Authors

• Athar Rasekhjahromi ¹
• Ali Reza Doroudch ²
• Gholamreza Motazedian ³
• Fatemeh Ahmadi ⁴
• Navid Kalani ⁵
• Mojtaba Ghaedi ⁶

¹ Department of Obstetrician and Gynecology, Jahrom University of Medical Sciences, Jahrom, Iran

² MD, Iranian legal Medicine Research Center, legal Medicine Organization, Tehran, Iran

³ Assistant Professor of Plastic & Reconstructive Surgery, Shiraz University of Medical Sciences, Shiraz, Iran

⁴ Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran

⁵ Clinical Research Development Unit, Peymanieh Hospital, Jahrom University of Medical Sciences, Jahrom, Iran

⁶ Assistant Professor of Plastic Surgery, Jahrom University of Medical Sciences, Jahrom, Iran

Abstract

Introduction: Today, increasing people's efforts for beauty and rejuvenation has led to the promotion of plastic surgery, which has provided the basis for increasing the likelihood of error and increasing patients' dissatisfaction with the results. Therefore, this study was conducted to investigate the frequency of complaints from plastic surgeons referring to the Forensic Medicine Organization of Fars Province between 2013 and 2020.
Material and Methods: The present study was a descriptive study based on re-analysis of data. Examining the existing cases in the forensic medicine of Fars province, a total of 132 cases referred to this organization were in the Plastic Surgery Commission, of which 58 were related to complaints from plastic surgeons. Data were collected using a checklist and the results were analyzed using SPSS software version 21 and descriptive statistics tests.
Results: In the review of 58 cases, the results showed that 49 of the complainants (84.5%) were female and 9 (15.5%) were male. The most common type of medical center was a private hospital with 28 cases (48.3%), followed by a public hospital with 22 cases (37.9%) and a private office with 6 cases (10.3%). Out of 58 suspects, 24 (41.4%) were acquitted and 34 (58.6%) were convicted of negligence, and 55 (94.8%) were male and 3 (5.2%) were female. The most common cause of negligence was incompetence, which included 16 cases (66.6%) followed by carelessness with 20.8% and compound negligence (8.3%); Also, the most common cause of complaints was cosmetic defects with 58.6%.
Conclusion: In general, this study showed that the most common reason for complaining to plastic surgeons is cosmetic defects and dissatisfaction with the results of the operation, and this requires plastic surgeons to better understand the results of the operation for the patient; Also, the most common cause of incompetence was the lack of skills, which indicates the importance of skills acquisition by surgeons.

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Keywords

• Plastic surgery
• Forensic medicine
• Medical malpractice
• Litigation