Publication: Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital: An Observational Study
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: The Clavien-Dindo Classification is an easy way to grade any deviation from the post-operative course that is not a normal part of the procedure and does not indicate a failure to achieve the desired cure, regardless of the physician’s age or level of competence. We aimed to conduct a this study to determine the prevalence of post-operative complications after major abdominal surgery and to grade them using the Clavien-Dindo Classification.
Methods: This was an observational cross-section study conducted after approval from the Institutional Review Committee (Reference Number: 656). A retrospective data of patients admitted to surgical wards for major surgery from January to June 2022 was included in the study. The post-operative complications were divided as per Clavien-Dindo classification from grade I to grade V. Descriptive statistics was used to analyse data.
Results: Out of 78 patients, 45 (57.69%; 95% CI: 52.69%-62.69%) patients had complication after major abdominal surgery. Among them, 17 (37.78%) patients belonged to age group more than 60 years and 24 (53.33%) patients were female. Amongst the morbidities, diabetes mellitus was seen in 7 (15.56%) patients, hypertension in 6 (13.33%), chronic obstructive pulmonary disease in 5 (11.11%) cases and anaemia in 3 (6.67%) cases. There were 19 (42.22%) patient with Clavien-Dindo Classification Grade II and surgical site infection was observed in 26 (57.78%) cases.
Conclusions: The prevalence of post-operative complication after major abdominal surgery in our study was found to be comparatively higher as compared to similar studies done in similar settings.
Description
Manoj Kumar Jha
Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Kunda Bikram Shah
Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Anup Thapa
Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Sunil Basukala
Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Sumit Kumar Sah
Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal