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. 2024 Mar 22;24:118. doi: 10.1186/s12876-024-03191-1

Table 3.

The Clavien-Dindo classification

Classification Definition Examples
Grade I

- Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions

- Allowed therapeutic regimens are: drugs as antiemetics, antipyretics, analgetics, diuretics and electrolytes and physiotherapy. This grade also includes wound infections opened at the bedside.

Post operative ileus

Hypokalemia

Hypovolemia

Vomiting

Gastroparesis

Diarrhea

Parietal collection (seroma,

hematoma, lipolysis)

Grade II

- Requiring pharmacological treatment with drugs other than such allowed for grade I complications

- Blood transfusions and total parenteral nutrition are also included.

Surgical wound infection

Pneumonia

Urinary tract infections

Deep vein thrombosis Severe anemia requiring transfusion Constipation

Occlusion on flanges

Grade IIIa Complication requiring surgical, endoscopic or radiological treatment without general anesthesia

Evisceration

parietal suppuration

Deep collection

Grade IIIb Complication requiring surgical, endoscopic or radiological treatment under general anesthesia

Postoperative peritonitis

Bowel obstruction

Deep collection

Fistula

Grade IV

IVa

IVb

Life-threatening complication (including CNS complications)* requiring IC/ICU-management

Visceral failure

Pulmonary embolism

Septic shock

Postoperative peritonitis

single organ dysfunction (including dialysis)
Multiorgan dysfunction
Grade V Death of a patient

*brain hemorrhage, ischemic stroke, subarrachnoidal bleeding,but excluding transient ischemic attacks (TIA);IC: Intermediate care; ICU: Intensive care unit