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2020, Number 2

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Rev Clin Esc Med 2020; 10 (2)

Perspectiva médico legal de las complicaciones en receptores de Trasplante Hepático

Flores SG

Language: Spanish
References: 17
Page: 15-23
PDF size: 141.74 Kb.


ABSTRACT

The liver transplantation operation is the only absolute therapy for end-stage liver diseases and as any surgical procedure is not free of risks and complications that can aggravate the postoperative clinical condition of its recipient and even cause death. Also, like any surgical procedure, it is not exempt from establishing professional liability complaints related to direct surgical complications, diseases that occur in postoperative care, and unsatisfied surgical results. In this regard, the complications of a medical procedure such as this one, although they are described in this way in the medical-scientific literature, and may lead one to think that this would rule out that professional responsibility was involved in its genesis, in one case of complaint for professional responsibility should be analyzed considering the mechanisms involved in its production and the medical management provided, that allow to affirm or rule out the causal relationship with medical management not indicated, inadequate, inopportune or not attached to the norms. The most common direct complications after liver transplantation are vascular (related to hepatic artery, portal vein, hepatic veins and inferior vena cava), biliary, parenchymal, perihepatic, and neoplastic. The medical file in which the risks of the procedure are recorded, the moment in which any eventual complication is diagnosed and the criteria and treatment considered , as well as an adequate informed consent are transformed into an evidence of important analysis and acquires relevance the good medicalpatient communication.


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