Tolete-Velcek F, Leddomado E, Hansbrough F, Thelmo W L
Department of Surgery, Downstate Medical Center, Kings County Hospital, State University of New York, Brooklyn 11203.
J Pediatr Surg. 1988 Jan;23(1 Pt 2):21-3. doi: 10.1016/s0022-3468(88)80532-3.
New York state law requires that significant complications be reported by telephone within 24 hours, followed by a full written report within five days with the names of the alleged involved physicians. This case illustrates the potential medicolegal consequences following the mandated immediate nonsubstantiated report of an alleged bilateral vas deferens injury during a bilateral inguinal herniorrhaphy in a 7-month-old male. Review of the surgical pathologic specimen showed that both hernial sacs did indeed contain segments of vas deferens structures, which based on the findings at reexploration, were consistent with duplication or embryonic remnants of the vas deferens. The vas deferens was found to be normal and uninjured bilaterally. The legal ramifications remain unclear. Since there is no clear cut method to retract the allegation, the physician's profile may be permanently damaged.
纽约州法律规定，重大并发症需在24小时内通过电话报告，随后在五天内提交完整的书面报告，并附上被指控涉及的医生姓名。本案例说明了在一名7个月大男性双侧腹股沟疝修补术中，对双侧输精管损伤进行强制性即时无根据报告后可能产生的法医学后果。对手术病理标本的检查显示，两个疝囊确实都包含输精管结构段，根据再次探查的结果，这些结构与输精管的重复或胚胎残余相符。发现双侧输精管正常且未受损。法律后果仍不明确。由于没有明确的方法撤回指控，医生的形象可能会受到永久性损害。
