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Informed Consent in Emergent Surgery and Unplanned Surgery

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Author(s): Thomas J. Moore, Devorah Cruze, Amy Wyrzykowski, Ravi Rajani, Maria del Carmen G Davila

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 6;
Issue: 2;
Date: 2009;
Original page

Keywords: informed consent | unplanned surgery | emergent surgery | acetabular fracture

ABSTRACT
Informed consent is routinely obtained before any surgical procedure and after careful planning, includes any possible scenario occurring during the surgical treatment. Every so often during emergent surgery, not all scenarios are considered and the surgeon is faced with difficult decisions. We are presenting a case report on internal fixation of the acetabulum in a trauma patient using the ilioinguinal approach. The ilioinguinal approachto the acetabulum has been utilized for internal fixation of complex anterior column fractures, anterior wall fractures, and certain both column and transverse fractures of theacetabulum. To our knowledge, there have been no reports of unanticipated encounter of a preexisting asymptomatic inguinal hernia during the ilioinguinal surgical approach. This is a case report of such a case, and the resultant informed consent dilemma.
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