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Postoperative pleural effusion following upper abdominal surgery.

P H Nielsen1, S B Jepsen, A D Olsen

  • 1Department of Abdominal Surgery, Aalborg Sygehus, Denmark.

Chest
|November 1, 1989
PubMed
Summary

Postoperative pleural effusions are common after upper abdominal surgery, affecting 89 of 128 patients. These effusions are generally not linked to specific surgical factors and often do not require treatment.

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Gastrointestinal Surgery

Background:

  • Postoperative pleural effusions are a potential complication following upper abdominal surgery.
  • Understanding the incidence and contributing factors is crucial for patient management.

Purpose of the Study:

  • To investigate the incidence of postoperative pleural effusions in patients undergoing upper abdominal surgery.
  • To identify potential correlations between pleural effusions and various patient and surgical factors.

Main Methods:

  • Review of 128 patients who underwent upper abdominal surgery.
  • Standard preoperative and postoperative chest roentgenograms were used to detect pleural effusions.
  • Analysis of correlations with operation type, infection, serum amylases, sex, smoking, weight, and incision site.

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Main Results:

  • 89 out of 128 patients (69.5%) developed postoperative pleural effusions.
  • No significant relationship was found between pleural effusions and operation type, infection, serum amylases, sex, smoking habits, or weight.
  • A positive correlation was observed between atelectasis and pleural effusion, though causality was not established.
  • Pleural effusions may be linked to fluid retention and age-related cardiac issues.

Conclusions:

  • Postoperative pleural effusions are a frequent occurrence after upper abdominal surgery.
  • Their development appears multifactorial, potentially involving fluid balance and cardiac status.
  • Early postoperative pleural effusions are typically benign and do not necessitate specific interventions.