Postoperative complications: definition and classification

Abstract

The concept of «postoperative (surgical) complication» implies a new pathological condition caused by surgical intervention, arising during its implementation and within 30 days later, having a clinical manifestation and requiring correction of treatment tactics. Based on this definitional approach, the classification of negative events associated with the operation, taking into account the involvement of the anatomical and functional structures of the body (local, regional and systemic) is presented. Another ranked feature is the syndromic characteristic of manifestations, which involves ordering problems depending on the leading cause of their formation of central or peripheral origin, including infectious and inflammatory nature, disorders in the hemostatic system and other variable (different) situations. This approach allows to plan and implement measures for the prevention and treatment of complications in practice. The logic of the pathophysiological understanding of their symptoms facilitates the prediction and early diagnosis of perioperative incidents.

Keywords

• intraoperative adverse incident
• surgical complications
• definition
• classification