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Pneumothorax During Surgery

Jack Moyers, MD; William K. Hamilton, MD
JAMA. 1967;199(5):343-344. doi:10.1001/jama.1967.03120050085027.
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To the Editor:—  We are delighted to receive Dr. Gilbert's comments and questions; the success of this new series will be enhanced by such inquiry and response.The decision to continue or discontinue operative treatment of the patient following relief of the pneumothorax was obviously a matter of judgment. Our decision to continue was based on the following: The initial incision and dissection had been fashioned to accommodate both tracheostomy and definitive surgery and was not for a simple tracheostomy. After treatment of the pneumothorax, the patient appeared to be in satisfactory condition, and the considered opinion of those present was that further surgery did not constitute more risk than would a second induction of anesthesia and surgery at a later date. It was also the opinion of the surgeons involved that better cancer therapy was offered by doing operations in one stage rather than two.The decision to continue


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