“A STUDY ON GRADING OF POST OPERATIVE COMPLICATION AFTER EXPLORATORY LAPRATOMY ACCORDING TO CLAVEIN-DINDO SYSTEM”

Abstract

Aim And Objectives: Post-operative surgical complications are common in every surgery. The compulsive postoperative surveillance is mandatory to identify and address post-operative complications at the earliest with the help of simple,convenient,reproducible and comprehensive logical system.This study is aimed to grade post-operative complications and incidence of wound infection after exploratory laparotomy according to clavien-dindo classification. Material And Methods: This is a prospective study of 70 patients with acute abdominal conditions who required emergency exploration of abdomen.This study was conducted inVDGMC Latur from December 2019 to May 2021. Results: Out of 70 patients 46 were males and 34 were females. Mean age of our study population was 49.7 years (range 13-79). Majority of study population had exploratory laparotomy due to gastric perforation (18.6 %) and intestinal obstruction (18.6 %).11 patients had no complications and remaining 59 patients developed complications.G1 includes 34.2%, G2 includes 25.7%, G3a includes 5.7%, G3b includes 4.3%, G4a includes 9%, G4b includes 1.4% and G5 includes 2.9%.21.4% patients had surgical site infection and Grade 1 complications were more common in our study. Conclusion: We concluded that clavien-dindo classification is simple, easy and effective tool useful for analyzing, reporting and addressing complications after exploratory laparotomy for abdominal pathology.