Coronial

56 results for emergency open surgery

SAhospital2016-09-29

Coroner's Finding: MCSHANE Robert Ian

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

…el following laparoscopic left nephrectomy complicated by massive haemorrhage and vascular injury. During surgery for renal carcinoma, the surgeon attempted to control bleeding from an unidentified vessel using a laparo…

urologyvascular surgeryproceduralsurgical judgment
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
TAShospital2022-11-30

Coroner's Finding: Hughes, Ellis Newton

83y · Male·aspiration pneumonia

…er with metastatic prostate cancer, sustained a femoral fracture in a fall on 5 February 2020. He underwent open reduction and internal fixation on 10 February 2020 at Royal Hobart Hospital. Post-operatively he developed…

orthopaedic surgeryemergency medicine
VICcommunity2017-06-29

Finding into death of M S

Male·Gunshot injury to the pelvis

…in the pelvis on a street in Hadfield, Victoria in late July 2010. He was brought to Northern Hospital's Emergency Department where emergency resuscitation and surgery were performed to repair damage to his right iliac …

methamphetamine
VIChospital2023-07-06

Finding into death of Michael Alan Holmes

34y · Male·effects of burns

Michael Holmes, 34, died from severe burns sustained when he re-entered a burning house attempting to rescue his son. The fire originated from clothes and towels left drying on a rack in front of an unattended wood heate…

emergency medicinetrauma surgerysystemfentanyl
VIChospital2019-01-24

Finding into death of Bryan Lindsay Cleeman

86y · Male·Complications post laparoscopic cholecystectomy

…015, 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 patient with un…

general surgeryanaesthesiadelayasasantin
VIChospital2023

Finding into death of Bailey James Blackwell

17y · Male·head injury in a fall from a height

…a fall from approximately 20 metres at Big Hill near Stawell. While attempting to jump between ledges on an open cliff face, the ground crumbled beneath his grip, causing him to fall and strike his head. He sustained a s…

trauma surgeryneurosurgery
WAhospital

Inquest into the Death of Robert Paul RODDA

62y · Male·Multi-organ failure following surgical repair of ruptured abdominal aortic aneur…

…rtic aneurysm (AAA), presented with chest pain in September 2015. Imaging revealed his AAA had ruptured. Emergency open repair was performed, during which prolonged aortic clamping caused acute renal failure requiring p…

vascular surgerycardiology
SAhospital2011-08-05

Coroner's Finding: LEONARD Emily Ruth and HILLMAN Glenys Anne

Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…

Two elderly women died following vaginal prolapse surgery performed by the same surgeon, Dr O., with similar mechanisms: bowel perforation leading to peritonitis a…

gynaecologyintensive carediagnosticproceduralheparin
VIC2009-11-25

Finding into death of Phillip Anthony Cullen

49y · Male·effects of fire (70% body surface area full and partial thickness burns)

…equiring fireplace guards in public venues. Key lessons: alcohol significantly impairs protective reflexes; open fireplaces in public venues require fixed or locked guards to prevent accidental contact; venue design shou…

emergency medicineintensive caresystemalcohol
VIChospital2025-10-15

Finding into death of Gary William Bruce

71y · Male·Complications following a right hepatic artery injury following an open cholecys…

A 71-year-old man with myelofibrosis and prior abdominal surgery died from complications of a right hepatic artery injury during open cholecystectomy for acute cholecysti…

general surgeryanaesthesiacommunicationsystem
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
VIChospital2022-02-28

Finding into death of H YR

77y · Female·Haemoperitoneum following cholecystectomy

…uld have survived with earlier diagnosis and aggressive resuscitation, though angioembolisation rather than open laparotomy was performed.

general surgeryintensive carediagnosticdelaywarfarin
NSWhospital2023-03-09

Inquest into the death of William Edmunds

79y · Male·complications of peritonitis

A 79-year-old man with multiple comorbidities presented with a perforated bowel requiring emergency Hartmann's procedure. The operating surgeon, Dr L.-Ming Schmidt, made a catastrophic surgical error by e…

general surgeryintensive careproceduraldiagnosticmorphine
NTcommunity2006-05-04

Inquest into the death of Cynthia Diane Ching

29y · Female·multiple organ failure following persistent sepsis occurring as a complication o…

…copter pilots at Kings Creek Station. The lantern, filled with sand and Avgas, was being refuelled using an open glass jar when fuel vapors ignited near a naked flame. She died 42 days later at Royal Adelaide Hospital fr…

plastic and reconstructive surgeryintensive careproceduralsystemmorphine
SAhospital2012-06-25

Coroner's Finding: POLKLASER Irmgard Giesela

76y · Female·Aspiration pneumonia complicating surgery for pelvic and spinal fractures on a b…

A 76-year-old woman died from aspiration pneumonia following surgery for pelvic and spinal fractures sustained in a fall on a shopping centre travelator. She fell when her hu…

orthopaedic surgerytrauma surgerysystemdelay
VIChospital2012-04-05

Finding into death of Abdullah Kocoglu

4y · Male·Complications of cutaneous thermal burn injuries

…. The fire was ignited when Abdullah played with matches found in the home, setting fire to furniture in an open garage containing stored household goods. Despite expert medical management including emergency escharatomi…

plastic and reconstructive surgeryintensive caresystemdelay
VIChospital2025-10-28

Finding into death of Kenneth James Anderson

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

…l disability and multiple comorbidities including diabetes, pancreatitis, and gallstones, died following emergency cholecystectomy for acute cholecystitis with Mirizzi's syndrome. Intraoperative complications included m…

general surgeryintensive careantibiotics
WAhospital2001-04-12

Inquest into the Death of Margaret Patton Brooks

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

…nting 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. The coroner …

general surgeryanaesthesiaprocedural
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

…rial. Despite being a documented high absconding risk, he was transferred from the secure closed ward to an open ward to accommodate more acute patients. Within hours, after receiving PRN medication for agitation, he abs…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol

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