Cultural adaptation and the Clavien-Dindo surgical complications classification translated to Brazilian Portuguese.

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.

Hypoalbuminemia in Microsurgical Flaps of the Musculoskeletal Apparatus

“…Perioperative data observed were type of flap in relation to the donor area, type of arterial anastomosis, number of venous anastomoses, and ischemia time of microsurgical flap, defined as the time elapsed between clamping of the vessels at the donor site and releasing of the microvascular clamps of the artery and at least one venous anastomoses, obtaining free flap reperfusion. We described and included complications following the Clavien-Dindo classification 10,11 grade III, which requires surgical intervention. Complications were dehiscence, partial or total flap loss, thrombosis with indication of revision of anastomoses, and infection.…”

“…We described and included complications following the Clavien-Dindo classification 10 ), ( 11 grade III, which requires surgical intervention. Complications were dehiscence, partial or total flap loss, thrombosis with indication of revision of anastomoses, and infection.…”

Is Obesity a Risk Factor for Free Vascularized Fibular Flap Complications?

“…The surgical complications withgrade III (complications requiring surgical intervention) of Clavien-Dindo classification, 3 , 4 observed were: dehiscence, partial or total skin island flap loss, thrombosis with absence of vascular flow in vascularized fibula with anastomoses revision and infection.…”

Morbidade e mortalidade no fechamento de estomas: revisão de 10 anos

“…Foram obtidos características demográficas, epidemiológicas e patológicas, como idade, sexo, comorbidades, escore ASA (American Society of Anesthesiologists 2010 risk classification) e patologia primária que levou ao estoma; também analisou-se as características do estoma como tempo de porte, tipo e configuração, assim como operatórias, como tempo operatório, técnica da anastomose, tipos de fios utilizados no fechamento da parede abdominal, uso de drenos, procedimentos associados, preparo intestinal e antibiótico profilático. As complicações foram registradas em tempo (dias) de tratamento intensivo (CTI), complicações sistêmicas e cirúrgicas de acordo com a classificação de Clavien-Dindo 6,7 , e óbito relacionada ao procedimento estudado.…”