Could cosmetic surgeons face medical negligence claims?

Since its development in the 1960s, bariatric surgery - also known as weight loss surgery - has gained in popularity. There are currently eight procedures available to patients, ranging from the gastric bypass to the use of gastric bands. Initially, this sort of surgery was only available to those whose lives were at risk due to their excessive weight. Now, however, bariatic surgery is available as ‘cosmetic surgery’ for those who simply want to maintain the way they look. Unfortunately, with an upsurge in the figures for weight loss surgery, there is also an increase in the number of medical negligence claims being made against surgeons who perform this procedure.

A new problem

The claims involve a relatively new type of surgery involving the use of gastric bands to reduce the size of the stomach, in turn reducing the patient’s appetite and so causing weight loss. All of the claims are from obese people who have suffered complications after private surgery. Ironically, there are people on NHS waiting lists who are considering litigation because they have not received this surgery. The NHS estimates that in performing 4,300 bariatric surgeries last year, they only attended to an estimated 2% of those who need them. Waiting lists are such that many patients become even more obese while they wait for an operation. This also, in turn, increases the possibility that they will suffer complications during a procedure.

Claire Tomkins, the Chief Executive of the Medical Defence Union (MDU) has stated that the number of compensation claims for this type of cosmetic surgery alone has increased tenfold since 2008, with 21 cases over the last two years. By comparison the number of cases that arose between 2003 and 2008 totalled just 14. Among the problems identified were post-operative infections and the slipping of gastric bands. However, the MDU also stated that it thought many of the compensation claims could be avoided. Ms. Tomkins suggested that a failure to explain the risks of this sort of surgery could be responsible for a large number of claims. According to MDU figures, the majority of claims are still ongoing and range from £2,500 to £500,000. Despite this, demand for the operations continues to increase; BMI Healthcare said that is was seeing a year on year increase of 20%.

Claims advice for cosmetic surgeons

As more and more surgeons are being made the subjects of compensation claim cases, the MDU has issued risk management advice to its members carrying out this sort of procedure. Among the recommendations, members are advised that patients need to have information about what to expect in terms of the recovery time and process, what problems may occur and what to do if they have any difficulties. Patients’ GPs should be kept informed. It is also suggested that “the consent discussion must be documented.”

It seems as if surgeons are being required to leave a paper trail behind them to prevent the possibility of being sued without justifiable cause. While this could prevent any false compensation claims, does it make the litigation procedure ultimately more difficult for those unfortunate enough to discover they have legitimate grievances?

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