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Complications following abdominoplasty (07HDC07867)
Download Complications following abdominoplasty (07HDC07867) (PDF 6Kb)
(07HDC07867, 11 September 2008)
General surgeon ~ Liposuction ~ Abdominoplasty ~
Recurrent haematoma ~ Rights 4(1), 4(2), 4(4), 4(5), 6(1),
A woman complained that a general surgeon was slow to respond to
complications following an abdominoplasty, and was annoyed at her
for seeking a second opinion from a plastic surgeon. The general
surgeon performed the abdominoplasty ten months after performing
liposuction surgery on the woman's hips, abdomen and thighs.
Shortly after the abdominoplasty, the woman developed a haematoma,
which was initially managed conservatively, and then with two
aspiration and two excision procedures over a period of six months.
Although she did not suffer a recurrence of the haematoma, she was
dissatisfied with the results of her abdominoplasty.
It was held that the surgeon was ill advised to perform
liposuction or abdominoplasty surgery on the woman due to her
obesity. She should have been informed of more suitable
alternatives, and encouraged to lose weight. There were problems
with the surgeon's operative technique for the abdominoplasty, and
he did not manage postoperative complications appropriately. In
these circumstances, he breached Rights 4(1), 4(2) and 4(4).
It was also held that he did not provide adequate information to
make an informed choice or give informed consent for the
liposuction and abdominoplasty surgery, or the remedial aspiration
and excision procedures, and breached Rights 6(1) and 7(1). He did
not keep clear, accurate and contemporaneous patient records of the
standard expected of a registered doctor, and breached Right 4(2).
He did not communicate with the woman's general practitioner to
ensure quality and continuity of care, and accordingly breached
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