Coronial

17 results for open conversion

VIChospital2013-01-22

Finding into death of Daryl Wayne Nankervis

64y · Male·Ischaemic bowel and spleen infarction secondary to occlusion of splenic artery a…

…od vessels in the setting of extensive fibrotic tissue around the kidney. Although the surgeon converted to open surgery, he placed clips on wrong vessels in both approaches. Post-operatively, the patient had fever but i…

urologysurgerydiagnosticprocedural
SAhospital2016-09-29

Coroner's Finding: MCSHANE Robert Ian

66y · Male·Multi-system failure and ischaemic gut after left nephrectomy complicated by mas…

… include: never deploy staplers without complete visualisation of contents in the jaws, consider earlier conversion to open surgery when laparoscopic bleeding cannot be controlled, and ensure adequate surgical assistance…

urologyvascular surgeryproceduralsurgical judgment
TAShospital2020-04-03

Coroner's Finding: Pears, William Ernest

66y · Male·hepatic failure, intrahepatic sepsis and intrahepatic haematoma secondary to com…

…ears. The coroner found that operators encountering laparoscopic difficulties should consider converting to open surgery or abandoning the procedure. The undetected left hepatic duct injury appears to have been the root …

surgerygeneral surgerydiagnosticprocedural
VIChospital2014-08-27

Finding into death of Robert Vivian Hawkins

55y · Male·Multi-system failure complicating intra-operative haemorrhage due to inadvertent…

… the left renal artery and applied insufficient clipping. Although he recognized the error and converted to open surgery, requesting senior surgical assistance, the bowel became ischaemic. The patient was transferred to …

urologygeneral surgerydiagnosticprocedural
VIChospital2019-01-24

Finding into death of Bryan Lindsay Cleeman

86y · Male·Complications post laparoscopic cholecystectomy

…2 October 2015, forty-two hours after admission. Severe bleeding from hepatic arterial branches required conversion to open surgery, CPR, and massive transfusion. Myocardial infarction occurred intraoperatively in a pati…

general surgeryanaesthesiadelayasasantin
VIChospital2024-10-29

Finding into death of Shane Hughes

40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…

…r mesenteric artery. Critical lessons include: complex large tumours require appropriate surgical approach (open vs laparoscopic) determined by tumour size and distorted anatomy; individual vessel identification and liga…

urologysurgeryproceduraldiagnosticmetaraminol
VIChospital2025-10-28

Finding into death of Kenneth James Anderson

85y · Male·Liver ischaemia and portal vein thrombosis complicating emergency cholecystectom…

Kenneth James Anderson, an 85-year-old man with intellectual disability and multiple comorbidities including diabetes, pancreatitis, and gallstones, died following emergency cholecystectomy for acute cholecystitis with M…

general surgeryintensive careantibiotics
VIChospital2022-08-19

Finding into death of Ruth Ann McKenna

62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…

A 62-year-old woman with significant comorbidities (cirrhosis, cardiomegaly, thrombocytopenia, chronic kidney disease, COPD) died from hypovolaemic and cardiogenic shock during elective total laparos…

gynaecologyanaesthesiadiagnosticsystemmetaraminol
VIChome2025-09-17

Finding into death of Robert John Robinson

74y · Male·Pulmonary thromboembolism in the setting of deep leg vein thrombosis

A 74-year-old man died from pulmonary thromboembolism with deep vein thrombosis 10 days after elective umbilical hernia repair. He received appropriate VTE prophylaxis (mechanical and pharmacological) intraoperatively an…

surgeryanaesthesiacommunicationenoxaparin
WAhospital- 27 May 2014

Inquest into the Death of Brian John DAVIES

57y · Male·Multiple Organ Failure and Intra-Abdominal Haemorrhage following Cholecystectomy

…oea) underwent elective laparoscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense adhesions and obesity. Post-operatively, he developed progressive hypoxia and signs of acute r…

surgeryanaesthesiasystemdelaymorphine
WAmental health2017-06-22

Inquest into the Death of Annette SILVER

47y · Female·Multiple injuries from being struck by a train

A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiatric t…

psychiatrypsychologysupervisionsystemcitalopram
WAhospital2001-04-12

Inquest into the Death of Margaret Patton Brooks

43y · Female·Haemorrhage Associated with Penetrations of the Aorta

…wall, preventing activation of the trocar's safety shield. Despite immediate recognition of bleeding and conversion to open surgery with vascular repair, the deceased died from traumatic blood loss and organ ischaemia. T…

general surgeryanaesthesiaprocedural
SAhospital2025-06-12

Coroner's Finding: Salter, Kathleen Ethel

76y · Female·multi-organ failure and sepsis due to complications of cholecystectomy

A 76-year-old woman died from multi-organ failure and sepsis following a laparoscopic cholecystectomy at a rural hospital. During surgery, the surgeon became misoriented in the inflamed surgical field and divided the com…

general surgeryanaesthesiadiagnosticproceduralapixaban
QLDhospital2007-08-10

Tang, Shannon Sheng Wen

21y · Male·multi-organ failure due to septicaemia of mixed respiratory (bronchopneumonia) a…

Shannon Tang, a 21-year-old from Singapore with severe obesity (BMI 52) and multiple comorbidities including sleep apnoea, underwent elective laparoscopic gastric bypass surgery performed by Dr F.. He died on day 7 post-…

bariatric surgerygeneral surgerycommunicationdiagnosticvancomycin
SAhospital2001-05-04

Coroner's Finding: ROACH Dawn Ruth

45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…

A 45-year-old woman died from multi-organ failure following failure of a loop colostomy created for management of an anastomotic leak after bowel cancer surgery. The initial anastomotic leak (1.5 cm) was contained and re…

colorectal surgerygeneral surgeryproceduralcommunication
NSWhospital2019-03-22

Inquest into the death of Patrick THOMAS

52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…

Patrick Thomas, a 52-year-old man, died from intestinal failure and sepsis following an accidental division of the superior mesenteric vein (SMV) during laparoscopic surgery for colon cancer at Kareena Private Hospital o…

colorectal surgeryintensive carecommunicationsystem
VIChospital2023-10-30

Finding into death of BCT

2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …

BCT was a 2-year-old Aboriginal child with complex needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endosco…

gastroenterologyradiologydiagnosticcommunicationceftriaxone

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.