At the First Moscow Medical Institute named after I.M.S. Echenov, doctors of the Hospital Surgical?
At the First Moscow Medical Institute named after I.M.S. Echenov, doctors of the Hospital Surgical Clinic are getting together for a regular conference, Professor B.V. Petrovsky is telling the audience about a new operation he has worked out - the replacement of a diaphragm having a congenital defect - relaxation - with a prosthetic appliance of polyvinylealcohol.
The X-ray photograph made prior to the operation shows the high standing of the diaphragm on the left and the left lung squeezed. The heart is displaced to the right. The stomach is shifted to the thorax. All this brings to a serious break down in the health of the patient. The only cure in this case is an operation.
The X-ray photograph taken after the operation shows the newly created diaphragm taking up almost a normal position. The heart too is at its proper place. The Professor takes a layer of the snow white porous material, resembling a sponge.... this is polyvinylealcohol - a synthetic material, which after saturated with water, becomes elastic, but remains durable. It can be shaped into any form. When sewn into tissue of the organism it firmly inosculates with its tissue, with no irritation effect on the organism.
The operation has begun, you can see that the diaphragm is nothing more than a thin flabby film, wedged into the chest cavity. After the diaphragm is incised a polyvinylealcohol plate is removed from the boiler which has become by that time elastic. A patch of the needed size is cut out and after being sprinkled with penicillin the patch is sewn in between the so called leaves of the tissue - the remains of the diaphragms though replacing it completely. The operation is over. Three weeks later the patient fully recovered and is able to do any work his profession calls for.
Professor Petrovsky wishes the patient good luck.