Informed consent checklists for midurethral slings: a common-sense approach
Autor: | Steven Swift, Victoria Handley, G. Alessandro Digesu |
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Rok vydání: | 2017 |
Předmět: |
Medical negligence
medicine.medical_specialty Urology Consent Food and drug administration 03 medical and health sciences Gynecologic Surgical Procedures 0302 clinical medicine Informed consent medicine Humans 030212 general & internal medicine Clinical Opinion Mesh Midurethral Slings Suburethral Slings Pelvic organ Informed Consent 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Midurethral sling Checklist Lawsuits Surgery Polypropylene mesh medicine.anatomical_structure Vagina Female business |
Zdroj: | International Urogynecology Journal |
ISSN: | 1433-3023 0937-3462 |
DOI: | 10.1007/s00192-017-3456-7 |
Popis: | Introduction and Hypothesis Following the US Food and Drug Administration’s (FDA’s) warning about the use of transvaginal mesh to treat pelvic organ prolapse (POP) and the use of single-incision slings to treat incontinence, the number of lawsuits for medical negligence regarding the use of any polypropylene mesh in the vagina has increased tremendously. Methods This same FDA document did not question the use of polypropylene midurethral slings and polypropylene for sacrocolpopexies. Surprisingly, despite all the evidence and recommendations from respected international scientific societies, we are constantly being called upon by our patients to defend the use of midurethral slings. The most common reasons for the new rash of medicolegal proceedings involving midurethral slings has to do with “breach of duties” resulting from undisclosed postoperative complications on the consent form and/or the lack of information in the medical records confirming that all possible alternative treatment options were presented to and discussed with the patient. Results One response to these lawsuits involves the addition of preoperative checklists when performing informed consent with patients electing surgical correction of stress urinary incontinence (SUI). Conclusions This clinical opinion provides an expert clinician’s perspectives and legal point of view on this controversial topic and discusses the role of a preoperative checklist supplementary to the standard informed consent form. |
Databáze: | OpenAIRE |
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