[Abstract] [Full Text HTML] [Full Text PDF] (in Japanese / 233KB) [Members Only]

J.Jpn. Surg. Soc.. 115(5): 262-265, 2014

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Division of Cardiovascular Surgery, Department of Surgery, Keio University, Tokyo, Japan

Hideyuki Shimizu

Obtaining informed consent from patients and their families before surgery, particularly for aortic pathology, is a necessary, and very important, step. This is because, although the risk of death from asymptomatic disease is underestimated in many cases, surgery for aortic pathology is generally associated with higher risks of mortality and morbidity than that in other fields. The importance of informed consent is the same in principle even in emergency cases. The surgeon must faithfully provide accurate medical information to the patient and family members, including a summary of the patient's condition, the purposes and necessity of treatment, alternatives, details of the procedure, risks, and possible postoperative complications. Extra consideration should be given to offering explanations at a level appropriate for the individual patient, according to factors such as age-group, philosophy, and comprehension ability, to ensure that patients fully understand and are in a position to make a decision of their own volition. The process of giving information and obtaining informed consent offers a prime opportunity to build a strong surgeon-patient relationship.

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