Table 3

The Clavien-Dindo classification of surgical complications

GradeDefinition
Grade IAny deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic and radiological interventions.
Allowed therapeutic regimens are: drugs as antiemetics, antipyretics, analgetics, diuretics and electrolytes and physical therapy.
This grade also includes wound infections opened at the bedside.
Grade IIRequiring pharmacological treatment with drugs other than such allowed for grade I complications.
Blood transfusions and total parenteral nutrition are also included.
Grade IIIRequiring surgical, endoscopic or radiological intervention.
 Grade-IIIaIntervention not under general anaesthesia.
 Grade-IIIbIntervention under general anaesthesia.
Grade IVLife-threatening complication (including CNS complications)* requiring IC/ICU-management.
 Grade-IVaSingle organ dysfunction (including dialysis).
 Grade-IVbMultiorgan dysfunction.
Grade VDeath of a patient.
  • Adapted from the study by Dindo et al.39

  • *Brain haemorrhage, ischaemic stroke, subarachnoidal bleeding, but excluding transient ischaemic attacks.

  • CNS, central nervous system; IC, intermediate care; ICU, intensive care unit.