Advertisement

Abstract

General surgery is not considered to be a very high risk specialty but the number of claims emanating from it has increased rapidly in recent years. The identity of general surgery is changing and many claims are supported by expert opinions from surgeons who specialise in one part of what was once considered to be a general discipline. They state mostly that a sufficiency of skill is only acquired by those who regularly undertake their particular procedures. This causes difficulty in the defence of the general surgeon concerned if he admits to only performing a certain operation three or four times a year. In the emergency situation general surgeons are expected to tackle all kinds of problems on an occasional basis. The specialisation within general surgery already exists, but is likely to progress further over the next few years with inevitable medico-legal consequences.

Keywords

Hernia Repair Abdominal Aortic Aneurysm Bile Duct Injury Varicose Vein Saphenous Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Further Reading

Specialisation in general surgery

  1. Kings Fund Consensus Statement (1990). Br Med J 300: 1675Google Scholar

Junior doctors’ errors

  1. Buck N, Devlin HB, Lunn JN (1987) The confidential enquiry into perioperative deaths. Nuffield Provincial Hospitals Trust, Kings FundGoogle Scholar

Acute appendicitis

  1. Thomson HJ, Jones PF (1986) Active observation in acute abdominal pain. Am J Surg 152: 522–525PubMedCrossRefGoogle Scholar
  2. Malt RA (1986) The perforated appendix. N Engl J Med 315: 1546–1547PubMedCrossRefGoogle Scholar

Re-operation on post-operative acute abdomen

  1. Kirk RM (1990) Hospital Update 16: 303–310Google Scholar

Endoscopy of the upper gastrointestinal tract

  1. Kirk RM, Stoddard CJ (1986) Complications of surgery of the upper gastrointestinal tract. Baillière Tindall, London, pp 65–91Google Scholar

ERCP

  1. Viceconte G, Viceconte GW, Pietropaulo V, Montori A (1981) Endoscopic sphincterectomy: Indications and results. Br J Surg 68: 376–380PubMedCrossRefGoogle Scholar

Bile duct injuries

  1. Blumgart LH, Kelley CJ, Benjamin IS (1984) Benign bile duct stricture following cholecystectomy; Critical factors in management. Br J Surg 71: 836PubMedCrossRefGoogle Scholar

Surgery for obesity

  1. Griffin WO (1979) Gastric bypass for morbid obesity. Surg Clin North Am 59: 1103Google Scholar
  2. Ismail T, Kirby RM, Crowson MC, Baddely RM (1990) Vertical silastic ring gastroplasty: A 6-year experience. Br J Surg 77: 80–82PubMedCrossRefGoogle Scholar

Prophylactic antibiotics

  1. Keighley MRB (1988) Infection: prophylaxis. Br Med Bull 44: 374–402PubMedGoogle Scholar

Prophylaxis against deep vein thrombosis

  1. Grant PJ, Prentice CRM (1988) Haemorrhage and thrombo-embolic complications associated with surgery. Br Med Bull 44: 453–474PubMedGoogle Scholar

Varicose veins and nerve injury

  1. Holme JB, Skajaa K, Holme K (1990) Incidence of lesions of the saphenous nerve after partial or complete stripping of the saphenous vein. Acta Chir Scand 156: 145–148PubMedGoogle Scholar

Aortic aneurysm

  1. Campbell WB, Collin J, Morris PJ (1986) The mortality of abdominal aortic aneurysm. Ann Coll Surg Engl 68: 275–278Google Scholar

Angioplasty

  1. Lamerton AJ (1986) Percutaneous transluminal angioplasty. Br J Surg 73: 91–97PubMedCrossRefGoogle Scholar

Recurrent laryngeal nerve injury

  1. Sugrue DD, Drury MI, McEvoy M, Hefferman SJ, O’Malley E (1983) Long-term follow-up of hyperthyroid patients treated by sub-total thyroidectomy. Br J Surg 70: 408–411PubMedCrossRefGoogle Scholar

External laryngeal nerve injury

  1. Kissin MW, Bradpiece HA, Meikle MS, Auerbach R, Kark AE (1983) Voice changes after thyroid surgery. Br J Surg 70: 306 (Surgical Research Society abstract)Google Scholar

Splenectomy post-operative prophylaxis

  1. Barron PT, Richter M (1990) Immunodeficiency following splenectomy in the early post-immunisation period. Br J Surg 77: 316–319PubMedCrossRefGoogle Scholar

Autotransplants of spleen

  1. Ludtke FE, Mack SC, Schuff-Werner P, Voth PE (1989) Splenic function after splenectomy for trauma. Acta Chir Scand 155: 533–540PubMedGoogle Scholar

Testicular atrophy after hernia repair

  1. Wantz GE (1989) Ambulatory hernia surgery. Br J Surg 76: 1228–1229PubMedCrossRefGoogle Scholar

Retained swabs

  1. Rappaport W, Haynes K (1990) The retained surgical sponge following abdominal surgery. Arch Surg 125: 405–409PubMedGoogle Scholar

Copyright information

© Springer-Verlag London Limited 1991

Authors and Affiliations

  • N. Keddie

There are no affiliations available

Personalised recommendations