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Abdominal surgical procedures can increase risks of pulmonary complications.The aim of the study was to evaluate the benefits of an early intervention of chest physiotherapy during immediate post-operative in patients submitted to elective abdominal surgery.

Thirty-one adults were randomly assigned to control and chest physiotherapy groups. Spirometry, pulse oximetry and anamneses were performed before (pre-operative) and in the second post-operative day. Chest physiotherapy group received treatment at the post-anesthesia unit care and control group did not. Chest physiotherapy improved oxygen-hemoglobin saturation in elective post-operative abdominal surgeries.

Inclusion Criteria:

• Pre-operative for elective upper abdominal surgery, such as - hernia repair, gall bladder or large bowel removal, exploratory laparotomy, and submitted to general anesthesia or other interventions in abdominal cavity accomplished by conventional laparotomy

Exclusion Criteria:

• Patients with indication of liver transplant or bearers of aneurysm of any arterial segment.
• Patients submitted to video-laparoscopy surgery.