Maciej Mraz, Agnieszka Stasiak, Małgorzata Mraz

Maciej Mraz, Agnieszka Stasiak, Małgorzata Mraz – Postoperative complications in patients after thoracic surgery. Fizjoterapia Polska 2001; 1(4); 366-368

Abstract
Thoracic surgery is a serious intervention- which- together with anaesthesia – disturbs the physiological functions of the patient’s organism. In the postoperative period there is a risk that the patient will develop complications. Postoperative complications include any disorder appearing within the first thirty days following surgical intervention. They may be developed by the patient in the circulatory system (thrombophlebitis of legs, pulmonary oedema) and in the digestive system (intenstinal peristalsis disorder). In postoperative patients disorder is also observed in the immunological system. All of these postoperative complications can be prevented by intensive physiotherapy.Our study included 41 postoperative patients. They were all subject to physiotherapy but had not been prepared physiotherapeutically before thoracic surgery because of a very short period between admission and operation (1 to 3 days). Postoperative complications were found in 16 out of 41 patients. Dominant were respiratory complications – atelectasis and pneumatosis. Patients who underwent thoracic surgery on Thursday or Friday more readily developed postoperative complications because of the lack of physiotherapeutic attention during the weekend. Pre- and postoperative physiotherapy was found to influence the frequency of postoperative complications. The frequency of complications developed by postoperative patients depended on the intensity of physiotherapy in the first three days following surgery.

Key words:
Thoracic Surgery, Postoperative Complications, postoperative physiotherapy

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