How to Grade? - Grey Zone Cases

Over the past five years, we were confronted with a couple of clinical cases, in which the grading of complications turned out to be difficult. Such cases were prospectively collected at our center.



Example of "grey zone cases"




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Scenario 10:
Our colleagues from gynecology called us to consult a patient in the operating room. They were involved in the relaparotomy of a 57-year-old woman, undergoing a Wertheim’s operation and found a severe peritonitis, with a perforation in the small intestine. We performed a segmental resection of the small intestine with end-toend anastomosis. Two days later, a relaparotomy was indicated again, due to the suspicion of an anastomotic leakage. We were called again and could resew a small leak at the anastomotic site. The patient eventually recovered fully. The patient remained in the gynecologic ward for the entire stay.


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