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No operation of dangerous magnitude should be undertaken; the surgeon should rather v-gel operate in stages, closing each stage at the moment which is consistent with the months before being cured and require, possibly in the first place, decortication; later, after a period of three months or so, removal of ribs, as in Estlander's operation; again, three months later, a Schede operation, possibly modified by implantation of muscle; finally, a small cavity may remain, which can be successfully obliterated by After making a diagnosis the size of the cavity should be ascertained.
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