STATE TO PROBE FAILED SURGERY

29 July, 2016

TUBECTOMY GOES WRONG

Investigating committee says Kolhapur PHC's medical officer performed an incorrect sterilisation procedure and moved the patient to civil hospital for emergency help; a final report on the case will be released soon

In a shocking incident of medical negligence, a doctor at a primary health centre (PHC) in Kolhapur wrongly operated upon a 25- year-old woman, who had arrived for a tubectomy surgery.

The incident took place on Wednesday, when Rajshree Abhijit Karde had arrived for a sterilisation procedure.

The PHC's medical officer opened her urinary bladder and removed it and after he realised that his procedure was incorrect, he immediately sutured the layer and sent her to the civil hospital for further procedure. The incident has been recorded as a medical negligence and the state health authorities have demanded a thorough investigation in the case. A team of five expert members, too, has been formed, including gynaecologists and civil surgeons and other medical officers, in this regard.

When contacted, Dr Prakash Patil, district health officer of Kolhapur, who is heading the investigating committee, said, "The incident took place on Wednesday at Kapasi PHC, where the woman, who already has two children, had come looking for a family planning procedure. While operating on her, the doctor wrongly opened up and removed her urinary bladder. But, he soon realised it was a mistake and immediately sutured the layer and sent her to the civil hospital for an emergency procedure. However, tubectomy operation was then left incomplete due to the various complications that demanded an emergency intervention."

On asking about other such incidents at PHCs, he explained, "These are commonly reported issues when a tubectomy procedure is performed. However, we will produce reports soon which will be further sent to the state director and our division head."

Karde was wrongly operated upon by Dr BP Satpute at Kapasi PHC, who could not be contacted.

Dr RB Mugade, deputy director of health services (DDHS) for Kolhapur division which comprises Kolhapur, Sangli, Sindhudurg and Ratnagiri districts, informed, "The team visited the patient at the civil hospital and she is under observation. We will investigate the case and provide a final report accordingly."

Meanwhile, when Mirror contacted Dr Sunita Tandulwadkar, expert and vice-president of the west zone, for Federation of Obstetrics and Gynaecology Society (FOGSI) of India, she said that such complications cannot be termed as "common".

"Such incidents occur rarely and cannot be termed as common. Sometimes, due to two to three Caesarean sections, the urinary bladder which lies in front of the uterus is stuck to the anterior abdominal wall. And, during such open surgeries, due to frozen internal parts, such complications can happen. It also happens very rarely in cases of tuberculosis in which we call such internal organs as frozen. But, in tubectomy, it is not a regular complication," Tandulwadkar said.

http://www.punemirror.in/pune/civic/State-to-probe-failed-surgery/articleshow/53440303.cms