This historical review suggests that different surgical approaches for pericardial adhesions represent treatments for different stages of a single disease process.
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Supports stage-specific surgery for pericardial adhesions; leaves open prospective validation of unified disease model.
A review of the literature shows that the operations for the release of pericardial adhesions have been rather arbitrarily divided into two types: ( a ) operations that relax the adhesions between the pericardium and the surrounding structures, and ( b ) operations that remove a portion of the leather-like pericardium from around the heart and release the adhesions between the pericardium and the heart, if any such adhesions are present. The more one studies the question of adhesions of the pericardium, the more one is convinced that these two types are but the continuation of the same process. It is unfortunate that custom has divided these operations so that they appear as designed for two different diseases, when, in reality, they are designed to meet different stages of the same process. It is still more unfortunate that the names of men should have become attached to these operations. The following is a partial
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Hugh H. Trout (1931) studied this question.
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