Bailey et al used a grading scheme for evaluating surgical wounds after hernia surgery. The authors are from the Royal South Hampshire Hospital in Southampton, England.
Major Finding
Additional Findings
Grade
normal healing
0
normal healing with mild bruising or erythema
I
some bruising
Ia
considerable bruising
Ib
mild erythema
Ic
erythema plus other signs of inflammation
II
at 1 point
IIa
around sutures
IIb
along wound
IIc
around wound
IId
clear or hemoserous discharge
III
at 1 point only; <= 2 cm
IIIa
along wound; > 2 cm
IIIb
large volume
IIIc
prolonged drainage (> 3 days)
IIId
pus
IV
at 1 point only; <= 2 cm
IVa
along wound; > 2 cm
IVb
deep or severe wound infection
with or without tissue breakdown or hematoma requiring aspiration
V
where:
• Signs of inflammation would include warmth (calor) and swelling (edema).
Grades IV and V are considered major complications.
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