Management of the Contaminated Operation

  • Jameson L. Chassin


The incidence of postoperative wound sepsis varies with the magnitude of contamination. The generally accepted classification of operative wounds according to contamination, as listed by Altemeier et al., is:
  1. 1)

    Clean, Nontraumatic, No inflammation encountered, No break in technique, Respiratory, alimentary, genitourinary tracts not entered

  2. 2)

    Clean-Contaminated, Gastrointestinal or respiratory tracts entered without significant spillage Appendectomy—not perforated—no cloudy peritoneal exudate Prepared oropharynx entered Genitourinary or biliary tract entered in absence of infected urine or bile Minor break in technique

  3. 3)




Wound Infection Necrotizing Fasciitis Colon Anastomosis Presacral Space Wound Protector 
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Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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