title: [Patient counseling in case of postoperative complication leading to emergency reintervention in plastic surgery. What is the current situation? How to improve? Retrospective study of counseling modalities and traceability in a series of 16 patients who needed emergency reintervention within a cohort of 402 patients].
abstract: OBJECTIVE
  Preoperative counseling is structured and well defined. Nevertheless, in the event of a complication leading to a new emergency surgical procedure, counseling is not well defined. We conducted a retrospective study of information delivered in this situation at our institution.
  
  
  METHODS
  We included all the patients who underwent emergency reintervention because of hematoma or operative site infection between November 2013 and October 2014. Sixteen patients were included over the 402 patients operated during this period.
  
  
  RESULTS
  Information before initial surgery: all patients had at least two preoperative consultations, and all preoperative informed consents were obtained. Complications leading to reintervention were mentioned in the consultation record in 31% of cases, and in a letter to another practitioner in 19% of cases. SofCPRE information card was delivered in 63% of cases. Information before reintervention: reintervention indication was mentioned in the hospitalization report in 81% of cases, and in the operative report in 88% of cases. Blood count results were mentioned in 55% of cases when it had been done. Patients were orally informed of reintervention in 100% of cases, and this new information was mentioned in 50% of cases. A new informed consent was signed in 31% of cases and postoperative letter was written in 25% of cases.
  
  
  CONCLUSIONS
  Information delivery traceability is mandatory. In case of complication leading to emergency reintervention, traceability should be done in the same way as prior to initial surgery.
authors: Service de chirurgie plastique, esthétique et reconstructrice, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France. Electronic address: drpessis@gmail.com.
authors: R
authors: R
authors: Pessis
authors: Service de chirurgie orthopédique, traumatologie et plastique, centre hospitalier de Beauvais, 40, avenue Léon-Blum, 60021 Beauvais, France.
authors: M
authors: M
authors: Gianfermi
authors: Cabinet Lacœuilhe Avocats Associés, 15, rue Marignan, 75008 Paris, France.
authors: G
authors: G
authors: Lacoeuilhe
authors: 59, avenue Franklin-Delano-Roosevelt, 75008 Paris, France.
authors: G
authors: G
authors: Flageul
authors: Service de chirurgie plastique, esthétique et reconstructrice, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France.
authors: M
authors: M
authors: Atlan
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003376:Counseling; D005260:Female; D006801:Humans; D007258:Informed Consent; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D012086:Reoperation; D012189:Retrospective Studies; D055815:Young Adult
keywords: Complication; Consentement éclairé; Information; Informed consent; Professional responsibility; Reintervention; Reprise chirurgicale; Responsabilité professionnelle