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Missing history of Abdominal TB before hernia repair: Delhi Surgeon suspended for 30 days by medical council

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medical dialogues

No orders were made by the DMC against Max Hospital. Presently, the medical practitioner is no more associated with the hospital, who was a visiting consultant surgeon back then.

New Delhi: Holding that no efforts were made to check on the medical history of a patient who was earlier operated for abdominal TB and placing a mesh in the patient with active TB, the Delhi Medical Council (DMC) has suspended a surgeon from practicing medicine for a period of one month after the patient died due to medical negligence.

As per recent media accounts, the case relates to a 46-year-old female patient who was admitted in Max Hospital, Saket in 2016 after she complained of severe pain in her abdomen. The doctor advised her to go for an operation in order to repair her hernia.  Surgery was conducted and the medical practitioner placed a mesh to prevent the hernia from protruding again. Thereafter, the patient was discharged.

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However, a couple of days later, the patient experienced acute pain and was rushed to the hospital once again. Another surgery was conducted by the doctors and she was put in an Intensive Care Unit and was even placed in Ventilator. The patient was treated for 5 long months in three different hospitals, however, she passed away.

Alleging negligence, the family of the patient filed a complaint with the council.

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 During the hearing of the entire matter, the council noted that the deceased had developed an inflammation of the membrane lining the abdominal wall as a result of perforation and there were free fluid and faecal matter in the abdominal cavity. During the second surgery, the abdominal cavity was cleaned out and a drain was placed.

Also Read: WB Medical Council suspends 3 Apollo Gleneagles Hospital doctors on medical negligence

The council held the doctor negligent for missing out on the history of abdominal TB,

..No efforts were made by the doctor to check whether the patient had active abdominal tuberculosis (TB). Moreover, a mesh should not be used in patients with active TB,.. the council added.

HT quotes the DMC order as reading;

“The patient had positive history of TB. There was no clear evidence of the patient having received a full course of anti-TB treatment. No attempt was made by the operating surgeon to find out if the patient was suffering from active tuberculosis or the after effects of the same.”

Subsequently, the council ordered to bar the doctor from practising medicine for a period of 30 days and remove his name from the state medical register for one month.

Also Read: Medical Negligence Versus Gross Negligence: NCDRC pulls up the state commission for dismissing plea

Commenting on the DMC order, the accused doctor has denied any lapse.

“This is only an allegation and there was no wrongdoing on my part. There was no lapse. She had been diagnosed with TB in 2009 and had received her treatment,” the doctor as quoted by HT.

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Source: with inputs

7 comment(s) on Missing history of Abdominal TB before hernia repair: Delhi Surgeon suspended for 30 days by medical council

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  1. user
    Dr. Rajender Sharma November 16, 2019, 6:29 pm

    How is mesh placing responsible for intestinal perforation leading to her death ? a pertinent question raised by Dr Pradeep Dev. Had there been chronic infection of tubercular nature at mesh site then this opinion of the DMC would have been right. It is so sorry to see a professional regulating body giving unscientific arguments

  2. user
    SHIVA KUMAR.T.N. November 16, 2019, 5:15 pm

    Medical Negligence Costs the LiFE OF THE PATIENT AND THE MONEY OF THE CARE GIVERS .
    NO doubt Doctor is also a Human being with LIMITATIONS.
    BUT !!! If Private Hospitals LOOT The Patients , Govt Doctors SYPHON THE PATIENTS TO Private HOSPITALS to make MONEY.
    THERE ARE MANY HONEST DOCTORS IN THE SOCIETY GO UN- NOTICED.
    THERE OS NO DEARTH FOR DOCTORS GOING FREE UN – PUNISHED ALSO.
    UNLESS A DOCTOR IS TRUE TO ONE\’S OWN CONSCIENCE NO ONE CAN HELP THE PATIENT.
    With best wishes for betterment,
    Yours faithfully,
    SHIVA KUMAR.T.N.
    Mobile/ WhatsApp +919483271683

  3. user
    Dr. Pradeep Deb,MS,MCh(urology) November 16, 2019, 3:59 pm

    The story erroneously says at the end of the first paragraph itself that the patient died due to medical negligence.

    If the editor has already made up his/her mind that it is a case of \’medical negligence\’, then the rest of the story becomes pointless.

    From the incomplete research presented, it seems that the patient had an intestinal perforation after incisonal hernia repair. Placing the mesh becomes meaningless as a cause of the patient\’s death then. Perforation is a known complication of ventral hernia repair. As long as consent is present, it becomes a therapeutic misadventure or surgical complication.

    The Indian journalists must learn to do thorough research and seek the opinion of specialists before presenting just one aide of the story. International journalism is ages ahead of India.

  4. Why did they do hernia repair,why not referred to AIIMS.

    Greedy doctors in society creating havoc.

    This is what they (journalists) want to hear.
    Anyway doctors should stop treating patients.
    There are no side effects of Tantra vidya,and no registration number required also,so we should all learn tantra and ask medical council to deregister us.
    Tantra Mantra have no known side effects in quadruple blind study in bilateral blind patients,so we should all be ashamed of medical books and compulsory known side effects of each procedure.
    Unless you can guarantee hundred percent success don\’t touch patient thinking it to be a Guinea Pig.

  5. Primarily it is obvious that the deciding persons have not known the definition of Active TB which only occurs because of the IMMUNE compromised underlying disorders . Inguinal HERNIA [Strangulated ] PRESENTS with pain abdomen and is a state of acute abdomen which is an emergency and emergency surgery is an indication and therefore if any investigations are required to evaluate may be done later after the procedure is done . Therefore the operating has not been given justice in this procedure . This unnecessary penalization of the surgeon . DMC SHOULD review its decision again . UNNESSERY ACTION IS NOT DESIRED .

  6. user
    Dr Shobha Srivastava MBE November 16, 2019, 11:55 am

    Please do not politicised this serious matter. A patient has died is not to be compared with 5 acres of land