Nejadsarvari Nasrin, Ebrahimi Ali
IMam Khomini Complex, Tehran University of Medical Sciences, Tehran, Iran;
Department of Plastic Surgery, Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
World J Plast Surg. 2014 Jul;3(2):81-6.
Providing an informed consent has an important role in promotion of medical treatments and reduction of judiciary litigations in this process. Today with cultural changes and wide propagation that is usually charming, the request for aesthetic surgery has an increasing trend. These problems with complexity of cosmetic surgeries lead to deeper differences of information between plastic surgeons and patients, so the discussion on giving information to a patient is of great importance. Regarding the elective choice of aesthetic surgeries, there is a need on providing a standard informed consent form. There are some problems on advertisements of aesthetic surgeries by non-plastic surgeons, taking insufficient or incorrect information to the patients affecting the patients' autonomy. In fact, correct operative information should be share with the patients. Probable complications and alternative procedures should be presented to the patient to choose an operative option freely and without any charming. Obtaining a written informed consent can protect researchers and their sponsor institutions from any litigation. Patients with psychiatric problems can not benefit from aesthetic surgery and also they have no competency for giving any informed consent. So psychiatric problems can even worsen the surgical interventions. In this article, fundamentals of plastic surgery to provide an informed consent were reviewed and the legal and ethical considerations were evaluated.
提供知情同意书在促进医疗治疗以及在此过程中减少司法诉讼方面发挥着重要作用。如今，随着文化变迁以及通常具有吸引力的广泛传播，美容手术的需求呈上升趋势。这些问题以及整容手术的复杂性导致整形外科医生与患者之间的信息差异更大，因此关于向患者提供信息的讨论至关重要。鉴于美容手术的选择性，需要提供一份标准的知情同意书。非整形外科医生进行美容手术广告存在一些问题，向患者提供的信息不足或不正确，影响患者的自主权。实际上，应与患者分享正确的手术信息。可能的并发症和替代手术方案应告知患者，以便他们自由选择手术方案，不受任何蛊惑。获得书面知情同意书可以保护研究人员及其资助机构免受任何诉讼。有精神问题的患者无法从美容手术中受益，他们也没有能力给予任何知情同意。因此，精神问题甚至会使手术干预情况恶化。在本文中，回顾了整形外科提供知情同意书的基本要点，并评估了法律和伦理考量。
