İstenmeyen Sonuçlar Gelişmesi Nedeniyle Dava Konusu Olan Tiroidektomi Olgularının Retrospektif Değerlendirilmesi
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Dosyalar
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ortadogu Ad Pres & Publ Co
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
T Amaç: Çalışmada; dava konusu olan tiroid cerrahi girişimlerinin risk alanının belirlenmesi,
başta genel cerrahi uzmanları olmak üzere tüm sağlık çalışanlarına olguların verileri konusunda geri bildirimde bulunulması amaçlandı. Ge reç ve Yön tem ler: 2006-2009 yıllarında Adli Tıp Kurumu Adli Tıp 3. İhtisas Kurulu’nda tiroid cerrahisine bağlı olarak istenmeyen sonuçlar gelişmiş olgular
hakkında düzenlenen bilirkişi raporları retrospektif olarak incelendi. Veriler SPSS 13,0 Paket Programı ile değerlendirildi. Bul gu lar: Toplam 28 olgunun 23’ü (%82,2) kadın, 5’i (%17,8) erkekti. Ortalama yaş 41,3 bulundu. Olguların 13’ü (%46,5) multinodüler guatr (MNG), 3’ü (%10,7) toksik MNG,
2’si (%7,1) nodüler guatr, 2’si (%7,1) Basedow Graves, 2’si (%7,1) kronik lenfositik tiroidit, 2’si (%7,1)
nüks guatr, 1’er (%3,6) olgu ise papiller karsinom, anaplastik karsinom, folliküler adenom nedeniyle
ve dosyada belirtilmeyen nedenle opere edilmişti. Yirmi bir (%75,0) olguya subtotal tiroidektomi, 7
(%25,0) olguya total tiroidektomi uygulanmıştı. İstenmeyen sonuç olarak olguların 10’unda hipoparatiroidi, 7’sinde tek taraflı vokal kord paralizisi, 5’inde bilateral vokal kord paralizisi, 3’ünde hematom ve 1’er olguda hematom + bilateral vokal kord paralizisi, trakeostomi kanülü kenarından kanama
ve özofagus yaralanması meydana gelmişti. Bilirkişi kararlarında 21 olguda uygulanan tedavinin tıp
kurallarına uygun olduğu, 6 olguda tıbbi uygulama hatası bulunduğu, 1 olguda tıbbi uygulama hatası yönünden görüş bildirilemeyeceği ifade edilmişti. So nuç: İstenmeyen sonuç gelişen olguların bilimsel ortamlarda tartışılmasının riskin azaltılmasında faydalı olabileceği düşünülmektedir.
Objective: The aim of to this study was determine the risk area of surgical interventions of the thyroid that became subjects, and to provide feedback about the data of the cases mainly to general surgeons and all health care providers. Material and Methods: Legal expert reports written by the Third Specialized Board of Council of Forensic Medicine between 2006-2009 about cases that developed unintended consequences due to thyroid surgery were analyzed retrospectively. Data were assessed with SPSS 13.0 package program. Results: Of a total of 28 cases, 23 (82.2%) were females and 5 (17.8%) were males. Mean age was 41.3 years. Of the cases, 13 (46.5%) were operated on for multinodular goitre (MNG), 3 (10.7%) for toxic multinodular goitre (MNG), 2 (7.1%) for nodular goitre, 2 (7.1%) for Basedow-Graves, 2 (7.1%) for chronic lymphocytic thyroiditis, 2 (7.1%) for recurrent goitre, 1(3.6%) for papillary carcinoma, 1(3.6%) for anaplastic carcinoma, 1 (3.6%) for follicular adenoma and 1 (3.6%) for a reason not stated in the file. Twenty-one (75.0%) cases underwent subtotal thyroidectomy and 7 (25.0%) cases total thyroidectomy. Unintended consequences were hypoparathyroidism in 10 cases, unilateral vocal chord paralysis in 7 cases, bilateral vocal chord paralysis in 5 cases, hematoma in 3 cases, and hematoma + bilateral vocal chord paralysis, bleeding from the margin of tracheostomy cannula, esophagus injury in one case for each. According to legal expert decisions, in 21 cases, tretament was consistent with medical rules, medical practice faults were found in 6 cases and it in one case, no opinion could be given in terms of medical practice. Conclusion: Discussing thyroidectomy cases whom undesired consequences developed in scientific platforms may be useful to decrease the risk.
Objective: The aim of to this study was determine the risk area of surgical interventions of the thyroid that became subjects, and to provide feedback about the data of the cases mainly to general surgeons and all health care providers. Material and Methods: Legal expert reports written by the Third Specialized Board of Council of Forensic Medicine between 2006-2009 about cases that developed unintended consequences due to thyroid surgery were analyzed retrospectively. Data were assessed with SPSS 13.0 package program. Results: Of a total of 28 cases, 23 (82.2%) were females and 5 (17.8%) were males. Mean age was 41.3 years. Of the cases, 13 (46.5%) were operated on for multinodular goitre (MNG), 3 (10.7%) for toxic multinodular goitre (MNG), 2 (7.1%) for nodular goitre, 2 (7.1%) for Basedow-Graves, 2 (7.1%) for chronic lymphocytic thyroiditis, 2 (7.1%) for recurrent goitre, 1(3.6%) for papillary carcinoma, 1(3.6%) for anaplastic carcinoma, 1 (3.6%) for follicular adenoma and 1 (3.6%) for a reason not stated in the file. Twenty-one (75.0%) cases underwent subtotal thyroidectomy and 7 (25.0%) cases total thyroidectomy. Unintended consequences were hypoparathyroidism in 10 cases, unilateral vocal chord paralysis in 7 cases, bilateral vocal chord paralysis in 5 cases, hematoma in 3 cases, and hematoma + bilateral vocal chord paralysis, bleeding from the margin of tracheostomy cannula, esophagus injury in one case for each. According to legal expert decisions, in 21 cases, tretament was consistent with medical rules, medical practice faults were found in 6 cases and it in one case, no opinion could be given in terms of medical practice. Conclusion: Discussing thyroidectomy cases whom undesired consequences developed in scientific platforms may be useful to decrease the risk.
Açıklama
WOS: 000302272100019
Anahtar Kelimeler
Thyroidectomy, complications, malpractice
Kaynak
Turkiye Klinikleri Tip Bilimleri Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
32
Sayı
1
