Surgical Regret and Intraoperative Decision-Making: A Living Donor Kidney Case.

ethics regret resident education surgical education transplant surgery

Journal

The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522

Informations de publication

Date de publication:
22 Mar 2024
Historique:
medline: 22 3 2024
pubmed: 22 3 2024
entrez: 22 3 2024
Statut: aheadofprint

Résumé

Surgical regret often experienced at times of a great loss may cause a surgeon to reflect on their practice and intraoperative decision-making. It is inevitable that in the surgical profession, both in training and practice, a surgeon's decisions will be questioned by themselves, peers, and possibly patients. Here, we explore a case of living donor kidney donation in which the surgeon chooses to discontinue the operation for an incidental finding. Ultimately, this is against the patient's wishes and a decision over which both the surgeon and patient experience moral hazard and regret. This article explores surgical regret from the lens of an altruistic donor case and a surgeon's inaction, discussing the ethics of the operative decision-making and surgeon's viewpoint intra- and post-operatively.

Identifiants

pubmed: 38518210
doi: 10.1177/00031348241241742
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

31348241241742

Déclaration de conflit d'intérêts

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Devon E Cassidy (DE)

Department of Surgery, Michigan Medicine, Ann Arbor, MI, USA.

Christian Vercler (C)

Department of Plastic Surgery, Michigan Medicine, Ann Arbor, MI, USA.

Michael Englesbe (M)

Department of Surgery, Section of Transplantation Surgery, Michigan Medicine, Ann Arbor, MI, USA.

Janice Firn (J)

Division of Professional Education, Department of Learning Health Sciences (DLHS), Michigan Medicine, Ann Arbor, MI, USA.

Classifications MeSH