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Spontaneous Pneumothorax.

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By KILLEN DUNCAN A.. , M.D., F.A.C.S., and GOBBEL WALTER G. JR.. , M.D., F.A.C.S. 296 pages. Little, Brown and Co., Boston: , 1968.. Price, $15.00.

Ann Intern Med. 1969;70(3):667. doi:10.7326/0003-4819-70-3-667_1
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Medical-surgical chest conferences can usually be enlivened by the presentation of a case of spontaneous pneumothorax because disagreement exists concerning the indications and rationale for conservative (nonoperative) therapy versus tube thoracostomy in initial management of pneumothorax; the use of suction compared with water-seal drainage if a tube is inserted; the need and timing of elective surgery for the treatment of recurrent pneumothorax; and what kind of procedure is best if surgery is performed for treatment and prevention. Drs. Killen and Gobbel have ably summarized the important literature relevant to these problems but, unfortunately, leave the reader still wondering how to


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