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According to Paley's classification of complications [14], in this series there were three "problems", two of "obstacles" and no "major complications".
Heterogeneity can be explained by the lack of an established evidence-based classification system for documentation and classification of complications in a standardized manner.
To analyze different complications of synthetic suburethral slings, and to apply the new "IUGA-ICS classification of complications directly related to the insertion of prosthesis (meshes, implants, tapes) and grafts in female pelvic floor surgery" to the list of complications, check its applicability, and give suggestions regarding possible improvements.
It was difficult to use a uniform classification of complications due to reporting inconsistencies.
The classification of complications complies with the previously defined system of AO Clinical Investigation and Documentation [ 19].
This wide range in reported complications is probably related to variable reporting, as well as disputed classification of complications.
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The risk adjusted complication rate was compared by POSSUM (Physiological and operative severity score for enumeration of morbidity and mortality) and the severity of complications was compared by Rui Jin Hospital classification of complication.
(Clavien Dindo is a grading system from 1 to 5, used for the classification of surgical complications; grade 3 or more are serious complications: grade 3 complication which requires surgical, endoscopic or radiological intervention up to grade 5, which corresponds to the death of the patient).
Complications are registered according to the classification of surgical complications [ 37].
During hospitalisation, the physician should document any complication according to the Clavien-Dindo Classification of surgical complications.
Surgical complications will be defined according to the standard classification of surgical complications [ 33].
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