Coronial

62 results for laparoscopic surgery

QLDhospital2012-12-06

McNaught, Judith

69y · Female·Septic shock due to biliary peritonitis as a consequence of laparoscopic cholecy…

A 69-year-old woman died of septic shock following bile leak complications after laparoscopic cholecystectomy. Critical failures included: (1) inappropriate transfer to low-dependency unit on post-…

surgeryanaesthesiadiagnosticmedicationmorphine
VIChospital2022-01-20

Finding into death of Ann-Maree Manno

57y · Female·Pulmonary thromboembolism

Ann-Maree Manno, 57, died from pulmonary thromboembolism 8 days after laparoscopic gastric band surgery. She had significant risk factors: obesity (BMI 37.9), history of unprovoked DVT i…

bariatric surgeryanaesthesiacommunicationsystemheparin
NSWhospital2011-04-01

Clarke,heidimaree1223 09 findings&recommendations

Female·massive intra-abdominal haemorrhage caused by injuries to her right common iliac…

…tra-abdominal haemorrhage caused by injuries to her right common iliac artery and vein sustained during laparoscopic salpingectomy at Wagga Wagga Base Hospital. The surgical procedure resulted in vascular injury leading …

gynaecologyprocedural
SAhospital2010-12-30

Coroner's Finding: D'AGOSTINO Antonia

59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…

A 59-year-old woman died from sepsis due to faecal peritonitis following a bowel perforation during laparoscopic oophorectomy for a benign ovarian cyst. The perforation was repaired during the initial surgery, but th…

gynaecologygeneral surgerydiagnosticdelaypethidine
VIChospital2012-12-14

Finding into death of Jeanette Brown

66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…

…s Jeanette Brown, 66, died from multi-organ failure following post-operative haemorrhage after elective laparoscopic cholecystectomy. Arterial clips applied to the cystic artery during surgery were inadequately secured u…

general surgeryanaesthesiaproceduralcommunicationamlodipine
QLDhospital2007-08-10

Tang, Shannon Sheng Wen

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

…pore 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-operatively from multi-organ failure d…

bariatric surgerygeneral surgerycommunicationdiagnosticvancomycin
VIChospital2024-10-29

Finding into death of Shane Hughes

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

… 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 ligation is safe…

urologysurgeryproceduraldiagnosticmetaraminol
NThospital2004-01-16

Inquest into the death of Souzana Afianos

41y · Female·secondary haemorrhage following gastric banding surgery

A 41-year-old enrolled nurse died from secondary haemorrhage eight days after laparoscopic gastric banding surgery in Darwin. She attended ED on 18 February with post-operative pain; Dr McNair d…

general surgeryemergency medicinecommunicationsystemparacetamol/codeine
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 sur…

general surgeryanaesthesiadiagnosticproceduralapixaban
WAhome2017-02-17

Inquest into the Death of Christine Pearl STRONER

69y · Female·unascertained

Christine Pearl Stroner, 69, died of an unascertained cause on the evening of discharge following laparoscopic cholecystectomy and hiatus hernia repair at Fremantle Hospital. She was observed at 2pm with tachycardi…

general surgerycardiologydocumentationcommunicationoxycodone
VIC2014-07-11

Finding into death of Paul Kolembus

32y · Male·Complications of acute pancreatitis

… pancreatitis at a palliative care facility. He had two unsuccessful attempts at surgical intervention (laparoscopic cholecystectomy and ERCP) in October 2012 due to anatomical complications related to his physical defor…

general practicesurgery
QLDhospital2012-09-06

Parry, Nerida Ann

63y · Female·bile peritonitis as a complication from a laparoscopic cholecystectomy

A 63-year-old woman died from bile peritonitis following laparoscopic cholecystectomy. The surgeon's intraoperative management was appropriate with no identified injuries. H…

general surgeryanaesthesiadiagnosticcommunication
WAhospital2013-05-01

Inquest into the Death of Squires, John Gregory

47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis

A 47-year-old man from Carnarvon underwent elective laparoscopic cholecystectomy at Geraldton Regional Hospital on 31 August 2009 after a 5-hour coach journey that morn…

surgeryanaesthesiadiagnosticdelayheparin
VIChospital2021-01-29

Finding into death of Robert Gerard Dimattina

58y · Male·Aspiration pneumonia complicating small bowel obstruction in the setting of rece…

…ear-old man died from aspiration pneumonia complicating small bowel obstruction six days after elective laparoscopic subtotal colectomy for colorectal cancer. On post-operative day 6, he developed fever, tachycardia, and…

colorectal surgeryintensive care
VIChospital2016-09-15

Finding into death of Bernas Hasibuan

50y · Male·gastrointestinal haemorrhage; haemorrhage from cystic artery post laparoscopic c…

…man died from gastrointestinal haemorrhage involving both a cystic artery and duodenal defect following laparoscopic cholecystectomy. Over five days post-surgery, he developed repeated episodes of hypotension, declining …

general surgeryintensive carediagnosticcommunication
TAShospital2021-08-20

Coroner's Finding: LA

67y · Male·acute gastrointestinal haemorrhage complicating peptic ulcer of the duodenum wit…

… gastrointestinal haemorrhage from a duodenal ulcer following complex post-operative complications from laparoscopic Hartmann's procedure for diverticulitis. Key clinical lessons: (1) Early persistent elevation of C-reac…

general surgeryintensive carediagnosticmedicationrabeprazole
VIChospital2022-02-28

Finding into death of H YR

77y · Female·Haemoperitoneum following cholecystectomy

A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epigastric artery was a recognised surgical complicati…

general surgeryintensive carediagnosticdelaywarfarin
VIChospital2021-07-20

Finding into death of Barry Brown

56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy

Barry Brown, a 56-year-old man, died from internal bleeding after laparoscopic cholecystectomy due to critical systemic failures in post-operative care and diagnosis. Following hypot…

general surgeryintensive carediagnosticcommunicationnoradrenaline
WAhospital2021-03-26

Inquest into the Death of Cyril CHURCHILL

68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…

Cyril Churchill, a 68-year-old man with multiple comorbidities, died from surgical complications after laparoscopic cholecystectomy for acute cholecystitis. Postoperatively, he developed profound hypotension. The treati…

general surgeryanaesthesiadiagnosticcommunication
WAhospital- 27 May 2014

Inquest into the Death of Brian John DAVIES

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

…an with multiple comorbidities (obesity, diabetes, hypertension, COAD, sleep apnoea) underwent elective laparoscopic cholecystectomy at a regional hospital. The procedure was converted to open due to dense adhesions and …

surgeryanaesthesiasystemdelaymorphine

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