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