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Fundamental Ethical Issues in Unnecessary Surgical Procedures

机译:不必要的外科手术中的基本伦理问题

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摘要

In clinical practice performing any surgical procedure is inconsistent because all surgical procedures carry definitely some degree of risk. Worldwide every year millions of patients go under knife, but many of them are enduring great pain and shelling out thousands and dollars for surgeries they don’t really need. This review work was planned with an intention to focus attention towards it with reporting cited evidences of unnecessary surgical operations and discuss ethical issues concern with it. In present review the references search included standard citations Google scholar, MEDLINE and PUBMED. We also used Google search engine for screening various news concern with highlighting this topic in community and online media. For articles we go through more than 60 articles from worldwide and 12 news media views from Google search in last one year. We used following quotes for their search-unnecessary surgeries, second opinion, ethical issues in unnecessary surgeries. Geographical variations were also kept in view. Our intension was highlighting ethical issues concern with unnecessary surgical operations. Henceforth we excluded such work that does not concern with ethical issues. Unnecessary surgery is that which is medically unjustifiable when the risks and costs are more than the likely therapeutic benefits or relief to the patient based on the patient’s lifestyle requirements. To avoid or minimize such interventions basic seeding of ethics in curriculum and strict laws will definitely helpful in clinical practice. In conclusion, our aim was to highlight this major issue and underline need of competency based medical bioethics education in Indian scenario.
机译:在临床实践中,执行任何外科手术过程都是不一致的,因为所有外科手术过程肯定都带有一定程度的风险。全世界每年都有数以百万计的患者遭受刀伤,但其中许多人承受着极大的痛苦,并为他们本来不需要的手术投入了数千美元。计划进行这项检查工作,以集中精力进行报告,报告所引用的不必要的外科手术证据,并讨论与此有关的道德问题。在当前的评论中,参考文献搜索包括Google学者,MEDLINE和PUBMED的标准引用。我们还使用Google搜索引擎来筛选各种新闻,并在社区和在线媒体中突出显示该主题。在过去一年中,对于文章,我们浏览了来自全球的60多篇文章和来自Google搜索的12种新闻媒体的观点。对于他们不必要的手术,第二意见,不必要的手术中的道德问题,我们使用了以下引号。地理位置变化也应注意。我们的意图是强调与不必要的外科手术有关的伦理问题。从今以后,我们排除了与道德问题无关的工作。不必要的手术是指在风险和成本超过根据患者生活方式要求为患者带来的可能的治疗益处或缓解后,在医学上不合理的手术。为了避免或减少此类干预措施,课程中的基本道德基础和严格的法律无疑将对临床实践有所帮助。总之,我们的目的是强调这一主要问题,并强调在印度情况下基于能力的医学生物伦理学教育的需求。

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