Systematic assessment of surgical complications in 438 cases of vaginal native tissue repair for pelvic organ prolapse adopting Clavien–Dindo classification

Abstract

Surgery was associated with low rate of CD grade III complications. Re-operation rate was 0.9%. The authors suggest introduction of CD classification for comparability of prolapse surgery.

Gynaecological Prolapse Surgery in Very Old Female Patients

“…They were recorded retrospectively on the basis of patient records using the Charlson Comorbidity Index [10] and Cumulative Illness Rating Scale Geriatrics (CIRS-G) [11,12] in the diagnosis sheets provided for this purpose [10][11][12][13][14]. A surgical complication was defined as "each and any deviation from the ideal postoperative course which is not inherent to the procedure and excludes failure of the therapy" [17] and systematically classified according to the valid system of Clavien and Dindo (CD) which is recommended by the professional societies [9] and very frequently used in surgical medicine [6,8,14,[18][19][20]. The observation time encompassed the postoperative inpatient stay and a 48-h readmission interval.…”

Comparative analysis of early adverse events of pelvic organ prolapse repair with or without transvaginal mesh using Clavien‐Dindo classification

“…To the best of our knowledge, only a few studies have assessed perioperative adverse events of surgical POP correction using a standardized classification, none of which compared native tissue repair with transvaginal mesh‐based repair . Clavien et al .…”

“…Assessment and grading of surgical adverse events following POP repair is important for standardization, as well as to enable comparison of outcome data and adverse event rates among different centers and different procedures over time. Classification schemes have been used to identify adverse events of surgical intervention or postoperative medical intervention . The Clavien‐Dindo classification includes postoperative adverse events that occur during hospitalization, including readmissions due to adverse events that develop within 48 hours of hospital discharge.…”

“…Classification schemes have been used to identify adverse events of surgical intervention or postoperative medical intervention. 8 The Clavien-Dindo classification 9 includes postoperative adverse events that occur during hospitalization, including readmissions due to adverse events that develop within 48 hours of hospital discharge. This system has been adopted widely for safety assessments in several operative procedures, including gynecologic, visceral, and urologic surgeries.…”

Thirty years of the World Health Organization's target caesarean section rate: time to move on

“…Recent estimates from the United States suggest that women face a lifetime risk of surgery for either POP or UI of 20% 35 . Pelvic floor surgery for POP and UI is normally undertaken after menopause, when women are less fit for surgery, and the rate of complications for primary native tissue repair of POP has been reported to be about 15%, with an emergency reoperation rate of 1% 36 . Longer term reoperation rates have been estimated to be as high as 8.9% 37 …”