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Postoperative Complications among Major Abdominal Surgeries using Clavien-Dindo Classification in Tertiary Hospital:

Manoj Kumar Jha1, Kunda Bikram Shah1, Anup Thapa1

  • 1Department of Surgery, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.

JNMA; Journal of the Nepal Medical Association
|July 14, 2025
PubMed

Insights

Post-operative complications after major abdominal surgery were prevalent in over half of patients, with Grade II complications and surgical site infections being most common. This study highlights a higher complication rate compared to similar settings.

Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Clinical Medicine

Background:

  • The Clavien-Dindo Classification is a standard method for grading postoperative deviations.
  • Assessing complication rates after major abdominal surgery is crucial for patient outcomes.

Purpose of the Study:

  • To determine the prevalence of postoperative complications following major abdominal surgery.
  • To grade these complications using the Clavien-Dindo Classification.

Main Methods:

  • An observational, cross-sectional study was conducted.
  • Retrospective data from January to June 2022 were analyzed.
  • Complications were classified using the Clavien-Dindo system (Grade I-V).

Main Results:

  • 45 out of 78 patients (57.69%) experienced postoperative complications.
  • Grade II complications were most frequent (42.22%), followed by surgical site infections (57.78%).
  • Common comorbidities included diabetes mellitus and hypertension.

Conclusions:

  • The prevalence of postoperative complications after major abdominal surgery in this study was notably high.
  • Surgical site infections and Grade II complications require focused attention and management strategies.
Abstract

Keywords:
Clavien-Dindo classificationmajor abdominal surgeriespost-operative complications

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