pulmonary parenchymal tuberculosis. During the last six years
data on a series of 45 patients have been collected. 24 have been observed for
a period of more than a year and 17 of these have had the ulcerative or
stenotic type of the disease. In the latter group over half are dead and none
have yet returned to complete health. The results of treatment of the pulmonary
parenchymal disease in these patients have apparently been equally poor whether
or not active collapse therapy has been instituted. Roentgen-ray treatment of
the ulcerative cases seems to offer some promise.
24. Paraffin Pack and Thoracoplasty in
the Treatment of Large Apical Cavities.
Jerome R. Head, Chicago.
Abst. The end results of a series
of sixty cases of tuberculosis treated by extrapleural pneumolysis with
paraffin pack are given. Particular attention is given to a group of sixteen
cases with large apical cavities in which the pack was used as a preparation
for thoracoplasty. It is contended that a primary paraffin pack will cure a
certain percentage of cases. In those in which it fails it so decreases the
size of the cavity and so stabilizes the mediastinum that a secondary
thoracoplasty is much more likely to be effective.
25. Some Errors in Technique and Mistakes
in Judgment Made in the Course of 1000 Thoracic Surgical Operations.
Norman Bethune, Montreal.
Abst. Twenty-five "howlers" have
been collected and will be frankly discussed.
26. Skeletal Deformities in Children
Resulting from Empyema and Methods of Prevention.
J. Dewey Bisgard, Omaha,
Nebraska.
Abst. The paper will discuss (1)
the deformities in ribs overlying empyema cavities and the mechanism by which
these changes are brought about; and (2) empyema or pleurogenic scoliosis.
Under the latter heading will be: (a) an analysis of the mechanics involved in
the production of the deformity, (b) The influence of age of the patient, or
duration of the empyerna, etc., upon the incidence of scoliosis and the
severity of the curvature, (c) Symptoms, morbidity, and mortality resulting
directly from scoliosis. (d) Methods used in the prevention of scoliosis.
27. Operating Room Infections with
Special Reference to Thoracic Surgery.
Deryl Hart, Durham, North Carolina.
12:30 p. m. Luncheon. Kahler Hotel.
2:00 p. m. Clinical Demonstrations. Plummer Hall,
14th floor, Mayo Clinic.
1. Primary Carcinoma of the Bronchus.
P. P. Vinson.
2. Dry Clinics.
Lemon, Kirklin, Camp, Harrington, Craig and Gray.
3. Congenital Cystic Disease of the
Lung.
Harry Wood.
4. Essential Hypertension: the
Rationale and End Results of Extensive Sympathectomy.
A. W. Adson.
4:30 p. m. Operative and Bronchoscopic Clinics, 6th
floor, Colonial Hospital.
Harrington, Vinson and Gray.
