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Journal articles on the topic 'Clavien and Dindo Classification'

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Published: 4 June 2021

Last updated: 4 February 2022

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1

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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4

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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7

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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11

Zou, Xiaoming, Zhelin Yun, Shengbin Zhang, Jin Zhao, and Bing Li. "Clavien-Dindo classification and risk factors of complications after pancreaticoduodenectomy." Discussion of Clinical Cases 5, no. 3 (September 10, 2018): 13. http://dx.doi.org/10.14725/dcc.v5n3p13.

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12

Camino Willhuber, Gaston, Pablo Slullitel, Danilo Taype Zamboni, Jose Albergo, Sergio Terrasa, Nicolas Piuzzi, and Jorge Boretto. "Validation of a modified Clavien-Dindo Classification for postoperative complications in orthopedic surgery." Revista de la Facultad de Ciencias Médicas de Córdoba 77, no. 3 (August 21, 2020): 161–67. http://dx.doi.org/10.31053/1853.0605.v77.n3.27931.

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Introduction: Postoperative complications (PCs) constitute any deviation from the normal postoperative course. Reporting of PCs remains a challenge, multiple classification systems have been proposed, however these have not been validated across surgical specialties. Clavien and Dindo (DCCS) developed a system for General Surgery and has been adopted in different fields. Nonetheless, this classification has not been adapted to Orthopedics. The objective of this study was to adapt the Clavien-Dindo classification to orthopedic scenarios and to determine the intra and interobserver reliability. Methods: The designer team adapted the Clavien Dindo classification to orthopedic scenarios. Ten orthopedic observers with different degrees of training and experience were selected to evaluate the classification. 48 simulated clinical scenarios of complications and another negative outcomes such as failure to cure and sequelae were sent by electronic format independently. A second round of scoring was performed 30 days later to assess the intraobserver concordance. Results: We found a high interobserver and intraobserver reliability for both the first and second evaluation (Kappa 0.88 and 0.91, respectively). In addition, the intraobserver analysis showed a very good correlation (Kappa 0.93). Discussion: The DCCS classification has been developed for general surgery and has been widely applied in the different surgical subspecialties. In Orthopedics, this classification was validated to hip and pediatric surgery. Therefore, our study involved an adaptation of the classification to general and specific orthopedic scenarios of the different orthopedic subspecialties. This classification may be a useful tool for documenting complications in orthopedic surgery. Keywords: postoperative complications; orthopedics; health systems

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Kierstan, Andrzej, Tomasz Konecki, and Zbigniew Jabłonowski. "Assessment of complications after laparoscopic surgery of kidney tumors using Clavien-Dindo classification." Polish Journal of Surgery 92, no. 3 (April 17, 2020): 1–5. http://dx.doi.org/10.5604/01.3001.0014.1131.

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Summary. Introduction Surgical procedures are accepted, basic method of treating kidney cancer. Objective of the work The aim of the study was to assess postoperative complications according to the Clavien-Dindo classification after laparoscopic procedures in the treatment of kidney cancer. Material and methods A retrospective study involved 112 patients. The research was based on the analysis of data from the medical records of the clinic and the documentation of the urological polyclinic. Classification of postoperative complications according to Clavien and Dindo in the operated patients were assessed on a 7-point scale. Results Less severe complications occurred in 24 patients (21.4%). All the above-mentioned complications were conservatively managed by the administration of drugs and blood transfusions. Grade IIIb complication occurred in one patient (0.9%) and required kidney removal. Conclusions The use of the Clavien - Dindo classification in the assessment of postoperative complications of laparoscopic renal procedures is a simple and objective diagnostic tool for the postoperative condition of patients. Discussion The assessment of postoperative complications is a generally accepted way to compare the results of surgical treatment, but it should be emphasized that the occurrence of intraoperative complications also affects the subsequent postoperative course of the operated person. For kidney surgery, there was no consensus on how to report it, resulting in a wide range of types and frequencies of complications reported. In addition, many different surgical techniques used in renal surgery and the continuous development of new ones require a standardized way of reporting complications to facilitate comparison. Criteria introduced by Clavien and Dindo surgeons have been used in everyday practice for many years as an objective method of accurate and comprehensive reporting of postoperative complications also after urological procedures

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Thompson, Hannah, Ceri Jones, Caroline Pardy, Dorothy Kufeji, Eric Nichols, Felim Murphy, and Mark Davenport. "Application of the Clavien-Dindo classification to a pediatric surgical network." Journal of Pediatric Surgery 55, no. 2 (February 2020): 312–15. http://dx.doi.org/10.1016/j.jpedsurg.2019.10.032.

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15

Mezei, T., and P. Tenke. "C125: Analysis of perioperative complications with Clavien-Dindo classification after cystectomy." European Urology Supplements 13, no. 6 (November 2014): e1310. http://dx.doi.org/10.1016/s1569-9056(14)61511-6.

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János, D. "Analysis of perioperative complications with Clavien-Dindo classification after percutaneous nephrolithotomy." European Urology Supplements 14, no. 6 (October 2015): e1311. http://dx.doi.org/10.1016/s1569-9056(15)30348-1.

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Pramesh, C. S., S. Jiwnani, and G. Karimundackal. "P-210FEASIBILITY OF THE CLAVIEN-DINDO CLASSIFICATION SYSTEM AFTER RADICAL OESOPHAGECTOMY." Interactive CardioVascular and Thoracic Surgery 21, suppl_1 (August 2015): S57. http://dx.doi.org/10.1093/icvts/ivv204.210.

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Jan, Wei-Ling, Hung-Chi Chen, Chang-Cheng Chang, Hsin-Han Chen, Pin-Keng Shih, and Tsung-Chun Huang. "Modified Clavien–Dindo Classification and Outcome Prediction in Free Flap Reconstruction among Patients with Head and Neck Cancer." Journal of Clinical Medicine 9, no. 11 (November 22, 2020): 3770. http://dx.doi.org/10.3390/jcm9113770.

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Because of limitations caused by unique complications of free flap reconstruction, the Clavien–Dindo classification was modified to include grade “IIIc” for “partial or total free flap failure.” From 2013 to 2018, 116 patients who had undergone free flap reconstruction for head and neck cancer with grade III or higher postoperative complications were grouped using the “Modified” Clavien–Dindo classification. Alcoholism displayed significant predictive effects between grade IIIb and IIIc (72.7% vs. 50%, p = 0.028). Significant differences were observed between grade IIIb and IIIc in the duration of hospital stay (23.1 ± 10.1 vs. 28.6 ± 11.9 days, p = 0.015), duration of intensive care unit stay (6.0 ± 3.4 vs. 8.7 ± 4.3 days, p = 0.001), reoperation times during the current hospitalization (1.4 ± 0.8 vs. 2.0 ± 1.0 times, p < 0.001), and wound infection rate (29.9% vs. 62.5%, p = 0.002). The severity levels were significantly positively correlated with reoperation times during the current hospitalization (p < 0.001), ICU stay (p = 0.001), and hospital stay (p < 0.001). The modified Clavien–Dindo classification with grade IIIc describes the perioperative complications of head and neck free flap reconstruction to predict clinical outcomes based on severity.

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Terlinden, Natacha, Marc Hamoir, Aline Van Maanen, and Sandra Schmitz. "Perioperative Complications after Parotidectomy Using a Standardized Grading Scale Classification System." Surgeries 2, no. 1 (January 20, 2021): 20–34. http://dx.doi.org/10.3390/surgeries2010003.

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Perioperative complications after parotidectomy are poorly studied and have a potential impact on hospitalization stay. The Clavien–Dindo classification of postoperative complications used in visceral surgery allows a recording of all complications, including a grading scale related to the severity of complication. The cohort analyzed for perioperative complications is composed of 436 parotidectomies classified into three types, four groups, and three classes, depending on extent of parotid resection, inclusion of additional procedures, and pathology, respectively. Using the Clavien–Dindo classification, complications were reported in 77% of the interventions. In 438 complications, 430 (98.2%) were classified as minor (332 grade I and 98 grade II), and 8 (1.8%) were classified as major (grade III). Independent variables affecting the risk of perioperative complications were duration of surgery (odds ratio = 1.007, p-value = 0.029) and extent of parotidectomy (odds ratio = 4.043, p-value = 0.007). Total/subtotal parotidectomy was associated with an increased risk of grade II-III complications (odds ratio = 2.866 (95% CI: 1.307–6.283), p-value = 0.009). Median hospital stay increased moderately in patients with complications. Use of Clavien–Dindo classification shows that parotidectomy is followed by a higher rate of perioperative complications than usually reported. Almost all complications are minor and have limited consequence on hospital stay.

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Gozen, Ali Serdar, Vitalie Gherman, Yigit Akin, Mustafa Suat Bolat, Muhammad Elmussareh, and Jens Rassweiler. "Evaluation of the complications in laparoscopic retroperitoneal radical nephrectomy; An experience of high volume centre." Archivio Italiano di Urologia e Andrologia 89, no. 4 (December 31, 2017): 266. http://dx.doi.org/10.4081/aiua.2017.4.266.

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Objectives: To provide a standardised report of complications after retroperitoneal laparoscopic radical nephrectomy (rLRN) in a high-volume centre using Clavien-Dindo classification. Materials and methods: We analysed records maintained in a prospective database of 330 consecutive patients that underwent rLRN between March 1995 and September 2016. All complications were graded according to the modified Clavien-Dindo classification. Three generations of surgeons were defined and the learning curve in rLRN was evaluated by comparing the first 100 cases (Group A) performed by firstgeneration surgeons with the last 100 cases (Group B) by thirdgeneration surgeons. Results: The mean age of our cohort was 66 ± 11.9 years. The overall complication rate was 19.7%. The majority of complications (12.7%) were Clavien 1 (5.1%) and Clavien 2 (7.6%) and did not require any interventions; blood transfusion was the most frequently encountered intervention (4.8%). Half of which were because of major intraoperative bleeding. Mortality rate was 0.9%. We found a trend towards lower complication rate in group B (19%) compared to group A (23%); this was mainly because of the reduction in the incidence of Clavien 1 and 2 complications. The pathological stage varied significantly in the two groups while the rate of negative surgical margins was comparable. Conclusions: rLRN is a safe procedure with an acceptable rate of complications. The learning curve was shorter for the thirdgeneration surgeons (group B); although these surgeons operated on a significantly higher number of patients with more advanced diseases. The Clavien-Dindo classification is suitable for assessing rLRN complications. Adopting this standardised system can help in the evaluation and comparison of surgical quality of LRN series.

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Seet, Christopher, Shraddha Shetty, Prashanth Chowdary, Muhammad Khurram, and Ismail H. Mohamed. "USING THE CLAVIEN-DINDO CLASSIFICATION TO IDENTIFY RISK FACTORS IN KIDNEY TRANSPLANTATION." Transplantation 104, S3 (September 2020): S387. http://dx.doi.org/10.1097/01.tp.0000700536.49992.9c.

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Winter, Raimund, Isabella Haug, Patricia Lebo, Martin Grohmann, Frederike M. J. Reischies, Janos Cambiaso-Daniel, Alexandru Tuca, et al. "Standardizing the complication rate after breast reduction using the Clavien-Dindo classification." Surgery 161, no. 5 (May 2017): 1430–35. http://dx.doi.org/10.1016/j.surg.2016.11.028.

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23

DeMaio, Alison, Shireen Rizmee, and Noreen Gleeson. "The Clavien-Dindo classification of surgical complications for procedures in gynaecological oncology." European Journal of Obstetrics & Gynecology and Reproductive Biology 206 (November 2016): e31-e32. http://dx.doi.org/10.1016/j.ejogrb.2016.07.107.

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Téoule, Patrick, Felix Bartel, Emrullah Birgin, Felix Rückert, and Torsten J. Wilhelm. "The Clavien-Dindo Classification in Pancreatic Surgery: A Clinical and Economic Validation." Journal of Investigative Surgery 32, no. 4 (January 16, 2018): 314–20. http://dx.doi.org/10.1080/08941939.2017.1420837.

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Mandhani, Anil, Nitesh Patidar, Priyank Yadav, SanjoyKumar Sureka, Varun Mittal, and Rakesh Kapoor. "An audit of early complications of radical cystectomy using Clavien-Dindo classification." Indian Journal of Urology 32, no. 4 (2016): 282. http://dx.doi.org/10.4103/0970-1591.191244.

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Moeng, Maeyane Stephens, Anna Sparaco, Irma Mare, Veneshree Naidoo, Boitumelo Phakathi, Eloise Juliet Miller, Thomas Kekgatleope Marumo, Uzayr Khan, Taalib Monareng, and Thifhelimbilu Emmanuel Luvhengo. "Clavien–Dindo Classification of Post-Operative Complications in a South African Setting." Wits Journal of Clinical Medicine 3, no. 1 (2021): 11. http://dx.doi.org/10.18772/26180197.2021.v3n1a2.

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Media, Ara Shwan, Thomas Decker Christensen, Niels Katballe, Hans Kristian Pilegaard, and Frank Vincenzo de Paoli. "Incidence and severity of surgical complications after pectus excavatum bar removal." Interactive CardioVascular and Thoracic Surgery 33, no. 2 (July 24, 2021): 237–41. http://dx.doi.org/10.1093/icvts/ivab077.

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Abstract OBJECTIVES Pectus bar removal is the final step of minimally invasive repair of pectus excavatum. Complication rates related to bar removal have been reported in 2–15% of patients and severe, near-fatal and fatal complications have been reported. No systematic assessment of complication severity or risk factors associated with bar removal has been reported in large study populations. The aim of this paper is to investigate the safety of the bar removal procedure with regard to complication rates and severities as well as assessment of risk factors. METHODS Between 2003 and 2019, 1574 patients underwent the bar removal procedure. Medical records were assessed retrospectively and complications registered. Complications were categorized in infections, bleedings and other complications. The severity of the surgical complications was systematically classified using the validated Clavien–Dindo classification. Furthermore, risk factors associated with complications were assessed. RESULTS The overall complication rate was 4.1% (Clavien–Dindo classification I–IV), mainly consisting of bleedings (1.3%) and infections (1.5%). Five cases of severe bleedings were registered (0.3%, Clavien–Dindo classification IV). Risk factors associated with complications during bar removal were greater age and removal of more than one bar. CONCLUSIONS The bar removal procedure is a safe and effective procedure. Both age and number of bars inserted should be considered prior to surgical correction of pectus excavatum as these factors predict complications related to bar removal.

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Nikic, Predrag, Otas Durutovic, Boris Kajmakovic, Djordje Nale, Uros Bumbasirevic, Milan Radovanovic, Dragica Milenkovic-Petronic, and Zoran Dzamic. "Complications associated with Percutaneous nephrolitholapaxy (PCNL): Our experience and literature review." Acta chirurgica Iugoslavica 61, no. 1 (2014): 51–56. http://dx.doi.org/10.2298/aci1401051n.

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Background: PCNL is safe procedure which is well tolerated, but as with any other surgical procedure, it is associated with a specific set of complications. There is a marked heterogeneity in reporting complication rates in literature, and this problem was highlighted in Ad Hoc EAU guidelines panel who recommended urgent creation of uniform and reproducible quality system. Modified Dindo-Clavien grading system today is the most utilized classification for complications in urology, and standard in reporting complications for PCNL. Aim(s): To analyze the complication rate for PCNL using the modified Dindo-Clavien grading system in our patients and literature review. Methods: In our institution, with few breaks, PCNL was performed since mid 2010. Complication rate in 63 patients was analyzed retrospectively. Modified Dindo-Clavien grading system that is validated for PCNL has been accepted for classification of complication for PCNL, and literature review was performed. We have summarized the most significant factors which may affect the complication rate during and after PCNL. Results : Overall complication rate was 30% in our study population. The most common complications observed were: postoperative fever Grade1-2 (9.52%) and bleeding Grade1 (7.9%), Grade2 (3.17%), Grade3a (4.76%) and Grade3b (1.58%). Nephrostomy tube leakage was not found in our sample, mostly due to specific postoperative utilizing of auxiliary procedures. Conclusion: Reporting of complication for PCNL should be uniform, and modified Dindo-Clavien grading system that is validated for PCNL should be accepted to be a standard in urology. Surgeons training and experience are the most important to ensure the efficacy of procedure, therefore we suggest that learning of percutaneous renal access should be mandatory in residents trainee program.

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Kazaryan, Airazat M., Bård I. Røsok, and Bjørn Edwin. "Morbidity Assessment in Surgery: Refinement Proposal Based on a Concept of Perioperative Adverse Events." ISRN Surgery 2013 (May 16, 2013): 1–7. http://dx.doi.org/10.1155/2013/625093.

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Background. Morbidity is a cornerstone assessing surgical treatment; nevertheless surgeons have not reached extensive consensus on this problem. Methods and Findings. Clavien, Dindo, and Strasberg with coauthors (1992, 2004, 2009, and 2010) made significant efforts to the standardization of surgical morbidity (Clavien-Dindo-Strasberg classification, last revision, the Accordion classification). However, this classification includes only postoperative complications and has two principal shortcomings: disregard of intraoperative events and confusing terminology. Postoperative events have a major impact on patient well-being. However, intraoperative events should also be recorded and reported even if they do not evidently affect the patient’s postoperative well-being. The term surgical complication applied in the Clavien-Dindo-Strasberg classification may be regarded as an incident resulting in a complication caused by technical failure of surgery, in contrast to the so-called medical complications. Therefore, the term surgical complication contributes to misinterpretation of perioperative morbidity. The term perioperative adverse events comprising both intraoperative unfavourable incidents and postoperative complications could be regarded as better alternative. In 2005, Satava suggested a simple grading to evaluate intraoperative surgical errors. Based on that approach, we have elaborated a 3-grade classification of intraoperative incidents so that it can be used to grade intraoperative events of any type of surgery. Refinements have been made to the Accordion classification of postoperative complications. Interpretation. The proposed systematization of perioperative adverse events utilizing the combined application of two appraisal tools, that is, the elaborated classification of intraoperative incidents on the basis of the Satava approach to surgical error evaluation together with the modified Accordion classification of postoperative complication, appears to be an effective tool for comprehensive assessment of surgical outcomes. This concept was validated in regard to various surgical procedures. Broad implementation of this approach will promote the development of surgical science and practice.

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Sundara, T. Syama, and A. Tyagi. "Analysis of Complications After Nephrectomy Using Modified Clavien-Dindo Classification- A Retrospective Study." IOSR Journal of Dental and Medical Sciences 15, no. 07 (July 2016): 17–22. http://dx.doi.org/10.9790/0853-1507101722.

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Biyani, ChandraShekhar, Atif Khan, Victor Palit, Andy Myatt, AdrianD Joyce, JonJ Cartledge, and AnthonyJ Browning. "Assessment of Clavien-Dindo classification in patients >75 years undergoing nephrectomy/nephroureterectomy." Urology Annals 5, no. 1 (2013): 18. http://dx.doi.org/10.4103/0974-7796.106959.

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Panhofer, Peter, Veronika Ferenc, Michael Schütz, Andreas Gleiss, Peter Dubsky, Raimund Jakesz, Michael Gnant, and Florian Fitzal. "Standardization of morbidity assessment in breast cancer surgery using the Clavien Dindo Classification." International Journal of Surgery 12, no. 4 (April 2014): 334–39. http://dx.doi.org/10.1016/j.ijsu.2014.01.012.

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Vicéns, Morton A. J., Ortíz C. Torrecilla, Martínez I. A. Meza, Feixas S. Colom, Reyes H. Vila, Giadrosich B. Etcheverry, Canals L. Riera, and Miranda E. Franco. "499 Clavien-Dindo classification. Analysis of our complications in 255 percutaneous nephrolithotomy procedures." European Urology Supplements 13, no. 1 (April 2014): e499. http://dx.doi.org/10.1016/s1569-9056(14)60491-7.

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MOREIRA, LUIS FERNANDO, MARCELO CASTRO MARÇAL PESSÔA, DIEGO SACHET MATTANA, FERNANDO FERNANDES SCHMITZ, BERNARDO SILVEIRA VOLKWEIS, JORGE LUIZ ANTONIAZZI, and LIACYR RIBEIRO. "Cultural adaptation and the Clavien-Dindo surgical complications classification translated to Brazilian Portuguese." Revista do Colégio Brasileiro de Cirurgiões 43, no. 3 (June 2016): 141–48. http://dx.doi.org/10.1590/0100-69912016003001.

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ABSTRACT Objective: to generate a translated and validated version of the Clavien-Dindo Classification of Surgical Complications (CDC) to Brazilian Portuguese (CDC-BR). Methods: the process of translation and adaptation followed the guideline of Beaton et al., 2000. We divided 76 participating surgeons, in different levels of experience, from the Department Surgery of the Hospital de Clínicas de Porto Alegre, into two groups: Group I applied the original version (CDC, n=36);r Group II used the modified version (CDC-BR, n=40). Each group classified 15 clinical cases of surgical complications. We compared performance between the groups (Mann-Whitney test) relating to the level of experience of the surgeon (Kruskal-Wallis test), considering p value <0.05 as significant. Results: the performance of the Group II (CDC-BR) was higher, with 85% accuracy, compared with 79% of Group I (CDC), p-value =0.012. The performance of the groups as for surgeons experience displayed p=0.171 for Group I, p=0.528 for Group II, and p=0.135 for overall performance. Conclusion: we produced a translated and validated version of the CDC for Brazilian Portuguese. The instrument will be a useful tool in the production of evidence on surgical outcomes.

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Oranusi, CK, IO Oranusi, and AME Nwofor. "Complication rates of open transvesical prostatectomy according to the Clavien-Dindo classification system." Nigerian Journal of Clinical Practice 15, no. 1 (2012): 34. http://dx.doi.org/10.4103/1119-3077.94094.

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Vallur, Srujan, Angshuman Dutta, and A. P. Arjun. "Use of Clavien–Dindo Classification System in Assessing Head and Neck Surgery Complications." Indian Journal of Otolaryngology and Head & Neck Surgery 72, no. 1 (July 25, 2019): 24–29. http://dx.doi.org/10.1007/s12070-019-01718-7.

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Miyamoto, Shimpei, Junichi Nakao, Takuya Higashino, Seiichi Yoshimoto, Ryuichi Hayashi, and Minoru Sakuraba. "Clavien–Dindo classification for grading complications after total pharyngolaryngectomy and free jejunum transfer." PLOS ONE 14, no. 9 (September 12, 2019): e0222570. http://dx.doi.org/10.1371/journal.pone.0222570.

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Sinha, Rakesh, Ila Jalote, Manju Sinha, Shweta Raje, and Gayatri Rao. "Surgical complications in 448 gynecological 3D laparoscopic surgeries adopting the Clavien—Dindo classification." Gynecological Surgery 13, no. 4 (August 16, 2016): 333–38. http://dx.doi.org/10.1007/s10397-016-0973-1.

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Widmar, Maria, Paul Strombom, Metin Keskin, Renee L. Gennarelli, Elena Elkin, Martin R. Weiser, Philip B. Paty, J. J. Smith, Garrett M. Nash, and Julio E. Garcia-Aguilar. "Burden of Surgical Complications: Contribution of Long-Term Costs by Clavien-Dindo Classification." Journal of the American College of Surgeons 223, no. 4 (October 2016): e90. http://dx.doi.org/10.1016/j.jamcollsurg.2016.08.229.

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40

Duraes, Leonardo C., Luca Stocchi, Scott R. Steele, Matthew F. Kalady, James M. Church, Emre Gorgun, David Liska, Hermann P. Kessler, Olga Lavryk, and Conor P. Delaney. "Relationship Between Clavien-Dindo Morbidity Classification and Oncologic Outcomes after Colorectal Cancer Resection." Journal of the American College of Surgeons 225, no. 4 (October 2017): S48. http://dx.doi.org/10.1016/j.jamcollsurg.2017.07.091.

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Dodwell, Emily R., Rubini Pathy, Roger F. Widmann, Daniel W. Green, David M. Scher, John S. Blanco, Shevaun M. Doyle, Aaron Daluiski, and Ernest L. Sink. "Reliability of the Modified Clavien-Dindo-Sink Complication Classification System in Pediatric Orthopaedic Surgery." JBJS Open Access 3, no. 4 (October 23, 2018): e0020. http://dx.doi.org/10.2106/jbjs.oa.18.00020.

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Wolfe, Bruce M. "Paired editorial for perioperative complications after bariatric surgery according to the clavien-dindo classification." Surgery for Obesity and Related Diseases 13, no. 9 (September 2017): 1561. http://dx.doi.org/10.1016/j.soard.2017.05.021.

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Duraes, Leonardo C., Luca Stocchi, Scott R. Steele, Matthew F. Kalady, James M. Church, Emre Gorgun, David Liska, Hermann Kessler, Olga A. Lavryk, and Conor P. Delaney. "The Relationship Between Clavien–Dindo Morbidity Classification and Oncologic Outcomes After Colorectal Cancer Resection." Annals of Surgical Oncology 25, no. 1 (November 7, 2017): 188–96. http://dx.doi.org/10.1245/s10434-017-6142-6.

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Rac, Goran, Alyssa Greiman, Andrew Rabley, T. J. Tipton, Leah R. Chiles, Drew A. Freilich, Ross Rames, Lindsey Cox, Michelle Koski, and Eric S. Rovner. "Analysis of Complications of Pelvic Mesh Excision Surgery Using the Clavien-Dindo Classification System." Journal of Urology 198, no. 3 (September 2017): 638–43. http://dx.doi.org/10.1016/j.juro.2017.04.078.

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Monteiro, Eric, Michael C. Sklar, Antoine Eskander, John R. de Almeida, Mark Shrime, Patrick Gullane, Jonathan Irish, et al. "Assessment of the Clavien-Dindo classification system for complications in head and neck surgery." Laryngoscope 124, no. 12 (September 27, 2014): 2726–31. http://dx.doi.org/10.1002/lary.24817.

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Slaman, Annelijn E., Sjoerd M. Lagarde, Suzanne S. Gisbertz, and Mark I. van Berge Henegouwen. "A Quantified Scoring System for Postoperative Complication Severity Compared to the Clavien-Dindo Classification." Digestive Surgery 32, no. 5 (2015): 361–66. http://dx.doi.org/10.1159/000433608.

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Background/Aims: Esophagectomies are associated with high morbidity. To assess the complication severity, the Clavien-Dindo classification (CDC) grades the most severe complication. However, it ignores additional complications that are equal or less severe. The comprehensive complication index (CCI) incorporates all complication severities. It might therefore be a better system to assess the severities. The aim of this study was to validate the CCI compared to the CDC. Methods: A prospective database was used to analyze 621 patients, who underwent an esophagectomy between 1993 and 2005. The CCI was calculated and the relation with traditional parameters was assessed and compared to the relation of the CDC with these parameters. Results: Complications occurred in 429 patients (69.1%). The correlation between the CCI and the CDC was r = 0.987, p < 0.01. The relation of the CCI with 3 out of 7 parameters was not significantly different compared to the relation of the CDC (p > 0.05). There was a significantly stronger relation (p < 0.05) of the CCI with length of stay (LOS) (r = 0.663 vs. 0.646), a prolonged LOS (r = 0.542 vs. 0.530), reintervention, (r = 0.437 vs. 0.422) and reoperation rate (0.489 vs. 0.471) than the CDC. Conclusion: Therefore, the CCI could be a promising scoring system that could be used to identify risks in surgical patient groups.

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Bolliger, M., J. A. Kroehnert, F. Molineus, D. Kandioler, M. Schindl, and P. Riss. "Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients." European Surgery 50, no. 6 (July 24, 2018): 256–61. http://dx.doi.org/10.1007/s10353-018-0551-z.

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Katayama, Hiroshi, Yukinori Kurokawa, Kenichi Nakamura, Hiroyuki Ito, Yukihide Kanemitsu, Norikazu Masuda, Yasuhiro Tsubosa, et al. "Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria." Surgery Today 46, no. 6 (August 20, 2015): 668–85. http://dx.doi.org/10.1007/s00595-015-1236-x.

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Bansal, Ankur, Satyanarayan Sankhwar, Apul Goel, Manoj Kumar, Bimalesh Purkait, and Ruchir Aeron. "Grading of complications of transurethral resection of bladder tumor using Clavien–Dindo classification system." Indian Journal of Urology 32, no. 3 (2016): 232. http://dx.doi.org/10.4103/0970-1591.185104.

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Sung, Si Hyun, Chung Un Lee, Jae Hoon Chung, Wan Song, Minyong Kang, Hyun Hwan Sung, Byong Chang Jeong, et al. "Predictive Factors for Acute Urinary Retention After Transperineal Template-Guided Mapping Biopsy." Korean Journal of Urological Oncology 19, no. 3 (August 31, 2021): 148–54. http://dx.doi.org/10.22465/kjuo.2021.19.3.148.

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Purpose: We investigated the predictive factors for acute urinary retention (AUR) after transperineal template-guided mapping biopsy (TTMB).Materials and Methods: We retrospectively reviewed the records of 459 patients who had undergone TTMB between May 2017 and July 2020. Overall complications after TTMB were analyzed and categorized according to the Clavien-Dindo classification. Factors that were likely to affect AUR were analyzed using a logistic regression model.Results: Overall complications after TTMB were observed in 95 of the 459 patients (20.7%), of which AUR was the most commonly reported (17.4%, n=80), followed by hematuria (3.1%, n=14). Hematuria in one patient was categorized as Clavien-Dindo grade IIIa. All remaining complications were Clavien-Dindo grade I. In the multivariate regression model, age ≥65 (odds ratio, 2.44; 95% confidence interval [CI], 1.42–4.17; p=0.001), prostate volume ≥30 mL (odds ratio, 3.72; 95% CI, 1.19–11.62; p<0.02), and number of biopsy cores ≥30 (odds ratio, 2.89; 95% CI, 1.29–6.43; p=0.01) were identified as the predictors for AUR after TTMB.Conclusions: AUR is the most common complication after TTMB. Age ≥65 years, prostate volume ≥30 mL, and number of biopsy cores ≥30 were significant predictors of AUR following TTMB.

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