THE PROBLEM OF VENOUS THROMBOSIS

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Abstract
Of all complications relative to surgical operation, delivery or illness requiring medical management, venous thrombosis which results in permanently disabling venous obstruction or fatal pulmonary embolism stands as the most distressing. It has only been within the past few years that the problem of venous thrombosis has been understood. Homans1 and Ochsner and DeBakey2 have divided intravascular clotting into two types: (1) a bland thrombosis or phlebothrombosis and (2) thrombophlebitis. With this division a more rational method of management may be instituted. Because of a number of factors3 the condition of intravascular clotting is apparently on the increase. The greater number of operative interventions that are now being performed and the increase in the magnitude of present day surgical practice are the most logical reasons. This view has been stressed by Matas.4 It was formerly thought that this condition developed only in patients who had undergone

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