Adhesion-Related Complications Are Common, But Rarely Discussed in Preoperative Consent: A Multicenter Study
Adhesion-Related Complications Are Common, But Rarely Discussed in Preoperative Consent: A Multicenter Study
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DOI：
10.1007/s00268-008-9917-x
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发表时间：
2009-04-01
影响因子：
2.6
通讯作者：
Kraemer, Bernhard
中科院分区：
文献类型：
--
作者：
Rajab, Taufiek Konrad;Wallwiener, Markus;Kraemer, Bernhard
腹膜粘连被认为是患者发病的重要原因，但与粘连相关的并发症在初次手术后相对较晚发生。因此，术前同意书可能不足以反映问题的比例。对六家医院收治的 200 名腹腔手术患者进行了前瞻性审查，以确定粘连相关并发症是否在各自的同意书中被记录为可能的不良事件。8.5%（n = 17）的同意书中记录了粘连相关并发症（肠梗阻 n = 8，需要进一步手术 n = 5，困难再次手术 n = 1，疼痛 n = 3）。其中 n = 9 份同意书与粘连有直接关系。术前知情同意书并不能充分反映粘连相关问题的严重程度。这些发现对临床实践具有直接影响。
Peritoneal adhesions are recognized as an important cause for patient morbidity, but complications related to adhesions occur relatively late after the original operation. Therefore preoperative consent may not adequately reflect the proportions of the problem.A total of 200 patients admitted for intraperitoneal operations at six hospitals were prospectively reviewed to identify whether adhesion-related complications were documented as possible adverse events in their respective consent forms.Adhesion-related complications were documented in 8.5% (n = 17) of consent forms (bowel obstruction n = 8, requirement for further operations n = 5, difficult reoperation n = 1, pain n = 3). A direct relationship with adhesions was noted in n = 9 of these consent forms.Preoperative informed consent does not adequately reflect the magnitude of adhesion-related problems. These findings have immediate implications for clinical practice.