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Relevant bibliographies by topics / Clavien and Dindo Classification

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Academic literature on the topic 'Clavien and Dindo Classification'

Author: Grafiati

Published: 4 June 2021

Last updated: 4 February 2022

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Journal articles on the topic "Clavien and Dindo Classification"

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Clavien, Pierre A., Jeffrey Barkun, Michelle L. de Oliveira, Jean Nicolas Vauthey, Daniel Dindo, Richard D. Schulick, Eduardo de Santibañes, et al. "The Clavien-Dindo Classification of Surgical Complications." Annals of Surgery 250, no. 2 (August 2009): 187–96. http://dx.doi.org/10.1097/sla.0b013e3181b13ca2.

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Rapaka, Rohit Reddy, and Venkata Reddy M. "A study on assessment of postoperative complications among major abdominal surgeries using Clavien-Dindo classification." International Surgery Journal 7, no. 6 (May 26, 2020): 1788. http://dx.doi.org/10.18203/2349-2902.isj20202382.

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Background: Surgical team always tries to provide consistently low incidence of major complications for patient undergoing any operation. Clavien-Dindo (CD) classification is the simplest way of reporting all complications. The main aim of this study was to test the usefulness of Clavien-Dindo classification in patients undergoing the abdominal surgery. In this study Clavien-Dindo classification has been used for assessment of postsurgical complications after major abdominal surgery.Methods: A total of 50 patients admitted to surgical wards for major abdominal surgery were evaluated through history, co-morbid condition and thorough clinical examination based on inclusion and exclusion criteria along with necessary investigations. Post-operative complications and management were recorded, and then postsurgical complication was classified based on Clavien-Dindo classification and assessed.Results: Most of the patients who developed complications were in the age group of 40-50 years. Most of the patients (32%) belonged to grade 2 complications. Serum creatinine, blood urea and post-operative stay were found to have direct relation with Clavien-Dindo grade of complications.Conclusions: The Clavien-Dindo classification represents an objective and simple way of reporting all complications in patients undergoing major abdominal surgeries and comparing the various complications between different surgeries. However, a definite statement on the clinical value of this classification system is not yet possible due to the small case number in this study, but the promising results should encourage further evaluation in larger cohort with the goal to possibly establish its validity as a standard clinical practice.

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Casadei, Riccardo, Claudio Ricci, Raffaele Pezzilli, Lucia Calculli, Daniela Rega, Marielda D'Ambra, and Francesco Minni. "Usefulness of the Clavien-Dindo classification after pancreaticoduodenectomy." ANZ Journal of Surgery 81, no. 10 (October 2011): 747–48. http://dx.doi.org/10.1111/j.1445-2197.2011.05830.x.

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Rassweiler, Jens J., Marie-Claire Rassweiler, and Maurice-Stephan Michel. "Classification of Complications: Is the Clavien-Dindo Classification the Gold Standard?" European Urology 62, no. 2 (August 2012): 256–58. http://dx.doi.org/10.1016/j.eururo.2012.04.028.

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Rückert, F., F. Bartel, P. Teoule, S. Post, and T. Wilhelm. "Evaluation of the Clavien-Dindo classification in pancreatic surgery." HPB 21 (2019): S694. http://dx.doi.org/10.1016/j.hpb.2019.10.549.

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Rückert, F., F. Bartel, P. Teoule, S. Post, and T. Wilhelm. "Evaluation of the Clavien-Dindo classification in pancreatic surgery." HPB 21 (2019): S877. http://dx.doi.org/10.1016/j.hpb.2019.10.985.

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Deshwali, Ankur, Sanjay Prasad, Akhilesh Kumar Patel, Rohan Chaphekar, Rohan Gupta, Neelam Soni, and Piyush Kesarwani. "AN OBSERVATIONAL STUDY ON ASSESSMENT OF POSTOPERATIVE COMPLICATIONS AMONG PERFORATION PERITONITIS USING CLAVIEN-DINDO CLASSIFICATION IN TERTIARY CARE CENTER OF CENTRAL INDIA." International Journal of Advanced Research 9, no. 02 (February 28, 2021): 922–37. http://dx.doi.org/10.21474/ijar01/12536.

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Introduction :Surgical team always tries to provide consistently low incidence of major complications for patient undergoing any operation. Clavien-Dindo (CD) classification is the simplest way of reporting all complications. The main aim of this study was to test the usefulness of Clavien-Dindo classification in patients undergoing the abdominal surgery. In this study Clavien-Dindo classification has been used for assessment of postsurgical complications after major abdominal surgery. Material and method: It was an observational study of all perforation peritonitis patients admitted in sri aurobindo medical college and post graduate institute between november 2017 to may 2019 (1 and 1/2 Year) on the basis of Clavien-Dindo classification. Results :This was an observational prospective study was carried out in Department of General Surgery, Sri Aurobindo Medical College and P.G. Institute, Indore, which includes total 60 patients of perforation peritonitis admitted and treated in the department, During the period of November 2017 to May 2019. In our study Most common symptoms in patients presenting with perforation is Abdominal pain in 60 (100%) patients. 45(75%) patients had constipation & obstipation, 41 (68.33%) patients had vomiting ,33(55%) of patients had fever 17 (28.33%) patients had abdominal distensions the other common symptoms. Out of 60 patients, all 60(100%) patients had abdominal tenderness and guarding, 47 (78.33%) patients had absent bowel sounds, 42(70%) patients had tachycardia, 26 (43.33%) patients had hypotension, 23 (38.33%) patients had tachypnoea and 21 (35%) patients had low urinary output. In 16 (26.6%) patients comorbid conditions were present. In 10 (16.66%) patients multiple perforations were found out of which only 01 (10%) patient is haemodynamically stable and 09 (90%) patients were unstable. Complication occurred in 09(90%) patients and no complication were only in 01 (10%) patients. In this group 04(40%) patients got discharged and 6(60%) patient expired. P Value was 0.001 which is significant. In our study most common site of perforation was gastric perforation 30(49.18%) Complication according to clavien -dindo classification 14 out of 60 (23.33%) patients had no complications, 4 (6.66%) had grade I complication, 5 (8.33%) had grade II complications, 12 (20%) had grade III complications, 11 (18.33%) had grade IV complications, and 14 (23.33%) had grade V complication rates. Conclusion :Perforation peritonitis is a life-threatening condition and requires urgent hospital care, resuscitation and surgery. Early resuscitation and surgery are required to decrease morbidity and mortality. On the basis of risk stratification in Peritonitis patients its management requires lots of expensive modalities, skill, monitoring and treatment to provide better care to the patient. For the classification of complications, a new system is proposed by Clavienâ€“Dindo which is very helpful during perforation surgery.Clavien- Dindo classification helps us to distinguish a normal postoperative course and the severity of complications, which allows us to compare postoperative morbidity and evaluate the outcomes. We also recommend a larger study with a bigger sample size for better analysis of clavien-dindo classification of complications and to confirm the findings of our study.

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Nazarov, Toirkhon Kh, Anisjon I. Tursunov, Ivan V. Rychkov, Magomed A. Ahmedov, Kseniya E. Trubnikova, and Vladimir A. Nikolaev. "Assessment of postoperative complications of transurethral contact pyelocalycоlithotripsy in patients with high-density stones according to the Clavien – Dindo classification." Urology reports (St. - Petersburg) 10, no. 4 (December 15, 2020): 309–16. http://dx.doi.org/10.17816/uroved46150.

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Improving the effectiveness of treatment of urolithiasis is a topical issue in modern urology. Despite a large number of studies on this problem, there is currently no unified algorithm for assessing postoperative complications of removal of calculi of the renal cavity system by transurethral access. Purpose of the study: based on a retrospective analysis to adapt the classification of postoperative complications according to Clavien Dind from 2004 to describe the complications of transurethral contact pyelocalicolithotripsy. Materials and methods. A retrospective analysis of the results of surgical treatment of 211 patients with kidney stones with a density of 960 HU to 1840 HU was performed. Ultrasonic energy was used for lithotripsy. Criteria for the normal course of the postoperative period in patients have been formulated. Results. The number of postoperative complications was calculated. The obtained data are distributed according to the corresponding gradations of the adapted Clavien Dindо classification. Conclusion. The improved Clavien Dindo classification, taking into account the adaptation, can be used as an up-to-date, accessible and logical template for assessing the postoperative complications of transurethral contact pyelocalicolithotripsy.

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Weyhe, Dirk, Navid Tabriz, Bianca Sahlmann, and Verena-Nicole Uslar. "Risk factors for perioperative complications in inguinal hernia repair – a systematic review." Innovative Surgical Sciences 2, no. 2 (February 25, 2017): 47–52. http://dx.doi.org/10.1515/iss-2017-0008.

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AbstractThe current literature suggests that perioperative complications occur in 8%–10% of all inguinal hernia repairs. However, the clinical relevance of these complications is currently unknown. In our review, based on 571,445 hernia repairs reported in 39 publications, we identified the following potential risk factors: patient age, ASA score, diabetes, smoking, mode of admission (emergency vs. elective surgery), surgery in low resource settings, type of anesthesia, and (in men) bilateral and sliding hernias. The most commonly reported complications are bleeding (0.9%), wound infection (0.5%), and pulmonary and cardiovascular complications (0.2%). In 3.9% of the included publications, a reliable grading of the reported complications according to Clavien-Dindo classification was possible. Using this classification retrospectively, we could show that, in patients with complications, these are clinically relevant for about 22% of these patients (Clavien-Dindo grade ≥IIIa). About 78% of all patients suffered from complications needing only minor (meaning mostly medical) intervention (Clavien-Dindo grade <III). Especially with regard to the low incidence of complications in inguinal hernia repair, future studies should use the Clavien-Dindo classification to achieve better comparability between studies, thus enabling better correlation with potential risk factors.

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Mamedov, E. A. Mamedov, V. V. Dutov Dutov, V. V. Bazaev Bazaev, A. A. Podoynicyn Podoynicyn, and S. Yu Buymistr Buymistr. "An adaptation of the CLAVIEN–DINDO classification of complications for contact ureterolithot- ripsy." Urologiia 3_2019 (July 18, 2019): 84–88. http://dx.doi.org/10.18565/urology.2019.3.84-88.

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Dissertations / Theses on the topic "Clavien and Dindo Classification"

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Pessoa, Marcelo Castro Marçal. "Validação em língua portuguesa da escala de complicações cirúrgicas de clavien-dindo." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/114989.

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Kantas, Alexandros [Verfasser], and Martina [Akademischer Betreuer] Koch. "Chirurgische Komplikationen nach Nierentransplantation : Standardisierte Erfassung anhand der Martin-Kriterien sowie der Clavien-Dindo Klassifikation und Analyse der Risikofaktoren / Alexandros Kantas. Betreuer: Martina Koch." Hamburg : Staats- und Universitätsbibliothek Hamburg, 2014. http://d-nb.info/1053811799/34.

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Hébert, Mélanie. "Évaluation des complications en chirurgie cardiaque : vers une évaluation globale des procédures chirurgicales." Thesis, 2020. http://hdl.handle.net/1866/25189.

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Ce mémoire adresse la problématique de la présentation des résultats chirurgicaux en chirurgie cardiaque. Les complications postopératoires sont d’étiologie et de sévérité variées, peuvent atteindre plusieurs systèmes physiologiques et nécessitent différents degrés de traitements. Elles consistent en une source importante de morbidités pour le patient, mais ne sont toutefois pas toujours présentées de manière optimale dans les essais cliniques. En effet, les complications sont actuellement rapportées dans les études de manière hétérogène, ce qui nuit à la recherche en compliquant les comparaisons d’études, les revues systématiques et les méta-analyses. Plusieurs complications individuelles ont des systèmes de classification utilisés sporadiquement dans certains articles en chirurgie cardiaque, mais ceux-ci ne sont pas déployés de manière répandue. D’autre part, des classifications universelles s’appliquant à toutes les complications potentielles ont été adoptées dans la littérature chirurgicale, mais n’ont toutefois pas été implémentées en chirurgie cardiaque. L’étude menée dans le cadre de ce travail a adapté et appliqué la classification de Clavien-Dindo (CCD) et le Comprehensive Complication Index (CCI) pour la première fois en chirurgie cardiaque. Mon étude démontre que les comorbidités importantes en chirurgie cardiaque et les chirurgies plus complexes sont prédictives de la sévérité des complications selon ces deux échelles. Également, le CCD et le CCI corrèlent avec les durées de séjour aux soins intensifs et à l’hôpital après une chirurgie cardiaque. En conclusion, la CCD et le CCI représentent de manière fiable la complexité de l’évolution postopératoire en chirurgie cardiaque. Cela pourrait adresser le manque de standardisation dans la présentation des complications dans les essais cliniques et uniformiser la manière de rapporter les événements adverses en chirurgie cardiaque. Cela aurait également de multiples applications dans les initiatives d'amélioration de la qualité des soins, dans les évaluations des procédures et des procédés, ainsi que dans l'avancement de la recherche.
This memoir addresses the challenge of outcome reporting in cardiac surgery. Postoperative complications are of varying etiology and severity, can affect several physiological systems and require different degrees of treatment. They are an important source of morbidity for the patient but are not always optimally presented in clinical trials. Indeed, complications are currently reported in studies in a heterogeneous manner, which hampers research by complicating study comparisons, systematic reviews and meta-analyses. Many individual complications have classification systems that are used sporadically in some articles in cardiac surgery, but these are not widely used. On the other hand, universal classifications that apply to all potential complications have been adopted in the surgical literature, but none have been implemented in cardiac surgery yet. The study conducted as part of this work adapted and applied the Clavien-Dindo Complications Classification (CDCC) and the Comprehensive Complication Index (CCI) for the first time in cardiac surgery. My study shows that the important comorbidities in cardiac surgery and more complex surgeries are predictive of the severity of complications according to both scales. Moreover, the CCD and CCI also correlate with the lengths of stay in the intensive care unit and hospital after cardiac surgery. In conclusion, the CDCC and CCI reliably represent the complexity of the postoperative evolution in cardiac surgery. This could address the inconsistency with which complications are currently presented in surgical trials and standardize the way adverse outcomes are reported in cardiac surgery. This would have multiple applications in quality of care improvement initiatives, in evaluations of procedures and processes, and in advancement of research.

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Krahlisch, Joelle. "Früh- und Spätergebnisse nach Latissimus-dorsi-Lappenplastiken bei sternalen Wundheilungsstörungen und Wundinfektionen." Doctoral thesis, 2020. http://hdl.handle.net/21.11130/00-1735-0000-0005-139C-6.

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Book chapters on the topic "Clavien and Dindo Classification"

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Dindo, Daniel. "The Clavien–Dindo Classification of Surgical Complications." In Treatment of Postoperative Complications After Digestive Surgery, 13–17. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-4354-3_3.

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Ray, M. D. "Classification of Surgical Complications: Clavien–Dindo and Review." In Multidisciplinary Approach to Surgical Oncology Patients, 197–204. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-7699-7_22.

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Conference papers on the topic "Clavien and Dindo Classification"

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Winder, FM, L. Vonzun, M. Meuli, U. Möhrlen, L. Mazzone, F. Krähenmann, M. Hüsler, R. Zimmermann, and N. Ochsenbein. "Systematic assessment of maternal complications following open fetal myelomeningocele repair by Clavien-Dindo classification." In 28. Deutscher Kongress für Perinatale Medizin. Georg Thieme Verlag KG, 2017. http://dx.doi.org/10.1055/s-0037-1607646.

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Tsolakidis, D., D. Zouzoulas, M. Lantzanaki, I. Theodoulidis, T. Mikos, A. Tolkos, and G. Grimbizis. "EP1007 Clavien-dindo classification of postoperative complications in advanced epithelial ovarian cancer treated by primary or interval debunking surgery." In ESGO Annual Meeting Abstracts. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/ijgc-2019-esgo.1051.

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Nicolaus, K., S. Zschauer, T. Lehmann, and IB Runnebaum. "Erfassung postoperativer Komplikationen bei 400 Endometrioseoperationen mittels der Clavien-Dindo-Klassifikation." In 62. Kongress der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe – DGGG'18. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1671615.

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Zschauer, S., T. Lehmann, K. Nicolaus, and IB Runnebaum. "Erfassung postoperativer Komplikationen bei 400 Endometrioseoperationen mittels der Clavien-Dindo-Klassifikation." In 12. Jahrestagung der Mitteldeutschen Gesellschaft für Frauenheilkunde und Geburtshilfe e.V. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1645895.

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Haist, T., A. Mathes, D. Lorenz, and M. Pauthner. "Der Comprehensive Complication Index (CCI) ist besser zur Erfassung vom Komplikationen nach Ösophagusresektion geeignet als die Clavien-Dindo Klassifikation (CDC)." In Viszeralmedizin 2019. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1695125.

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Hale, Emily, Joel Bowen, Jonathon Sheen, and Kirk Bowling. "Endoloops in Laparoscopic Appendicectomy: a Cost Effectiveness Analysis." In VIRTUAL ACADEMIC SURGERY CONFERENCE 2021. Cambridge Medicine Journal, 2021. http://dx.doi.org/10.7244/cmj.2021.04.001.5.

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Introduction Over 50,000 appendicectomies are performed in the UK annually with significant associated costs to the healthcare system.The aim of this study was to investigate whether a significant difference in complication rate exists where different numbers of endoloop ligatures have been applied to the appendiceal base during laparoscopic appendicectomy, and to analyse for potential cost saving. Methods We performed a retrospective analysis of appendicectomies at our centre in one year, providing a sample of 254 patients. Cases were analysed against exclusion criteria, operative method, and histological findings. Each was followed up for complications in the 30 days post discharge and graded using the Clavien-Dindo system. Our null hypothesis of no difference in complication rate was tested using Fisher’s exact test. Results Of 254 patients, 59 were excluded due to open approach, non-endoloop method, or lack of available record, leaving a population of 195. The result of the two-tailed P value equalled 1.000, indicating no statistically significant difference in complication rate whether one or two endoloops were used. Regarding cost effectiveness, an endoloop costs £13.59. If the 62 cases in which 2 endoloops were used to secure the base had utilised a single endoloop, this would amount to a saving of £842.58. Conclusion Our study set out to assess whether the complication rate differs in cases where one or two endoloops have been applied. Retrospective statistical analysis found no significant difference between groups. Based on these findings, we recommend use of one endoloop to secure the base in laparoscopic appendicectomy.

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Nathan, Arjun, Monty Fricker, Ruben De Groote, Amandeep Arora, Yuzhi Phuah, Kiran Flora, Sonam Patel, et al. "Salvage versus primary robot-assisted radical prostatectomy: a propensity-matched comparative effectiveness study from a high-volume tertiary centre." In VIRTUAL ACADEMIC SURGERY CONFERENCE 2021. Cambridge Medicine Journal, 2021. http://dx.doi.org/10.7244/cmj.2021.04.001.7.

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Introduction Salvage Robot-Assisted Radical Prostatectomy (sRARP) is a potential treatment option for locally recurrent Prostate Cancer after non-surgical primary treatment. There are minimal data comparing outcomes between similar-risk, propensity-matched salvage and primary Robot-Assisted Radical Prostatectomy (RARP). We compare perioperative, oncological and functional outcomes of sRARP with primary RARP and between sRARP post-whole and focal gland therapy. Methods 1:1 propensity-matched comparison of 146 sRARP with primary RARP from a cohort of 3,852 consecutive patients from a high-volume tertiary centre. Results There were no significant differences in patient characteristics between the salvage and primary RARP groups. Grade III-V Clavien-Dindo complication rates were 1.3% and 0% in the salvage and primary groups (p=0.310). Median (IQR) follow-up was 16 (10, 30) and 21 (13, 33) months in the salvage and primary groups. BCR rates were 30.8% and 13.7% in the salvage and primary groups (p<0.001). Pad-free continence rates were 79.1% and 85.4% at two years in the salvage and primary groups (p=0.160). Erectile dysfunction was 95.2% and 77.4% in the salvage and primary groups (p<0.001). On comparison of whole and focal gland groups, biochemical recurrence was 33.3% and 29.1% (p=0.687), pad-free continence rates were 66% and 89.3% (p=0.001), and ED rates were 98.3% and 93% (p=0.145). Conclusions SRARP has similar perioperative but inferior oncological outcomes to primary RARP. Continence rates are similar to primary RARP, but potency is worse. Perioperative and oncological outcomes of sRARP after focal gland therapy are similar compared to after whole gland therapy but continence outcomes are superior.

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