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(Testimony of Dr. Robert Roeder Shaw)Dr. SHAW. Yes. Dr. SHAW. This X-ray was made on the 29th of November 1963. 7 days following the incident. Dr. SHAW. It shows that there has been considerable clearing in the lower portion of the lung, and also that there is a fracture of the fifth rib as previously described approximately 4 centimeters from the transverse process posteriorly. Dr. SHAW. No. Dr. SHAW. There were no photographs. Senator COOPER. It is directed that it be made a part of the record of these hearings. Dr. SHAW. I will continue with my description of the operative procedure. The opening that had been made through the rib after the removal of the fragments was adequate for further exploration of the pleural cavity. A self-retaining retractor was put into place to maintain exposure. Inside the pleural cavity there were approximately 200 cc. of clotted blood. It was found that the middle lobe had been lacerated with the laceration dividing the lobe into roughly two equal parts. The laceration ran from the lower tip of the middle lobe up into its root or hilum. However, the lobe was not otherwise damaged, so that it could he repaired using a running suture of triple zero chromic catgut. The anterior basal segments of the right lower lobe had a large hematoma, and blood was oozing out of one small laceration that was a little less than a centimeter in length, where a rib fragment had undoubtedly been driven into the lobe. To control hemorrhage a single suture of triple zero chromic gut was placed in this laceration. There were several small matchstick size fragments of rib within the pleural cavity. Examination, however, of the pericardium of the diaphragm and the upper lobe revealed no injury to these parts of the chest. A drain was placed in the eighth space in the posterior axillary line similar to the drain which had been placed in the second interspace in the front of the chest. The drain in the front of the chest was thought to be a little too long so about 3 centimeters of it were cut away. Attention was then turned on the laceration of the latissimus dorsi muscle where the missile had passed through it. Several sutures of chromic gut where used to repair this muscle. The incision was then closed with interrupted No. zero chromic gut in the muscles of the chest wall--first, I am sorry, in the intercostale muscle, and muscles of the chest wall, and the same suture material was used to close the serratus anterior muscle in the subcutaneous tissue, and interrupted vertical sutures of black silk were used to close the skin. Attention was then turned to the wound of entrance which, as previously described, was about a centimeter and a half in its greatest diameter, roughly
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