ASSESSMENT OF POSTOPERATIVE COMPLICATIONS WITH CLAVIEN-DINDO CLASSIFICATION IN ELECTIVE ABDOMINAL SURGERIES
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Keywords
Abdominal surgeries, Postoperative complications, Clavien-dindo grading
Abstract
Aim: To estimate the effectiveness of clavien-dindo classification in predicting the postoperative complication in elective abdominal surgeries
Introduction: Complications occur in every surgery and surgical complications need to be classified and evaluated. There is need to compare the outcomes and complication for each specific approach in a sound and reproducible way. Abdominal surgeries include complications like seroma, deep seated abscess and even dreadful complications like MODS and sepsis. Clavien-dindo classification is used to assess the post operative complications in a simple, convenient, logical and reproducible manner.
Materials And Methods: A Total number of 80 patients diagnosed with abdominal pathology were admitted who required elective abdominal surgeries were studied. Routine investigations were done and specific investigations like X-ray, USG and CT SCAN were done accordingly. Parameters like benign or malignant condition, ASA grade, operative procedure, blood loss are recorded and prospectively postoperative course in the hospital is assessed. Parameters like post operative ambulation, reappearance of bowel sounds, RT removal, oral feeds started on, and any deviation of normal post operative period are noted. Post surgical complication is assessed with clavein-dindo classification and then correlated the difficulties in surgeries and evaluate the reliability of scoring system.
Result: In our study, among the 80 cases,34 cases had seroma formation with grade 1,16 cases had wound infection with grade 2, 20 cases had deep seated abscess with grade3,4 cases had sepsis with grade 4, 3 cases went into MODS and death. In all this Clavein-dindo grading showed similar outcomes.
Conclusions: The clavien-dindo classification represents an objective and simple way of reporting all complications in patients undergoing major abdominal surgeries. This allows US to distinguish a normal post operative course from any deviation and it satisfactorily distinguishes the severity of complications
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Kanesha Lakshmi.V.S
Surgery resident, Department of General Surgery, SVMCH&RC, Pondicherry
Indrajit Anandakannan
Assistant professor, Department of General Surgery, Sri venkateshwaraa medical college hospital and research centre (SVMCH& RC), Pondicherry. Phone (or Mobile) No.: +91-9486752808
Selvakumar K
Professor and Head of the Department, Department of General Surgery, SVMCH&RC, Pondicherry
Gowthaman.M.D
Assistant professor, Department of General Surgery, SVMCH&RC, Pondicherry
Lochan Thanigachalam
Assistant professor, Department of General Surgery, SVMCH&RC, Pondicherry