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Native Tissue Complication Classification Code:

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Notes
  1. Multiple complications may occur in the same patient. There may be early and late complications in the same patient. i.e. All complications to be listed. Tables of complications may often be procedure specific.
  2. The highest final category for any single complication should be used if there is a change over time.
  3. Urinary tract infections and functional issues (apart from 4B) have not been included.
Table 1: Terminology involved in the Classification
TERMS USEDDEFINITION
COMPLICATIONA morbid process or event that occurs during the course of a surgery that is not an essential part of that surgery.
NATIVEPertaining to birth.
TISSUECollection of similar cells and the intercellular substances surrounding them.
INVAGINATIONVaginal mucosa folded and entrapped on itself, characterized by a fixed and tight area on examination.
PROMINENCEParts that protrude beyond the surface with no epithelial separation.
SEPARATIONPhysically disconnected (e.g. vaginal epithelium).
EXPOSUREA condition of displaying, revealing, exhibiting or making accessible e.g. a permanent suture visualized through separated vaginal epithelium.
EXTRUSIONPassage gradually out of a body structure or tissue e.g. a loop of suture protruding into the vaginal cavity.
COMPROMISEBring into danger.
PERFORATIONAbnormal opening into a hollow organ or viscus.
DEHISCENCEA bursting open, splitting or gaping along natural or sutured lines.
GRANULATIONFleshy connective tissue projections on the surface of a wound, ulcer or inflamed tissue surface.
ULCERA lesion through the skin or a mucous membrane resulting from loss of tissue, usually with inflammation.
Reference:
PDF IUGA/ICS Joint Terminology and Classification of the Complications Related to Native Tissue Female Pelvic Floor Surgery
Bernard T Haylen*o, Robert M Freeman*^o, Joseph Lee*, Steven E Swift*o, Michel Cossono, G Willy Davilaº, Jan Depresto, Peter L Dwyer*o, Brigitte Fattonº, Ervin Kocjancico, Chris Maherº, Diaa E Rizk*, Eckhard Petri*, Peter K Sand*, Gabriel N Schaer*, Ralph Webb^o
Standardization and Terminology Committee, International Urogynecological Association (IUGA)* & International Continence Society (ICS)^;Joint IUGA/ICS Working Group on Complications Terminologyo
Publication:
This IUGA-ICS Joint Standardisation report is being published simultaneously in April 2012 with the permission of both publishers:
  • Neurourology and Urodynamics, Wiley-Liss Inc.
  • International Urogynecology Journal, Springer-Verlag London Ltd.