Clinical Assessment of Postoperative Complications Based On Clavien-Dindo Classification in Elective and Emergency Abdominal Surgeries

Aim: To evaluate the CDC system in the assessment of postoperative complications in elective and emergency abdominal surgeries. Material and methods: The study was performed on 88 patients who were scheduled to undergo emergency and elective abdominal surgery. Demographical data was recorded and detailed clinical examinations were performed in all the patients. Normal postoperative course and its management were recorded and evaluated. All complications were categorized according to the Clavien-Dindo classification (CDC). Results: The average age of the patients was 46.77?15.18 years. Among these subjects, 56.82% (n=50) and 43.18% (n=38) underwent elective and emergency abdominal surgery respectively. In subjects who underwent elective abdominal surgery, CDC system suggested that among 50 subjects, 32% (n=16) subjects had grade 0 complications whereas, 36% (n=18), 20% (n=10), 8% (n=04), and 4% (n=02) subjects had grade I, II, IIIb and IVa complications respectively. Furthermore, in patients who underwent emergency abdominal surgery (n=38) grade 0 was seen in n=4 (10.5%) patients whereas, n=14 (36.8%), n=8 (21.05%), n=6 (15.78%), n=4 (10.5%), and n=2 (5.26) had grade II, I, IVa, IIIb, and V complications respectively. Conclusion: CDC system can be useful in elective as well as in emergency abdominal surgeries for the assessment of postoperative complications.