Laparoscopic Surgery Medicolegal Aspects

Michael Perrotti, Peter J. Millock, and Michael E. Moran

Capital District Urologic Surgeons, Albany, New York, U.S.A.

■ INTRODUCTION

Urologic Injury

Defining Negligence

Delayed Complications

Informed Patient Consent

Prevention

Delegation and Communication

Medicolegal Issues

Laparoscopy and Litigation

INFORMED CONSENT

Risk Management

Informed Consent Legalese

■ LAPAROSCOPIC COMPLICATIONS

Costs of Training/Ethical Considerations

Mechanism of Injury

of Certification

Vascular Injury

Medicolegal Considerations

Anterior Abdominal Wall Injury

SUMMARY

Bowel Injury

REFERENCES

Laparoscopic complications are uniquely different in some aspects to their open counterpart. The complications themselves are directly proportional to the skill of the surgeon.

In New York State, these issues are further complicated by the Health Department's Memorandum, H-18, on June 12,1992 because they outline the importance of making the patient aware of the "learning curve" and the right of a patient to know the surgeon's experience.

0 0

Post a comment