Complications of Laparoscopic and Laparotomy Surgeries in the Department of Tehran Legal Medical Committee in 2011-2016
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 9 No. 2 (2019),
16 June 2019
,
Page 83-90
https://doi.org/10.32598/ijmtfm.v9i2.24989
Abstract
Background: A major challenge in medicine is patients’ dissatisfaction and complaints against doctors. Medical complaints in Iran, similar to the other countries, have a growing trend. Over the past two decades, the implementation of laparoscopic surgery rapidly grew in many countries. The current study aimed to investigate complaints against surgeons in laparoscopic surgeries, compared to open surgeries.
Methods: The current cross-sectional study was conducted on all laparotomy and laparoscopic surgery complaint cases. The medical records were extracted based on the study variables, using a researcher-made questionnaire. To analyze the obtained data, frequency tables were used and to investigate the relationship between variables, Chi-Squared and Fisher’s Exact tests were employed.
Results: A total of 369 medical complaint cases were brought to the Department of Tehran Legal Medical Committee, Tehran, Iran, from 2011 to 1016. The Mean±SD age of studied patients was 45.8±13.4 years. The most frequent medical complaint cases were against physicians working at private hospitals. In addition, most complaints were after laparotomy cases. More than half of the cases were voted on the malpractice of physicians. The frequency of postoperative infections was significantly higher in laparoscopic surgeries. The frequency of sentence for malpractice was significantly higher in laparoscopic surgeons, compared to laparotomy ones.
Conclusion: Physicians’ knowledge about legal medical issues and building intimate and trustful relationship with patients along with the provision of desirable healthcare services can be effective in reducing medical error complaints.
- Medical malpractice
- Laparoscopy
- Laparotomy
- Medical complaint
How to Cite
References
1. Kamiab F, Afshari P, Keikhahi B, Tadayon M, VahabiShekarloo T, Haghighizadeh MH. [A review of reasons of malpractice of obstetricians, gynecologists and midwives (Persian)]. Iranian Journal of Forensic Medicine. 2016; 22(3):165-71.
2. Haghshenas M, Vahidshahi K, Amiri A, Rezaee M, Rahmani N, Pourhossen M, et al. [Study the frequency of malpractice lawsuits referred to forensic medicine department and medical council, Sari, 2006-2011 (Persian)]. Journal of Mazandaran University of Medical Sciences. 2012; 21(86):253-60.
3. Nadri S, Sheikhazadi A, Anbari K, Mikaeili R. [The evaluation of the causes of complaint to Khorramabad Medical Council Organization from 2006 to 2011 (Persian)]. Yafte. 2013; 15(1):25-31.
4. Sadr SS, Ghadyani MH, Bagher Zadeh AA. [Assessment of records of complaints from medical malpractice in the field of orthopedic, in the coroner’s Office of Forensic Medicine, province of Tehran, during 1988 to 2003 (Persian)]. Iranian Journal of Forensic Medicine. 2007; 13(2):78-86.
5. Barzgar Bafrouee A, Zarenezhad M, Gholamzadeh S, Hosseini SMV, Gholi A, Gharedaghi J, et al. [Evaluation of orthopedic specialists’ malpractice complaints referred to Legal Medicine Organization from 2008 to 2010 (Persian)]. Iranian Journal of Forensic Medicine. 2016; 22(1):55-66.
6. Adibzadeh A, Ghadi Pasha M, Pour Amiri A, Nakhaei N, Samadi Rad B, Bastani M. [A study on medical malpractices ending to death and disability referred to Kerman Medical council’s medical malpractices commission (Persian)]. Iranian Journal of Medical Law. 2012; 6(20):141-54.
7. Azimi K, Poorbakhtiar M, Taghizadeh Z, Soltani K, Ghadipasha M, Daneshparvar H. [A Survey on various types of medical malpractice in relation with pregnancy and delivery, referred to relevant commissions of the Iranian Legal Medicine Organization (Persian)]. Iranian Journal of Forensic Medicine. 2017; 23(2):132-41.
8. Daneshparvar H, Mahdavi A. [Investigation complaints from neurosurgeons referred to the office of the Forensic Medicine Committees of Tehran (Persian)]. Iranian Journal of Forensic Medicine. 2017; 23(3):215-24. [DOI:10.30699/epub.sjfm.23.3.215]
9. Aghakhani N, Cheraghi R, Zarei A, Alinejad V, Nazimi N, Rahbar N, et al. [Study of causes of health providers’ malpractices in records referred to Forensic Medicine Organization in Urmia, during 2009-2013 (Persian)]. Iranian Journal of Medical Law. 2017; 11(42):83-100.
10. World Health Organization. 10 facts on patient safety. Geneva: World Health Organization; 2010.
11. Sandberg EM, Bordewijk EM, Klemann D, Driessen SRC, Twijnstra ARH, Jansen FW. Medical malpractice claims in laparoscopic gynecologic surgery: A Dutch overview of 20 years. Surgical Endoscopy. 2017; 31(12):5418-26. [DOI:10.1007/s00464-017-5624-8] [PMID] [PMCID]
12. Khavanin-zadeh M, Gholipour F. Complaints related to laparoscopic surgery: A Survey of the files registered at Tehran Legal Medicine Center. International Journal of Hospital Research. 2013; 2(4):215-8.
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