Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland (all authors)..
Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland (all authors).
J Minim Invasive Gynecol. 2019 May-Jun;26(4):608-617. doi: 10.1016/j.jmig.2018.11.003. Epub 2018 Nov 17.
Ureteral injury is a known complication of minimally invasive gynecologic surgery. Despite being discussed preoperatively and included in consent forms, litigations that involve such injury continue to be prevalent. Our aim was to review all major litigations involving ureteral injuries related to minimally invasive gynecologic surgery to determine the most common allegations from plaintiffs and highlight factors that aided defendants. We used Lexis Nexis, a comprehensive legal database, to search all publicly available federal- and state-level cases on ureteral injury related to gynecologic surgeries. Fifty-nine cases resulted from our search. Of these cases, 19 were deemed pertinent to our question. These 19 cases occurred between 1993 and 2018. The most common allegations included medical negligence, lack of informed consent, and medical battery. Eight of 19 cases (42%) were decided in favor of the defendants, 3 of 19 cases (16%) in favor of the plaintiffs, and the remaining cases proceeded to further trial or are ongoing. The monetary compensation to a plaintiff was as high as $426,079.50. Meticulous documentation, comprehensive consent procedure, timely postoperative evaluation, and the use of immediate postoperative cystoscopy were the critical factors that aided the defendants. Meticulous documentation, a comprehensive consent procedure, timely postoperative evaluation, and the use of immediate postoperative cystoscopy can aid minimally invasive gynecologic surgeons involved in litigations involving ureteral injury.
输尿管损伤是微创妇科手术的已知并发症。尽管在术前讨论并包含在同意书中，但涉及此类损伤的诉讼仍层出不穷。我们的目的是审查所有与微创妇科手术相关的输尿管损伤的主要诉讼，以确定原告最常见的指控，并强调有助于被告的因素。我们使用 Lexis Nexis 这一全面的法律数据库，对与妇科手术相关的输尿管损伤的所有公开联邦和州级案件进行了搜索。我们的搜索结果为 59 起案件。其中 19 起案件与我们的问题相关。这些案件发生在 1993 年至 2018 年期间。最常见的指控包括医疗疏忽、缺乏知情同意和医疗侵权。19 起案件中有 8 起（42%）有利于被告，19 起案件中有 3 起（16%）有利于原告，其余案件继续进行进一步的审判或正在进行中。向原告支付的赔偿金高达 426,079.50 美元。细致的记录、全面的同意程序、及时的术后评估以及立即进行术后膀胱镜检查是有助于被告的关键因素。细致的记录、全面的同意程序、及时的术后评估以及立即进行术后膀胱镜检查可以帮助微创妇科外科医生处理涉及输尿管损伤的诉讼。
