Litigation Patterns in Inguinal Hernia Surgery: A 25 Year Review

Grayson, Cary T.; Criman, Erik T.; Cefalu, Lindsay M; Roedel, Erik Q.; Hong, Steven; Yheulon, Christopher G.

doi:10.1016/j.jss.2018.06.049

Cited by 10 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…operation!” OR “atrophic rhinitis” OR “empty nose syndrome” OR “dry nose syndrome” AND “dismissed” OR “dismissal” OR “nonsuit” OR “non-suit” OR “summary judgement”This database is commonly used by attorneys as a reliable source for locating publicly filed court documents in the United States and has been used previously in publications across several disciplines of medicine to report on medicolegal issues. 4–6 As the data from this database was deidentified, this retrospective records review met exclusion criteria for needing review by the University of Washington Human Subjects Review Board.…”

Section: Methodsmentioning

confidence: 99%

Medical Malpractice Allegations in Nasal Turbinate Surgery

Coppess

Weymuller²,

Davis

2021

Am J Rhinol�Allergy

View full text Add to dashboard Cite

Background Despite studies showing most patients significantly improve their nasal congestion with surgical management of nasal turbinates, not all achieve acceptable results. Rarely, patients report substantial worsening of symptoms leading to litigation risk. Objective Document the United States medicolegal environment for nasal turbinate surgery. Methods We searched the Westlaw database for turbinate related terms for 1987- July 2019, recording demographics, claims, legal arguments, and outcomes in legal cases related to nasal turbinate surgery. We assessed prevalence and correlations with case outcomes. Results Of the 39 cases identified, the most common complaint was nose/facial pain (53.8% of cases). Surgeons prevailed in 87.2% of cases, with total liabilities of $3,224,606 [mean $97,715.3, ±$283,900.8]. Surgeons had statistically significant favorable outcomes when patients claimed dryness, headache, congestion, crusting, breathing problems, and disfigurement (all p < 0.05). Revision surgery was indicated in 23.1% of cases and was claimed in 40.0% of patient awards. Surgical negligence was claimed in 40.0% of patient awards versus 67.9% of surgeon awards (p = 0.333). Lack of informed consent was claimed in 20.0% of patient awards versus 32.1% of surgeon awards (p = 0.601). Conclusions There are inherent litigation risks for surgeons when performing nasal turbinate surgery. Most claims against surgeons, are resolved in favor of the surgeon. Understanding the types of claims and legal arguments that are made by patients could help assessing the risks of a proposed litigation. Documenting clear indications for surgery and written informed consent may reduce litigations against surgeons.

show abstract

Section: Methodsmentioning

confidence: 99%

Medical Malpractice Allegations in Nasal Turbinate Surgery

Coppess

Weymuller²,

Davis

2021

Am J Rhinol�Allergy

View full text Add to dashboard Cite

show abstract

“…[ 1 ] Inguinodynia can last for years following surgery and significantly impacts patient quality of life, often requiring referral to a pain clinic and/or follow on surgeries. [ 2,3 ] The pain is often associated with ilioinguinal, iliohypogastric, or genitofemoral nerve damage, which can occur via direct trauma during dissection, entrapment by the mesh used for hernia repair, or inflammation and/or fibrosis caused by the surgery itself. [ 4,5 ] Identification of the aforementioned nerves during surgery can be challenging, as wide neuroanatomical variation exists between patients, increasing the chance for nerve injury.…”

Section: Introductionmentioning

confidence: 99%

Clinically Translatable Formulation Strategies for Systemic Administration of Nerve‐Specific Probes

Barth

Shah

Wang

et al. 2021

Advanced Therapeutics

View full text Add to dashboard Cite

Nerves are extremely difficult to identify and are often accidently damaged during surgery, leaving patients with lasting pain and numbness. Herein, a novel near-infrared (NIR) nerve-specific fluorophore, LGW01-08, is utilized for enhanced nerve identification using fluorescence guided surgery (FGS), formulated using clinical translatable strategies. Formulated LGW01-08 is examined for toxicology, pharmacokinetics, and pharmacodynamics parameters in preparation for future clinical translation. Optimal LGW01-08 imaging doses are identified in each formulation resulting in a 10x difference between the toxicity and imaging dose window. Laparoscopic swine surgery completed using the da Vinci surgical robot (Intuitive Surgical) demonstrates the efficacy of formulated LGW01-08 for enhanced nerve identification. NIR fluorescence imaging enables clear identification of nerves buried beneath ≈3 mm of tissue that are unidentifiable by white light imaging. These studies provide a strong basis for future clinical translation of NIR nerve-specific fluorophores for utility during FGS to improve patient outcomes.

show abstract

“…However, chronic post-operative pain (CPP) and discomfort after hernia repair with synthetic meshes continue to be serious complications for numerous patients [4,5]. Furthermore, complications in hernia surgery with permanent implants have become a sensible issue in medico legal allegation in some countries [6,7]. Other former surgical methods without prosthesis, like herniorrhaphy, have similar risk of CPP to hernioplasty with mesh but with higher recurrence rates in adult patients [1,8,9].…”

Section: Introductionmentioning

confidence: 99%

Results at 3-year follow-up of totally extraperitoneal (TEP) hernia surgery with long-term resorbable mesh

Ruiz-Jasbon

Ticehurst

Ahonen

et al. 2020

Hernia

View full text Add to dashboard Cite

Introduction Synthetic non-resorbable mesh is almost standard in hernia surgery. However, several studies have showed negative effects of permanent implants such as chronic inflammation and complications involving different organs bordering the mesh. Such complications can raise the risk of chronic post-operative pain (CPP). Recently promising results regarding CPP have been published in patients with Lateral Inguinal Hernia (LIH) using a slowly resorbable mesh in Lichtenstein technique. For this reason the aim of the present study was to find the effect of a slowly resorbable implant on the long-term rate of hernia recurrence and chronic post-operative pain in patients with LIH repaired with TEP procedure. Methods Prospective pilot study of TEP repair using TIGR ® Matrix Surgical Mesh in 35 primary LIH. At 3-year followup the Visual Analogue Scale (VAS) and the Inguinal Pain Questionnaire were employed to assess pain. Recurrence was determined by ultrasound and clinical examination. Results All patients completed the pain questionnaires but one patient did not attend the planned clinical examination for the 3-year follow-up. No patients had CPP, as defined in the World Guidelines for Groin Hernia Management. Almost all patients had lower VAS score in any activity 3 years following surgery in comparison to the preoperative period. Three patients (8.8%) suffered symptomatic recurrence during the 3-year follow-up. Conclusion TEP repair in patients with LIH using a synthetic long-term resorbable mesh was found to be encouraging respecting chronic post-operative pain at 3-year follow-up but at the cost of an increased risk of recurrence.

show abstract

Litigation Patterns in Inguinal Hernia Surgery: A 25 Year Review

Cited by 10 publications

References 24 publications

Medical Malpractice Allegations in Nasal Turbinate Surgery

Medical Malpractice Allegations in Nasal Turbinate Surgery

Clinically Translatable Formulation Strategies for Systemic Administration of Nerve‐Specific Probes

Results at 3-year follow-up of totally extraperitoneal (TEP) hernia surgery with long-term resorbable mesh

Contact Info

Product

Resources

About