Applicabilité de la classification Clavien-Dindo dans l'évaluation des complications postopératoires dans la clinique chirurgicale du Centre Hospitalier National de Nouakchott: analyse observationnelle de 834 cas

Idriss, Ahmedou Moulaye; Tfeil, Yahya; Baba, Jiddou Sidi; Boukhary, Sid 'Ahmed Md; Deddah, Mohamed Abdallahi

doi:10.11604/pamj.2019.33.254.18024

Cited by 4 publications

(4 citation statements)

References 26 publications

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“…There were no surgical complications of a grade higher than 3 according to the Clavien Dindo classification [6] .…”

Section: Resultsmentioning

confidence: 82%

“…Six (3,4%) of the patients hospitalized in the ICU where so in red zones. Ten (5.5%) patients presented surgical complications of a grade higher than 3 according to the Clavien Dindo classification [6] .…”

Section: Resultsmentioning

confidence: 99%

“…The questions pertained to the histological type and FIGO classification of the cancers, the type of surgery performed or scheduled, the postponement or cancellation of procedures and the reasons why. Surgical complications were also collected and graded according to the Clavien-Dindo classification [6] . An estimate of the detrimental effect of the COVID-19 pandemic was also collected from each consultant.…”

Section: Methodsmentioning

confidence: 99%

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The impact of the COVID-19 coronavirus pandemic on the surgical management of gynecological cancers: Analysis of the multicenter database of the French SCGP and the FRANCOGYN group

Jouen

Gauthier

Azaïs

et al. 2021

Journal of Gynecology Obstetrics and Human Reproduction

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Introduction The coronavirus SARS-CoV-2 (COVID-19) pandemic has put tremendous pressure on the French healthcare system. Almost all hospital departments have had to profoundly modify their activity to cope with the crisis. In this context, the surgical management of cancers has been a topic of debate as care strategies were tailored to avoid any delay in treatment that could be detrimental to patient wellbeing while being careful not to overload intensive care units. The primary objective of this study was to observe changes in the surgical management of pelvic cancers during the COVID-19 pandemic in France. Material and Methods This study analyzed data from the prospective multi-center cohort study conducted by the French Society for Pelvic and Gynecological Surgery (SCGP) with methodological support from the French (FRANCOGYN) Group. All members of the SCGP received by e-mail a link allowing them to include patients who were scheduled to undergo gynecological carcinologic surgery between March 16th 2020 and May 11th 2020. Demographic data, the characteristics of cancers and the impact of the crisis in terms of changes to the usual recommended coarse of care were collected. Results A total of 181 patients with a median age 63 years were included in the cohort. In total, 31 patients had cervical cancer, 76 patients had endometrial cancer, 52 patients had ovarian or tubal cancer, 5 patients had a borderline tumor of the ovary, and 17 patients had vulvar cancer. During the study period, the care strategy was changed for 49 (27%) patients with postponed for 35 (19.3%) patients, and cancelled for 7 (3.9%) patients. Surgical treatment was maintained for 139 (76.8%) patients. Management with neo-adjuvant chemotherapy was offered to 19 (10,5%) patients and a change in surgical choice was made for 5 (2,8%) patients. In total, 8 (4,4%) patients tested positive for COVID-19. Data also shows a greater number of therapeutic changes in cases of ovarian cancer as well as a cancellation of a lumbo-aortic lymphadenectomy in one patient with cervical cancer. Hospital consultants estimated a direct detrimental impact of the COVID-19 pandemic for 39 patients, representing 22% of gynecological cancers. Conclusion This study provided observational data of the impact of the COVID-19 health crisis on the surgical management of gynecological cancers.

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“…There were no surgical complications of a grade higher than 3 according to the Clavien Dindo classification [6] .…”

Section: Resultsmentioning

confidence: 82%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The impact of the COVID-19 coronavirus pandemic on the surgical management of gynecological cancers: Analysis of the multicenter database of the French SCGP and the FRANCOGYN group

Jouen

Gauthier

Azaïs

et al. 2021

Journal of Gynecology Obstetrics and Human Reproduction

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“…This system was later refined into the CDCC after a decade of routine application in various centers. It now comprises 5 severity grades (table 1) and has been widely utilized and validated in numerous surgical studies [10][11][12].…”

Section: Clavien-dindo Complications Classificationmentioning

confidence: 99%

Application of Clavien-Dindo Complications Classification in Cardiac Surgery Practice: A Narrative Review

Thuan

2024

IJCTS

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Background: Cardiac surgery is a complex medical specialty known for its potential complications, necessitating accurate evaluation and reporting. Current prediction scales have limitations in capturing the full spectrum of complications experienced by patients undergoing cardiac surgery. The Clavien-Dindo Complications Classification (CDCC) and the Comprehensive Complications Index (CCI) have emerged as promising tools for assessing complications in various surgical specialties, including cardiac surgery. Method: This comprehensive review synthesizes the available literature to assess the application of CDCC and CCI in the context of cardiac surgery. The effectiveness of CDCC and CCI in measuring the nature and clinical impact of complications in this specialized field is explored. Additionally, methods from other medical specialties are reviewed to enhance our understanding of the practical implementation of these classification systems in cardiac surgery. Results: The present study, including significant contributions by Mélanie Hébert et al., highlights the potential of CDCC and CCI to quantify both the number and severity of complications in adult cardiac surgery. Their utility in this specialized field presents opportunities for robust data collection and outcome evaluation. Conclusion: While the application of CDCC and CCI in cardiac surgery shows promise, the notable scarcity of comprehensive evaluation studies has hindered the accessibility of these systems to clinicians. This study provides a clear and accessible reference for healthcare professionals seeking to integrate CDCC and CCI into their cardiac surgery practice. Additionally, we propose the need for guideline studies to address this gap in the field.

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Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma)

Albert,

Mariame,

et al. 2024

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Introduction: Postoperative complications are incidents or accidents that may occur after any surgical intervention. They lead to the aggravation of the previous situation by their morbidity and even their mortality. The objective of this work was to study the early postoperative evolution in the digestive surgery and Maternity departments at the CMC of Ratoma. Methodology: This was a descriptive prospective study over a period of (6) months from July 01, 2021 to December 31, 2021 carried out in the surgery and maternity departments of the Ratoma municipal center. Results: we operated on 403 patients in the surgery and maternity departments of the CMC in Ratoma, of which 50 cases, or 12%, developed early postoperative complications. The age group of 20-30 years was the most affected 22 cases or 44% with an average age of 29.5 years, extremes of 3 years and 85. The female sex was dominant 36 cases or 78% of cases with a sex ratio of 3.5. The majority of patients 26 or 56% were operated on in the maternity ward, where caesarean section was the most performed surgical procedure. Emergencies were represented in 26 cases or 56% of surgical interventions, infection of the surgical site was the most common postoperative complication in 40 cases or 80%. All our suppurated patients benefited from a pus sample for cytobacteriological examination and were treated according to the result of the antibiogram plus local care. 72% of our patients were followed on an outpatient basis. The evolution was favorable in 44 of our patients, i e. 88%, and unfavorable in 6 of our patients, i e. 12%, including ISO, evisceration and death each in 2 cases, i e. a common rate of 4%. Conclusion: Early postoperative complications were frequent at CMC Ratoma. Surgical site infections were the main early OCC presented by the patients. The management was medical and surgical. The evolution was favorable in most cases, however we recorded a few cases of death.

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Applicabilité de la classification Clavien-Dindo dans l'évaluation des complications postopératoires dans la clinique chirurgicale du Centre Hospitalier National de Nouakchott: analyse observationnelle de 834 cas

Cited by 4 publications

References 26 publications

The impact of the COVID-19 coronavirus pandemic on the surgical management of gynecological cancers: Analysis of the multicenter database of the French SCGP and the FRANCOGYN group

The impact of the COVID-19 coronavirus pandemic on the surgical management of gynecological cancers: Analysis of the multicenter database of the French SCGP and the FRANCOGYN group

Application of Clavien-Dindo Complications Classification in Cardiac Surgery Practice: A Narrative Review

Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma)

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