Obstetrics & Gynaecology · Puerperium, Rh Isoimmunization and Cesarean Section

According to Clavien-Dindo classification, a postoperative wound dehiscence after caesarean section requiring reoperation under general anaesthesia (but with full recovery and no residual disability) is classified as:

  • A Grade IIIb
  • B Grade IIIa
  • C Grade IVa
  • D Grade II
Correct answer: A. Grade IIIb

Explanation

The Clavien-Dindo classification grades postoperative complications: Grade I = minor deviation; Grade II = pharmacological treatment (antibiotics, blood transfusion); Grade IIIa = intervention without general anaesthesia; Grade IIIb = intervention requiring general anaesthesia; Grade IVa = single organ dysfunction requiring ICU; Grade IVb = multi-organ dysfunction; Grade V = death. Reoperation under general anaesthesia for wound dehiscence is Grade IIIb. This classification is increasingly applied in obstetric surgery audit and quality metrics.

Reference: Williams Obstetrics, 26th ed.

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