Key result
Major abdominal surgery leads to post-operative complications in ~58% of patients, primarily Grade II.
Why the study?
The study was conducted to determine the prevalence of postoperative complications after major abdominal surgery and grade them using the Clavien-Dindo Classification.
Cross-Sectional (n=78)
No
More than half of patients undergoing major abdominal surgery experienced postoperative complications, most commonly Clavien-Dindo Grade II complications and surgical site infections.
High complication rates after major abdominal surgery signal need for better perioperative protocols; leaves open generalizability and causal factors in prospective studies.
Introduction: The Clavien-Dindo Classification is an easy way to grade any deviation from the postoperative 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 postoperative 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.
No takes yet. Share an insight, caveat, or question.
Jha et al. (2024) conducted a cross-sectional in Patients undergoing major abdominal surgery (n=78). Major abdominal surgery was evaluated on Prevalence of post-operative complications (95% CI 52.69-62.69). Major abdominal surgery resulted in post-operative complications in 57.69% of patients, with Clavien-Dindo Grade II complications and surgical site infections being the most frequent.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: