000			02271cam a2200229 4500
001			NMDX5866
008			120401t2011 xxu||||| |||| 00| 0 eng d
022			_a17439191
100			_aUzzaman, MM.
240			_aInternational journal of surgery.
245			_aConsenting practice for laparoscopic cholecystectomy - Are we doing enough to warn patients about their operation?
260			_c2011
500			_aNMUH Staff Publications
500			_a9
520			_a<h4>INTRODUCTION: </h4><p>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.</p><h4>METHODS: </h4><p>Retrospective review of medical notes of all patients undergoing LC at London district general hospital between September 2006 to April 2009.</p><h4>RESULTS: </h4><p>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.</p><h4>CONCLUSION: </h4><p>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.</p>
700			_aTayeh, S.
700			_aSinha, S.
700			_aRatnasingham, K.
700			_aStoker, David.
856			_uhttp://www.ncbi.nlm.nih.gov/pubmed/21945868
856			_uhttp://ferriman.wufoo.com/forms/r7x3a7/
999			_c75381 _d75381