Jakobeus surgery for pleural adhesions

When using an artificial pneumothorax (i.p.) there are often cases when it is the diseased part of the lung that cannot be compressed because of pleural adhesions, as a result of which the cavern continues to gape, the patient excretes sputum and bacilli, and continuation of i. i., in fact, is completely aimless. In rare cases, when the adhesions preventing the recession of the cavern are very thin, it is possible to rupture these adhesions by forceful blowing and bringing them to positive pressures. However, this method cannot be recommended for a number of reasons.