- Patient A was left infertile after the surgeon operated on the healthy tube
- She was sent home after the first procedure – despite complaining of continued pain
- When the women returned three days later, bleeding, another surgeon was forced to remove the correct one
- Dr Samina Taheen later admitted she had ‘gone too fast’, a hearing is told
By
Kerry Mcqueeney
06:37 EST, 31 July 2012
|
06:37 EST, 31 July 2012
Blunder: Surgeon Samina Tahseen removed the healthy fallopian tube
A consultant removed the wrong fallopian tube of a woman who suffered an ectopic pregnancy in a blunder which left her unable to conceive a child.
The woman lost both of her fallopian tubes in just three days after she was operated on by Dr Samina Tahseen and was then sent home by the obstetrician and gynaecologist – despite fears that the wrong one had been removed.
The woman – known only as Patient A for legal reasons – was forced to return to the Royal Derby Hospital three days later after suffering continued pain and bleeding.
It was then the mistake was discovered and a second procedure was then carried out by a different surgeon to remove the correct fallopian tube.
A Fitness to Practice Panel heard how Dr Tahseen had admitted later: ‘I had gone too fast – I just went for that tube.’
Patient A had been trying to conceive for about two years when she fell pregnant but went to her GP when she suffered bleeding.
After initially being told she had suffered a miscarriage and ordered to rest, the woman went to Royal Derby’s Early Pregnancy Assessment Unit when the bleeding worsened.
Doctors discovered she had a left-sided ectopic pregnancy and told her she would have to undergo surgery to remove the affected tube.
An ectopic pregnancy is when a fertilised egg has implanted itself outside the womb, usually in one of the fallopian tubes.
If left untreated, the egg can develop into a baby, rupturing the tube and causing potentially life-threatening bleeding.
Dr Tahseen performed the surgery on September 21, 2010, and removed the woman’s right fallopian tube instead of the left one where the pregnancy was.
She today admitted to the panel that she had not checked which tube contained the ectopic pregnancy and did not correctly identify the tube during surgery.
The hearing heard how Patient A was concerned as soon as she regained consciousness and challenged what had happened because she still had pain in her right side.
Hearing: The panel was told the woman had to be readmitted to the Royal Derby Hospital (pictured) three days later
The panel was told that, when challenged, Dr Tahseen said it was obvious that the right side must have had the ectopic pregnancy.
Bernadette Baxter, prosecuting, said: ‘Dr Tahseen was then told the woman had a cyst in her right fallopian tube – a separate and unrelated issue.
‘She had looked shocked and had asked to see the patient’s notes.’
Dr Tahseen did not order further tests before telling the patient to go home.
However, Patient A returned to the unit on September 24 with continued pain and bleeding and she was told she would have to have a second operation immediately.
Miss Baxter added: ‘She was very concerned to have her left fallopian tube saved but the surgeon could give no such assurances.
‘She was told her left tube could not be saved as the ectopic pregnancy had ruptured’
‘She underwent the surgery and was told after that her left tube could not be saved as the ectopic pregnancy had ruptured.
‘She had lost both fallopian tubes in three days.’
Patient A made a complaint to the hospital regarding the incident and, at a meeting on November 18, 2010, she told staff that if they did not inform the General Medical Council then she would.
By December of that year Patient A had made a formal complaint.
Dr Tahseen admitted to seven allegations in relation to the incident.
The panel also heard of two other cases in which Dr Tahseen allegedly failed to provided good clinical care – charges to which she has not made any submissions.
The second case involved a 32-year-old woman referred to in the hearing as Patient B.
The woman had a history of uterine fibroids, non-cancerous tumours that develop in the womb, and underwent surgery to remove them.
She had asked for myomectomy, a procedure which, unlike a hysterectomy, can preserve fertility.
Dr Tahseen told the patient that the procedure would be ‘complex’.
After removing the fibroids Dr Tahseen noticed serious bleeding and called upon a colleague to help find and stop the flow.
The patient lost 2.7 litres of blood but it was managed and she made a full recovery.
But, according to the colleague, this was ‘more by luck than judgment’ after Dr Tahseen failed to inform a senior member of staff about the operation or make sure that someone was on hand to help.
Finally the panel heard that on a third occasion Dr Tahseen had extensively used a technique called monopolar diathermy during an operation to investigate abdominal pain on October 15, 2010.
This means using an electrical current to produce heat to cut during surgery.
It is alleged that Dr Tahseen did not adequately protect the patient’s body, resulted in damage to the tube connecting the kidneys and bladder, and urine leaking into the abdomen.
The patient had to be treated with antibiotics.
The hearing continues.
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