Consenting practice for laparoscopic cholecystectomy - Are we doing enough to warn patients about their operation? (Record no. 75381)

MARC details
000 -LEADER
fixed length control field 02271cam a2200229 4500
001 - CONTROL NUMBER
control field NMDX5866
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2011 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 17439191
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Uzzaman, MM.
240 ## - UNIFORM TITLE
Uniform title <a href="International journal of surgery.">International journal of surgery.</a>
245 ## - TITLE STATEMENT
Title Consenting practice for laparoscopic cholecystectomy - Are we doing enough to warn patients about their operation?
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2011
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note 9
520 ## - SUMMARY, ETC.
Summary, etc. &lt;h4&gt;INTRODUCTION: &lt;/h4&gt;&lt;p&gt;Provision of informed consent prior to surgery is fundamental in allowing patients to make balanced choices about their care. This study compares consenting practice amongst different grade of surgeons for Laparoscopic Cholecystectomy (LC) with specific reference to the documentation of the complications of surgery. Timing and delivery of source of information is also evaluated.&lt;/p&gt;&lt;h4&gt;METHODS: &lt;/h4&gt;&lt;p&gt;Retrospective review of medical notes of all patients undergoing LC at London district general hospital between September 2006 to April 2009.&lt;/p&gt;&lt;h4&gt;RESULTS: &lt;/h4&gt;&lt;p&gt;Records were successfully retrieved for 163 patients. The five most commonly mentioned complications were bleeding (99%), infection (95%), conversion to open (93%), bile duct injury (82%) and visceral injury (65%). There were 27 documented complications in 23 patients and in 9 of these patients (39%) the specific complication was not discussed during the written consent process. Consultant surgeons tended to focus on important operation-specific risks such as bile duct injury whereas junior surgeons tend to focus on a broad range of general complications.&lt;/p&gt;&lt;h4&gt;CONCLUSION: &lt;/h4&gt;&lt;p&gt;Consenting practice for LC remains variable and is resulting in failure to warn patients of significant complications. This can lead to potential medico-legal implications. Having a structured consent form detailing all significant and common risk is one way of improving the consent process.&lt;/p&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Tayeh, S.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Sinha, S.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Ratnasingham, K.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Stoker, David.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://www.ncbi.nlm.nih.gov/pubmed/21945868">http://www.ncbi.nlm.nih.gov/pubmed/21945868</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://ferriman.wufoo.com/forms/r7x3a7/">http://ferriman.wufoo.com/forms/r7x3a7/</a>
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Home library Current library Shelving location Date acquired Total Checkouts Date last seen Price effective from Koha item type
        Staff publications for NMDX Ferriman information and Library Service (North Middlesex) Ferriman information and Library Service (North Middlesex) Shelves 07/06/2022   07/06/2022 07/06/2022 Book
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