Sunday, May 7, 2023

Hinchey classification

Q: Hinchey classification system describes stages of? (select one)

A) pelvic contamination
B) peritoneal contamination 


Answer: B

The extent of peritoneal contamination is usually assessed by the Hinchey classification system described more than four decades ago. It has four stages.

Stage I – Pericolic or mesenteric abscess
Stage II – Walled-off pelvic abscess
Stage III – Generalized purulent peritonitis
Stage IV – Generalized feculent peritonitis

Clinically, in general, stages 1 and 2 can be managed conservatively. Stages Hinchey 3 and 4 require surgical intervention.


#surgical-critical-care


Reference:

Hinchey EJ, Schaal PG, Richards GK. Treatment of perforated diverticular disease of the colon. Adv Surg 1978; 12:85.

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