Introduction of a new surgical technique: medico‐legal aspects

Mamais, Constantinos; Hawthorne, Maurice; Dias, Andrew; Charaklias, N; Kumar, B. Nirmal

doi:10.1111/j.1749-4486.2010.02216.x

Cited by 4 publications

(4 citation statements)

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“…In times of economic hardship, is the recommendation of special arrangements an excuse to withhold funding for what is, by definition, an unproven treatment? Clinical governance arrangements in the UK have transformed the traditional custom of attending a hands-on training course and then applying the lessons learnt on return 65 …”

Section: Resultsmentioning

confidence: 99%

The National Institute for Health and Clinical Excellence, and otolaryngology: review of the evidence

2013

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Section: Resultsmentioning

confidence: 99%

The National Institute for Health and Clinical Excellence, and otolaryngology: review of the evidence

2013

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“…The new science of medical and surgical simulation is not sophisticated enough yet to ameliorate this cost, and the use of animal training is decreasing due to ethical issues [43, 44]. International legal guidelines and regulations in regard to surgery are in quite an immature state, but this topic has recently received increasing interest [45]. Once a requirement to the unified reporting of perioperative morbidity and acceptability of moderately increased perioperative morbidity for new techniques should be prescribed in international guidelines for good clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Morbidity Assessment in Surgery: Refinement Proposal Based on a Concept of Perioperative Adverse Events

2013

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Background. Morbidity is a cornerstone assessing surgical treatment; nevertheless surgeons have not reached extensive consensus on this problem. Methods and Findings. Clavien, Dindo, and Strasberg with coauthors (1992, 2004, 2009, and 2010) made significant efforts to the standardization of surgical morbidity (Clavien-Dindo-Strasberg classification, last revision, the Accordion classification). However, this classification includes only postoperative complications and has two principal shortcomings: disregard of intraoperative events and confusing terminology. Postoperative events have a major impact on patient well-being. However, intraoperative events should also be recorded and reported even if they do not evidently affect the patient's postoperative well-being. The term surgical complication applied in the Clavien-Dindo-Strasberg classification may be regarded as an incident resulting in a complication caused by technical failure of surgery, in contrast to the so-called medical complications. Therefore, the term surgical complication contributes to misinterpretation of perioperative morbidity. The term perioperative adverse events comprising both intraoperative unfavourable incidents and postoperative complications could be regarded as better alternative. In 2005, Satava suggested a simple grading to evaluate intraoperative surgical errors. Based on that approach, we have elaborated a 3-grade classification of intraoperative incidents so that it can be used to grade intraoperative events of any type of surgery. Refinements have been made to the Accordion classification of postoperative complications. Interpretation. The proposed systematization of perioperative adverse events utilizing the combined application of two appraisal tools, that is, the elaborated classification of intraoperative incidents on the basis of the Satava approach to surgical error evaluation together with the modified Accordion classification of postoperative complication, appears to be an effective tool for comprehensive assessment of surgical outcomes. This concept was validated in regard to various surgical procedures. Broad implementation of this approach will promote the development of surgical science and practice.

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“…The first article of the series discussed the general medico‐legal principles and issues of introducing a new surgical technique 1 . The current article elaborates on specific issues relating to an exciting novel technique, minimally invasive video‐assisted thyroid surgery (MIVAT).…”

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Introduction of a new surgical technique: minimally invasive video‐assisted thyroid surgery

Mamais

Charaklias

Pothula

et al. 2011

Clinical Otolaryngology

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Introduction of a new surgical technique: medico‐legal aspects

Cited by 4 publications

References 10 publications

The National Institute for Health and Clinical Excellence, and otolaryngology: review of the evidence

The National Institute for Health and Clinical Excellence, and otolaryngology: review of the evidence

Morbidity Assessment in Surgery: Refinement Proposal Based on a Concept of Perioperative Adverse Events

Introduction of a new surgical technique: minimally invasive video‐assisted thyroid surgery

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