A PROSPECTIVE STUDY OF USE OF CLAVIEN-DINDO CLASSIFICATION IN ASSESSMENT OF POST SURGICAL COMPLICATIONS IN PATIENTS UNDERGONE LAPAROTOMY IN A TERTIARY CARE HOSPITAL OF NORTH WESTERN INDIA

Background: Laparotomy is one of the most commonly performed surgeries by general surgeons, where we open the abdomen and search for any pathology. The Clavien-Dindo classication is an accepted surgical complication classication system that grades complications based on the extent of therapy required for their treatment. The study's main aim was to assess various grades of complications post-laparotomy with respect to the CalvienDindo classication. Methods: This study was a prospective and descriptive study conducted from June 2023 to July 2024. 180 patients who underwent laparotomy during this period were included and followed up in postoperative period and all the complications developed till discharge/death were recorded. Results: Complications were more common in emergency laparotomies (40%) as compared to elective laparotomies (30%). In elective laparotomies, 24 patients who had complications, 4 (17%) belonged to grade 1, 13 (54%) were in grade 2, 2 (8%) were in grade 3a, 2 (8%) were in grade 3b, 1 (4%) in grade 4a, 1 (4%) in grade 4b and 1 (4%) in grade 5. In emergency laparotomies, 40 patients who had complications, 8 (20%) belonged to grade 1, 15 (37.5%) were in Grade 2, 3 (7.5%) were in grade 3a, 5 (12.5%) were in grade 3b, 1 (2.5%) in grade 4a and 1 (2.5%) in grade 4b and 7 (17.5%) in grade 5. Conclusion: The Clavien-Dindo classication can be used in all hospital settings as a simple way for postoperative complications.