Thursday 17 March 2011

Cosmetic Surgery - how safe is it?

The BBC news reported that an inquest into the death of footballer’s wife, Denise Hendry, will be held this year. Mrs Hendry suffered serious complications following a liposuction procedure which was carried out at a private hospital. It is reported that her bowel was punctured in several places. She had to suffer a number of operations to repair the damage and contracted an infection.

There are many excellent and highly trained plastic surgeons within the NHS some of whom also work in the private sector. The sad story, involving Mrs Hendry, shows that the standard of some surgeons and some clinics falls short of what is acceptable.

A lot of cosmetic procedures are not available under the NHS and patients have no alternative but to seek treatment from within the private sector. Patients place their trust in these clinics and the cosmetic surgeons, sometimes to their cost.

The National Confidential Enquiry into Patient Outcome and Death carried out a survey which was published in 2010. A significant percentage of cosmetic surgery providers did not respond or refused to take part in the study. The results of this study give rise for concern:
• Few providers carried out routine preoperative psychological assessment.
• Some of the operating theatres were not properly equipped.
• Some providers offered a variety of procedures some of which were only performed infrequently.
• Not all providers monitored patient outcomes.
• Many patients were not given time to reflect on the advice given at the initial consultation before proceeding with the procedure.
• Some hospitals did not have an emergency readmission procedure.

Clearly better regulation and monitoring within the private sector is required.

Dr Caroline Kerr, Solicitor, Clinical Negligence

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