Every patient is asked to sign a consent form prior to any procedure or operation. This would be following a full and detailed discussion about the risks and complications of the procedure for that patient. This discussion may occur during a consultation session to allow reflection by the patient on the information given about the procedure or operation. Mr Baco fully respects patients' autonomy - their right to decide whether or not to undergo any medical intervention. The patient will have a discussion concerning the natural history (what could happen if no treatment is undertaken). The alternative procedures or operative interventions will also be discussed if appropriate. This is done in accordance with GMC guidelines for Good Medical Practice.
Complications – General
Complications are events that have a chance of happening after any procedure. There are no procedures or operations without risks. Every effort is made to reduce the chance if complications occurring.
If a patient has a pre-existing medical condition it can change the chance of complications occurring. For this reason it is crucial that patients give a full past medical history and details of all medication.
If the patient can bring a list of their current medications and any known allergies to medications this would be very helpful. Details of current other medical conditions or past illnesses will be asked for during the consultation and any details the patient is unclear on then clarification should be sort from their general practitioner.
• Deep Venous Thrombosis DVT
• Pulmonary Thrombosis PE
These are caused by c lots of blood forming in the legs – DVT- which may dislodge and travel to the lungs – PE. The process can on very rare occasions be fatal. The rates of thrombo-embolism after spinal surgery are low. In general there is tendency not to use thromboprophylaxis before spinal surgery to avoid the risk of bleeding in spinal canal, however the other methods to reduce the DVT is used like; TED stockings, calf pumps and patients are encouraged to mobilize rapidly after surgery. The risks of DVT will always be discussed pre-operatively in detail.
This is a complication which can occur after any procedure making a wound in the skin. Rates of infection are low after spinal surgery about 1%. Surgery requiring placement of metal work has a slightly increased rate to 5%. Prophylaxis antibiotics are given to patients at surgery and afterwards to reduce risk.