During recent years many investigations have been directed toward the prevention of postoperative complications, especially since preventive medicine has proved its value in the progressive lowering of the mortality of certain diseases such as typhoid, smallpox and diphtheria.
An analysis of the factors which are concerned in the causation of operative mortality shows that, by judicious care, a fatal termination might have been avoided in many instances. Of prime importance is the realization that the operative procedure is only one factor in the handling of a surgical case. If the other factors are esteemed to be of minor importance, complications will invariably ensue. Among the other factors the preoperative care is of prime significance, especially in cases of jaundice, of prostatic obstruction with elevated blood urea, and of gastric carcinoma with obstruction, vomiting, anemia and a low chloride content of the blood.
The postoperative course in any case is controlled
CRILE GW, HIGGINS CC. PREVENTION AND TREATMENT OF POSTOPERATIVE COMPLICATIONS IN ABDOMINAL SURGERY. JAMA. 1927;89(21):1738–1742. doi:10.1001/jama.1927.02690210004002
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