Rao Sanjay
Department of Pediatric Surgery, Narayana Health Hospitals, Bengaluru, Karnataka, India.
J Indian Assoc Pediatr Surg. 2022 Mar-Apr;27(2):191-195. doi: 10.4103/jiaps.JIAPS_364_20. Epub 2022 Mar 1.
Advances in surgical techniques and technologies require surgeons to constantly retrain and adopt these into their practices. Until the surgeon gains proficiency in the new technique, he is said to be on the learning curve. During this time, the patient is at higher risk of adverse outcomes. This poses significant ethical challenges. Several factors impact the surgeon's decision-making and ability to obtain a truly informed consent. These factors include personal bias - both the surgeons and the patients, absence of high-quality evidence, and market forces. This paper describes the ethical dilemmas faced by surgeons as they adopt newer technologies into their practice. It suggests measures that can ensure that surgical progress does not happen at the cost of patient safety.
手术技术和科技的进步要求外科医生不断重新培训并将这些技术应用到他们的实际操作中。在外科医生熟练掌握新技术之前，据说他正处于学习曲线阶段。在此期间，患者出现不良后果的风险更高。这带来了重大的伦理挑战。有几个因素会影响外科医生的决策以及获得真正知情同意的能力。这些因素包括个人偏见——外科医生和患者双方的偏见、缺乏高质量证据以及市场力量。本文描述了外科医生在将更新的技术应用于实际操作时所面临的伦理困境。它提出了一些措施，以确保手术的进步不以患者安全为代价。
