JAMA. 1903;XL(3):177-178. doi:10.1001/jama.1903.02490030041009.
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The medical treatment of empyema has long been a disappointment and the operative treatment has not been all that could be desired. Though old as Hippocrates operative intervention has come to be considered more in the sphere of the surgeon than the physician, and anything, therefore, that will render it more practicable for the practitioner and a more early and general recourse is a boon to mankind.

In a paper on the subject of the treatment of suppurative pleurisy, read before the Illinois State Medical Society, Dr. E. Fletcher Ingals1 recommends an operation which can be performed by the average practitioner and which seems in many respects to be an advance on the methods heretofore employed. It consists in the introduction of a double drainage tube through a trocar inserted in the intercostal space and secured there after withdrawal of the instrument in such a way that it is


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