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Class I / Clean
(Note:
A surgical wound classification should be assigned upon completion of
an operation.) |
(Note:
Class I represents about 75% of all wounds. Clean wounds are usually
elective surgical incisions. Clean wounds have an expected infection rate
of 1% - 3%.)
Operative site is uninfected No inflammation No break in sterile
technique Primarily closed and,
if necessary, drained with closed drainage Respiratory, gastrointestinal
and genitor-urinary tracts are not entered Surgical wounds made
after non-penetrating blunt trauma, if the above criteria are met |
Examples of Clean Procedures (This
list does not include all possible examples):
Vascular
Procedures Neurological
Procedures (Unless: inflamed = Class II, infected = Class III) Endocrine
Procedure Orthopedic
Procedures (Unless: trauma = Class III, old wound = Class IV) Skin,
e.g., Mastectomy, lumpectomy, lesions, lipoma (Unless: old wound
= Class III, inflamed = Class III, infected = Class IV) Exploratory
lap (Unless: Bowel involvement = Class II) Caesarean
Section, elective, no pre-rupture of membranes or trial of labor
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Additional
Examples of Clean Surgical Wounds/Procedures (This
list does not include all possible examples):
Embolectomy Herniorrhaphy
(All types) Laminectomy Mastectomy
(Radical or Simple) Orthopedic
Reconstruction Procedures (Hip Nailing, Total Hip or Knee Replacement,
Meniscectomy, Bunionectomy, Bone Graft) Radical
Neck (Outside Incision) Resection
of Ovary Salpingo-oophorectomy Splenectomy Thyroidectomy Vascular
Surgeries (All Types, including Coronary Artery Bypass Graft)
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