Transplantation of the biceps tendon as a treatment for recurrent dislocation of the elbow

✍ Scribed by Major P. P. Reichenheim

• Publisher: John Wiley and Sons
• Year: 1947
• Tongue: English
• Weight: 476 KB
• Volume: 35
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18003513813

✦ Synopsis

A series of 20 operations for thoraco-abdominal wounds is described, with a record of the endresults as far as they are known.

2 . Five patients died at, or soon after, operation -a mortality of 25 per cent. No patient died after leaving the Forward Area.

In agreement with other writers o n the subject, I found the thoracic and diaphragmatic approach gave adequate exposure to the abdominal cavity, and was much less shocking and uncomfortable to the patient than a n abdominal incision. T h e abdominal approach was used in one case with a n entry wound in the loin and apparent damage to the kidney (Case 10); and in one case of increasing intra-abdominal hzemorrhage when rapid control of the bleeding was of vital importance (Case 15).

Wounds of the liver only may be treated conservatively unless haemorrhage is great. T h e prognosis of all liver wounds is uncertain.

5. Careful cleansing of the pleural cavity should be an important step in the operation in order to minimize the risk of empyema and atelectasis.