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November 9, 1929, Vol 93, No. 19 >

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ARTICLE | November 9, 1929

POSTOPERATIVE EMBOLISM AND PHLEBITIS

RICHARD H. MILLER, M.D.; HORATIO ROGERS, M.D.
JAMA. 1929;93(19):1452-1456. doi:10.1001/jama.1929.02710190024006.
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The consideration of this subject is fitting, in view of the generally accepted increase in the occurrence of postoperative pulmonary embolism. Most authors agree that the percentage of its incidence is greater than it was even a few years ago.1 No definite cause for this has been found.

A discussion of blood coagulation would be timely, but it would lead us far away from our subject, and there is not yet entire agreement on it.2 Most instances of fatal embolism occur in cases in which there is no evidence of phlebitis; therefore an explanation must be found for this clinically hidden thrombus formation. The best theories are expressed by Aschoff,3 who says that several factors are concerned. He assumes a slowing and eddying of the venous circulation, most marked in the veins of the leg, the upper part of the femoral veins and the pelvic plexus, with

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