Legal &amp; ethical dilemmas in incidental findings during surgery: Review article

Sarker, Sudip K.

doi:10.1016/j.ijsu.2020.01.141

Cited by 8 publications

(3 citation statements)

References 33 publications

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“…Although it is controversial in many cases to proceed to operate the IF without the consent of the patient, it is widely accepted by most of the authors and systems that the surgeon can always proceed to operate any IF that may threaten the life of the patient if not treated immediately. Many authors such as Anderson et al, and Sarkar et al, proposed a traffic light tool to help the surgeons in the process of decision making in such situations [ 1 , 12 ]; however, these tools have not been yet tested in real practice.…”

Section: Discussionmentioning

confidence: 99%

The dilemma of incidental findings in abdominal surgery: A cross-sectional study

Shebli

Rahmeh

Khalili

et al. 2022

Annals of Medicine &Amp; Surgery

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Section: Discussionmentioning

confidence: 99%

The dilemma of incidental findings in abdominal surgery: A cross-sectional study

Shebli

Rahmeh

Khalili

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Incidental findings discovered during surgery result in ethical and legal dilemmas for the surgeon [ 9 ], mainly because no specific consent was obtained from the patient, and in such a situation, treatment of any unexpected pathology should be in the patient’s medical interests.…”

Section: Discussionmentioning

confidence: 99%

Incidental Finding of Acute Appendicitis During Laparoscopic Cholecystectomy for an Acute Calculous Cholecystitis

Alkhurmudi¹,

Ali²,

Alzaharani³

2022

Cureus

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Acute cholecystitis and appendicitis are among the most common conditions encountered by general surgeons; however, they are rarely described simultaneously. We are reporting a rare incidental finding of early acute appendicitis during laparoscopic cholecystectomy for a 36-year-old lady who presented to our emergency department with signs and symptoms of acute calculous cholecystitis. Laparoscopy has proved to be a highly useful and ideal tool in the diagnosis and treatment of such surgical situations.

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“…One such challenge is the question of informed consent, particularly in emergency situations where the patient may be unconscious and unable to provide consent (2). Another example is the ethical dilemma of resource allocation, such as deciding who gets priority when there are limited operating rooms or surgical equipment (3). The advent of Artificial Intelligence (AI) in surgery, particularly in oral and maxillofacial cosmetic surgery, has introduced new ethical considerations, including concerns about data protection, diversity, and transparency (4).…”

Section: Introductionmentioning

confidence: 99%

Development of Professional Ethics Curriculum in the Operating Room for the Current Era of Surgery: A Mixed Method Study

Sadati,

Motaharipour,

Younas

et al. 2023

bioethics

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Introduction: The rapid advancement of intricate technologies and the emergence of novel surgical methodologies necessitate nuanced ethical decision-making under high-stress scenarios. Consequently, cultivating an understanding of professional ethics within the surgical environment is crucial for all practitioners involved in patient care. This study was initiated with the aim of designing a comprehensive curriculum for Iranian medical schools, focusing on professional ethics within the operating room. Methods: This mixed-method exploratory research was executed in distinct qualitative and quantitative phases. The first stage involved conducting 12 structured interviews with Iranian faculty members who were experts in education of professional ethics and operating room staffs for assessing the current needs and reviewing extant curricula. The subsequent quantitative phase entailed evaluating the elements of each curriculum axis via the Delphi method. Results: The qualitative phase led to the identification of 45 primary codes, 14 subcategories, and 5 primary categories. The quantitative phase confirmed 3 instructional goal domains, 12 instructional content areas, 8 teaching methodologies, and 10 evaluation methods through the Delphi process. These confirmed components were eventually incorporated into various theoretical and clinical courses as longitudinal integration themes. Conclusion: Based on our findings, we recommend the development of educational objectives targeting cognitive, affective, and psychomotor domains and the longitudinal integration of a professional ethics course.

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Legal & ethical dilemmas in incidental findings during surgery: Review article

Cited by 8 publications

References 33 publications

The dilemma of incidental findings in abdominal surgery: A cross-sectional study

The dilemma of incidental findings in abdominal surgery: A cross-sectional study

Incidental Finding of Acute Appendicitis During Laparoscopic Cholecystectomy for an Acute Calculous Cholecystitis

Development of Professional Ethics Curriculum in the Operating Room for the Current Era of Surgery: A Mixed Method Study

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