经阴道网片、性别与临床创新的伦理
Transvaginal mesh, gender and the ethics of clinical innovation.
机构信息
The University of Sydney, Sydney Health Ethics, Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Professor of Bioethics and Medicine at The University of Sydney, Sydney Health Ethics, and Haematology Department, Royal North Shore Hospital, Sydney, New South Wales, Australia.
出版信息
Intern Med J. 2020 May;50(5):523-526. doi: 10.1111/imj.14833.
On 10 October 2018, Australian Health Minister Greg Hunt issued a national apology to the Australian women who experienced 'horrific outcomes' following surgery using transvaginal mesh-acknowledging the 'historic agony and pain that has come from mesh implantation'. This apology followed many decades of 'innovative' use of transvaginal mesh for the treatment of pelvic organ prolapse. We use the case of transvaginal mesh to explore how clinical innovation may not only harm patients, but also entrench vulnerability and exacerbate existing inequities-in this case, those relating to gender.
2018 年 10 月 10 日，澳大利亚卫生部长格雷格·亨特向那些在使用经阴道网片手术中经历“可怕后果”的澳大利亚女性发表全国道歉，承认“网片植入带来了历史性的痛苦”。这一道歉是在经阴道网片被“创新性”地用于治疗盆腔器官脱垂几十年后做出的。我们使用经阴道网片的案例来探讨临床创新不仅可能伤害患者，还可能使弱势地位根深蒂固，并加剧现有不平等现象——在这种情况下，涉及性别。
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