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Obstetrics & Gynaecology
Case 1
Miss W was complaining of abdominal pain and was referred by her GP to the
Consultant Gynaecologist. He considered she may have a retroverted uterus
(the uterus tilts backwards inside the pelvis rather than forwards). An
exploratory laparoscopy was undertaken and the retroverted uterus was
repositioned however at the same time the surgeon also performed an
appendicectomy for which Mrs W had not consented to as part of the general
consent process. Laboratory testing revealed the appendix was perfectly
normal.
As a result of the appendicectomy a fistula developed from the site of the
appendix stump into the small bowel resulting in infection. Mrs W required a
hemicolectomy and subsequent four operative procedures. She was left with
extensive scarring, was off work for a period of time and had psychological
damage. Expert reports were obtained from a Gynaecologist, a Consultant
Colorectal Surgeon and a Psychiatrist. Proceedings were issued but the matter
settled shortly prior to the trial date. Damages agreed at £80,000.00 shortly
before trial.
Case 2
Mrs A gave birth by a normal vaginal delivery. During the deliver she
sustained a third degree tear (a tear that also involves the anal sphincter).
However the doctor did not perform an adequate examination or inspection of
the tear and therefore wrongly concluded she only had a minor tear.
Consequently he only carried out superficial stitching to repair the tear.
Mrs A suffered from faecal incontinence following the delivery but thought
this was just a consequence of the birth and would improve with pelvic floor
exercises. However the incontinence did not improve and eventually her GP
referred her to a colorectal surgeon. He carried out a full examination and
diagnosed the true extent of the tear. Because of the delay in diagnosing the
full extent of the tear the repair surgery (called a “secondary repair”) was
much more difficult than would have been the case if carried out at the time
of the delivery (a “primary repair”) and meant Mrs A did not make as good a
recovery from this secondary repair.
She was left with an inability to defer defaecation for more than 10 minutes
problems on occasion with evacuating her bowel. Liability was contested by
the Defendant but a settlement was agreed shortly before trial for £55,000.
This included pain and suffering and loss of earnings.
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Contacts:
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Oxford:
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Tracy Norris-Evans
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01865 268632
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email
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Oxford: |
Richard Coleman |
01865 268631 |
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Oxford: |
Judith Leach |
01865 268609 |
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