Pulmonology Medical News about Laparotomy

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Postoperative Pulmonary Complications after Laparotomy
Respiration, 10/28/09

Smith PR et al. – The incidence of PPCs after laparotomy in this study is lower than in many prior reports and reflects the relevant definition of PPCs used. Upper abdominal surgery carried the greatest risk. Reoperation was a risk not identified previously. Emergency procedures and the use of nasogastric tubes were confirmed as key risks. Morbidity, mortality and lengths of stay were significantly increased after PPCs.

Exclusive Author Commentary
Peter R. Smith, 10/28/09

Postoperative pulmonary complications (PPCs) occur with a frequency equal to or greater than cardiac complications and may be more likely to result in mortality. However the true frequency of PPCs and their associated risk factors are incompletely understood. We studied a well-defined patient cohort, and employed a clinically relevant definition of PPCs to investigate the incidence of, and risks for PPCs after laparotomy. Our data suggest a lower incidence of PPCs after laparotomy then has generally been reported in the past. Our results provide further evidence that upper abdominal surgery and nasogastric tubes are key risks for PPCs. The risk associated with emergency laparotomy has not been clearly defined in the past. We found it to be an independent risk factor for PPCs. Our study identifies reoperation as a risk factor for the first time.

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Journal of Clinical Oncology, 10/09/09 Relevance Score: 88%

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International Journal of Gynecology & Obstetrics, 11/11/09 Relevance Score: 84%

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World Journal of Emergency Surgery, 10/13/09 Relevance Score: 80%