Table 3 Perioperative complications according to the modified Clavien classification system.
From: The impact of Hounsfield unit-related variables on percutaneous nephrolithotomy outcomes
Complication grading | No. of complications (%) |
|---|---|
Grade I | 16 (51.6%) |
Postoperative pain managed by opioid with adjunct analgesic regimen | 6 |
Postoperative fever (> 38.0 °C) managed by observation without antibiotics | 6 |
Bladder retention without blood clot that requires bladder catheterization | 1 |
Urine leakage managed by watchful waiting | 2 |
Bleeding that requires a single episode of nephrostomy clamping | 1 |
Grade II | 9 (29.0%) |
Bleeding requiring blood transfusion | 4 |
Symptomatic UTI managed using antibiotics | 3 |
Minor atelectasis requiring medical management | 2 |
Grade IIIa | 4 (12.9%) |
Febrile UTI or suspected sepsis without organ failure requiring supportive therapy and enhanced monitoring | 1 |
Colon perforation managed conservatively using controlled colocutaneous fistula | 1 |
Hemothorax managed by intercostal draining under local anaesthesia | 1 |
Ureteric clot obstruction managed by ureteric stenting without general anaesthesia | 1 |
Grade IIIb | 1 (3.2%) |
Bleeding managed by angioembolization | 1 |
Grade IVb | 1 (3.2%) |
Urosepsis with multiple organ failure requiring ICU management | 1 |
Grade V | 0 |
Any complication leading to death | 0 |
Total complications | 31 complications in 25 pts (13.3%) |