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Table 1 Southampton wound scoring system

From: Perineal wound closure using gluteal turnover flap or primary closure after abdominoperineal resection for rectal cancer: study protocol of a randomised controlled multicentre trial (BIOPEX-2 study)

Grade Appearance
0 – Normal healing
1 – Normal healing with mild bruising or erythema A – some bruising
B – considerable bruising
C – mild erythema
2 – Erythema plus other signs of inflammation A – at one point
B – around sutures
C – along wound
D – around wound
3 – Clear or haemoserous discharge A – at one point only (< 2 cm)
B – along wound (> 2 cm)
C – large volume
D – prolonged (> 3 days)
4 – Pus/purulent discharge A – at one point only (< 2 cm)
B – along wound (> 2 cm)
5 – Deep or severe wound infection with or without tissue breakdown