Medical Malpractice in Mass Circumcision Activity: Two Cases

  • Yasin Etli
  • Mahmut Aşırdizer Yüzüncü Yıl Üniversitesi Tıp Fakültesi Adli Tıp AD
  • Yavuz Hekimoglu
Keywords: circumcision, mass circumcision activities, medical malpractice, complication, legistlation

Abstract

It is estimated that one sixth of worldwide male population have been circumcised due to religious, cultural or medical causes. It is reported that the complication rate of circumcision ranges are between 0.2% and 5%.

In this study, clinical picture which developed in two cases following circumcisions during the same mass circumcision activity which was applied in the same hospital, at the same time and by the same doctor, was evaluated. At the same time, medico-legal process was debated for these cases after comparison with literature knowledge.

In conclusion, we suggested that mass circumcision activities should be avoided as much as possible. Even if, in cases where mass circumcision is inevitable due to socio-economic circumstances like seen in our country, the procedures for illuminating families should not be ignored, circumcision activities should be applied by competent and adequate number of medical professionals, in conditions suitable for asepsis-antisepsis guidelines, in accordance with scientific principles and applicable legislation. Thus, complication rate will reduce and claims of medical malpractice will be prevented.

Downloads

Download data is not yet available.

References

1. Dunsmuir WD, Gordon EM. The history of circumcision. BJU Int. 1999; 83: 1-12. doi: 10.1046/j.1464-410x.1999.0830s1001.x
2. Malone P, Steinbrecher H. Medical aspects of male circumcision. BMJ. 2007; 335: 1206-1209. doi: 10.1136/bmj.39385.382708.AD
3. Warren JP. Norm UK and the medical case against circumcision. In: Denniston GC, Milos MF, eds. Sexual Mutilations — a Human Tragedy. 1st ed. London: Plenum Press, 1997: 85-117. doi: 10.1007/978-1-4757-2679-4_7
4. Gray R, Serwadda D, Kigoziand G, Wawer M J. Male circumcision and HIV prevention. In: Mayer KH, Pizer HF, eds. HIV Prevention: A Comprehensive Approach. 1st ed. London: Academic Press, 2009: 146-166.
5. Oral A, Bahadır GB, Güven A. Çocukluk çağı sünnet komplikasyonları ve önlenebilirliği. TAF Prev Med Bull. 2011:10: 605-610. doi: 10.5455/pmb.20110610032809
6. Hofvander Y, Circumcision of boys. In: Denniston GC, Hodges FM, Milos MF, eds. Flesh and Blood: Perspectives on the Problem of Circumcision in Contemporary Society. 1st ed. New York: Kluwer Academic/Plenum Publishers, 2004: 109-118.
7. Mail Online. Jury awards more than $1.3million to boy after botched circumcision left him with his penis partially amputated. URL: http://www.dailymail.co.uk/news/article-2333352/Jury-awards-1-3million-buy-botched-circumcision-left-penis-partially-amputated.html. (Son erişim tarihi: 22.10.2016)
8. Jena AB, Seabury S, Lakdawalla D, Chandra A. Malpractice risk according to physician specialty. N Engl J Med. 2011; 365: 629-636. doi: 10.1056/NEJMsa1012370
9. Thorup J, Thorup SC, Ifaoui IB. Complication rate after circumcision in a paediatric surgical setting should not be neglected. Dan Med J 2013;60(8):A4681.
10. Ozakpinar HR, Sari E, Horoz U, Durgun M, Tellioglu AT, Acikgoz B. Keloid of the circumcision scar: a rare complication. Int Wound J. 2015; 12: 611-2. doi: 10.1111/iwj.12163
11. Krill AJ, Palmer LS, Palmer JS. Complications of circumcision. ScientificWorld J. 2011; 11: 2458-2468. doi: 10.1100/2011/373829
12. Aydur E, Gungor S, Ceyhan ST, Taiimaz L, Baser I. Effects of childhood circumcision age on adult male sexual functions. Int J Impot Res. 2007; 19: 424-431. doi: 10.1038/sj.ijir.3901545
13. Horowitz M, Gershbein AB. Gomco circumcision: when is it safe? J Pediatr Surg. 2001; 36: 1047-1049. doi: 10.1053/jpsu.2001.24739
14. Can İÖ, Özkara E, Can M. Yargıtayda karara bağlanan tıbbi uygulama hatası dosyalarının değerlendirilmesi. DEÜ Tıp Fakültesi Der. 2011; 25(2): 69-76.
15. Dal Ü, Bulut H, Güler Demir S. Cerrahi girişim sonrası hastaların evde yaşadıkları sorunlar. Bakırköy Tıp Der. 2012; 8(1): 34-40. doi: 10.5350/BTDMJB201208106
Published
2017-08-04
How to Cite
1.
Etli Y, Aşırdizer M, Hekimoglu Y. Medical Malpractice in Mass Circumcision Activity: Two Cases [Internet]. The Bulletin of Legal Medicine [Internet]. 4Aug.2017 [cited 19Jan.2018];22(2):140-5. doi:https://doi.org/10.17986/blm.2017227931
Section
Case Reports