In spite of many prophylactic measures used to avoid pneumonia after laparotomies, this complication still threatens. The frequency of such pneumonias runs as high as 10 per cent, in the European literature. In this country, recent reports from the Mayo Clinic 1 show that in a series of 140 cases of acute or chronic pulmonary suppurations following operations, thirty-eight cases followed laparotomy. Although pulmonary suppurations do not belong to pulmonary complications following immediately after operation, these figures have some bearing on the question of the frequency with which pulmonary pathologic conditions follow laparotomies.
There was, and still is, much discussion as to the definition of postoperative pneumonia. Years ago, Franke 2 said: "Each postoperative elevation of the temperature that is accompanied by even slight positive percussible and auscultatory pulmonary findings should be considered as a pneumonia." It is doubtful whether this statement always holds true in the morbid anatomic sense;
KOLODNY A. PULMONARY COMPLICATIONS AFTER LAPAROTOMIES: THE SITE OF HYPODERMOCLYSIS IN RELATION TO THEM. JAMA. 1925;84(11):810–812. doi:10.1001/jama.1925.02660370020010
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