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TELANGANA STATE CONSUMER DISPUTES REDRESSAL COMMISSION: HYDERABAD
Meena Ramanathan, In-Charge President and V.V. Seshubabu, Member Judicial
Thumu Latha – Appellant
versus
Prathima Institute of Medical Sciences and Ors. – Respondents
F.A.No.365 of 2019
Decided on 23.7.2024

Advocates:
Counsel for the Parties:
For the Appellant: M/s. D. Mahesh Kumar and M/s. A. Naveen Kumar
For the Respondent No.1 and 3: M/s. V. Gourisankara Rao
For the Respondent No.2: Notice served

IMPORTANT POINTS
Procedure – It is always necessary for the Urologist to check the endoscopic equipment at the end of the procedure.
Foreign bodies – it is admitted that it broke and complete removal is imperative, as foreign bodies calcify and obstruct the urinary tract.
A broken guide wire can lead to many complications and can be rebellious to antibiotic treatment. It is always necessary for the Urologist to check the endoscopic equipment at the end of the procedure.


Headnote:

Consumer Protection Act, 1986 – Section 15 [Consumer Protection Act, 2019 – Section 41] – Appeal – Services – Medical Negligence – Leaving of Foreign Substances – In the instant case, after the PCNL procedure was done, investigation revealed that small remnant/thread/guide wire outside the pelvis. In the PCNL procedure the guide wires are indispensable in Urology and fragmentation is there. However, in this case, it is admitted that it broke and complete removal is imperative, as foreign bodies calcify and obstruct the urinary tract – A broken guide wire can lead to many complications and can be rebellious to antibiotic treatment. It is always necessary for the Urologist to check the endoscopic equipment at the end of the procedure – Broken guide wires and laser fibres can cause problems for the patient and the surgeon/urologist must be aware of that – The Appellant/Complainant filed documents through receive documents petition vide FAIA.No.1039/2024 and perusal of these exhibits reveal that she consulted Dr. M and underwent treatment for h/o retained guide wire fragment and spent a considerable amount towards the emergency admission – This has happened subsequent to filing of appeal evidencing the fact that she is still suffering from the problem. Depending upon the circumstances, the subsequent developments and documents are essential to consider to arrive at the just compensation, hence Ex.A31 to A34 are marked on behalf of the Appellant/Complainant – Compensation Enhanced – Appeal disposed off. [Para 10 to 34].

Result: Appeal allowed.

ORDER

Meena Ramanathan, In-Charge President.—This appeal is filed by the Appellant/Complainant under Section 15 of Consumer Protection Act, 1986 against the order passed in CC.No.113 of 2008 dated 26.04.2019 on the file of District Consumer Commission, Karimnagar.

2. For the sake of convenience, the parties are referred to as arrayed in the complaint.

3. The brief facts of the complaint are that – the Complainant Smt.Thumu Latha, aged 38 years was suffering from back ache and approached NIMS, Hyderabad on 26.07.2006. After undergoing all the necessary tests, it was diagnosed as Renal Calculi Lt. PCNL to be done. However, she was instructed to return after 15 days but her pain was unbearable, therefore, she approached Opposite Party No.1 hospital on 24.08.2006. Operation was conducted on 26.08.2006 but despite undergoing the surgery, her pain and suffering continued and an X-Ray was conducted on 02.09.2006 which revealed a foreign body in her left kidney.

4. It is her case that during the course of the operation, Opposite Party No.2 and 3 have conducted the surgery negligently and her suffering and pain has been immense. She approached other doctors and underwent CT Scan of abdomen which revealed a foreign body in the left kidney. She was advised to undergo another operation to remove the foreign body, but she is not in a financial position to undergo the surgery. The present complaint is filed against the negligence of the Opposite Parties in discharging their duty and seeking recompense for her continuous pain and suffering due to which she has also had to suffer business related loss.

5. The Opposite Party No.1 hospital filed their written version denying the averments made by the Complainant. Admittedly, the Complainant underwent the procedure on 26.08.2006 and Dr.Nanda Kumar-Opposite Party No.2 performed the procedure. The usual period for discharge in respect of PCNL operation is between 5 to 10 days, depending on the patient’s constitution. In the present case, the Complainant was discharged on the 7th day excluding the day of operation.

6. The patient was discharged on 02.09.2006 and during the period the dressing was changed from time to time. Any surgery which results in an incision will take time to heal and in the instant case, namely PCNL, a tube is inserted into the renal pelvis through the calyx and the tube is removed a few days after the operation. If there is any foreign particle in the body, there will be an immediate infection/ abscess warranting surgery.

7. The probe or guide wire used is made of a material which is non-reactionary and it is impossible to perform PCNL without the guide wire. What was informed to the patient/Complainant was that the particle remained in the body while removing the guide wire was harmless and compatible to the human body and that there is no danger or harm indicated. The small particle that accidentally stuck in the tissue of the kidney area is a small part of the guide wire which is made of insert or bio-compatible material and is therefore of no consequence. As mentioned supra, there is no necessity for removal of foreign body as alleged and hence there is no cause for complaint. Therefore, they pray to dismiss the complaint in limini.

8. The Opposite Party No.2 filed written version denying the averments made in the complaint. Admittedly, the Complainant underwent surgery for removal of kidney stone which was ensconced at the central renal area and the same was successfully removed. After surgery the usual post-operative care was taken and the patient was discharged after removal of sutures on healing of surgical incision. The Complainant appears to be under the impression that there would be no pain during and post operation. This 2nd Opposite Party honestly informed the Complainant about the retained particle in the kidney and from his extensive knowledge as an Urologist, assured the Complainant that the particle is harmless and the same is a statement of fact.

9. The Co

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