Surgery · Oncology Principles and Transplantation

According to Clavien-Dindo classification, a postoperative complication requiring re-operation under general anaesthesia is classified as:

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

Explanation

Clavien-Dindo classification: Grade I — minor deviation; Grade II — pharmacological treatment (blood transfusion, TPN); Grade IIIa — intervention not under general anaesthesia; Grade IIIb — intervention under general anaesthesia; Grade IVa — life-threatening complication requiring ICU with single organ failure; Grade IVb — multi-organ failure; Grade V — death. Suffix 'd' is added if patient still suffering the complication at discharge. Re-operation under GA = Grade IIIb.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

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