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February 16, 1907

LATE PHLEBITIS FOLLOWING CLEAN ABDOMINAL OPERATIONS.

JAMA. 1907;XLVIII(7):567-571. doi:10.1001/jama.1907.25220330009001b
Abstract

Many surgeons have seen iliac and crural phlebitis develop from the tenth to the twentieth day (usually about two weeks) after abdominal operation which had been aseptic throughout and followed by prompt and perfect healing of the wound.

A disease which appears so unexpectedly and converts a simple operation, with the promise of speedy recovery, into one of suffering, inconvenience and prolonged confinement and disability, merits further study and consideration. Though seldom fatal, it is always a most unwelcome complication and a vexatious disappointment to both patient and surgeon.

The typical cases seem to occur after an interval operation, for example, a clean appendectomy.

In 1903 I expressed the opinion1 that I had never seen a case of iliac or femoral phlebitis after an abdominal, rectal or genitourinary operation that was not due to infection. Sepsis, I considered, the commonest cause, even if the operative field did not seem

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