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Biomedical subjects

P C SAMSON

Publications and source records attributed to P C SAMSON.

At least 37 records · Page 2Linked to original sources

Injuries and wounds of the esophagus; a classification.

A new working classification of esophageal injuries and their complications is presented. The immediate recognition of perforations and ruptures is of prime importance. In some cases the rents heal with conservative therapy. It is emphasized, however, that early surgical exposure and direct repair will result nearly always in uncomplicated cure without the development of prolonged, costly, debilitating and sometimes fatal complications.

Esophageal Diseases↗

Primary pulmonary resection for tuberculosis; medical and economic aspects in a small sanatorium.

Twenty-eight patients with pulmonary tuberculosis in a small, tax-supported sanatorium were treated by primary pulmonary resection. In a comparison of results with those obtained in the same sanatorium by thoracoplasty and extrapleural pneumothorax, it was noted that in general the patients who had resection had earlier conversion of sputum to "negative" and had a shorter stay in hospital. Complications were not of sufficient frequency to contraindicate use of resection in cases in which there was doubt that thoracoplasty would be effective. The cost of hospitalization for surgical treatment and postoperative care was considerably less when resection was done than it was for either three-stage or two-stage thoracoplasty.

Humans↗

The treatment of mediastinal tumors.

Because there can be no certainty of diagnosis without it, thoracotomy is indicated in cases in which there is roentgenographic evidence of mediastinal tumor. "Watchful waiting" is considered unwise because the tumor may be malignant when first observed or may later undergo malignant change. Even if the lesion is and remains benign, an increase in the size of the mass may cause obstructive pressures necessitating operation ultimately. Moreover, infection and inflammation may develop at the site during prolonged observation, making operation more difficult. The hazards of thoracotomy, which have been greatly reduced in the last few years, are less than the hazards of waiting.

Humans↗