Non-Infectious Wound Complication (NIWC) Classification of Greco et al for a Surgical Flap

Description

Greco et al used a classification system to describe non-infectious wound complications (NIWC) associated with surgical flaps. While developed in women undergoing breast reconstruction the scheme can be applied to other types of surgery. The authors are from Vanderbilt University.

Parameters:

(1) tissue damage

(2) need for debridement

(3) need for operative revision

(4) need for salvage procedure (with complete loss of the flap)

Tissue Damage	Debridement	Revision	Salvage Procedure	Grade
none	not done	not done	not done	0
skin damage only	variable	not done	not done	1
to flap	in office and wound care	not done	not done	2
to flap	in OR	not done	not done	3
to flap	in OR	performed	not done	4
to flap	NA	NA	performed	5

where:

• Skin damage may include epidermolysis, loss of tissue and/or focal necrosis.

To read more or access our algorithms and calculators, please log in or register.

Non-Infectious Wound Complication (NIWC) Classification of Greco et al for a Surgical Flap

Description

Specialty