How likely is death?

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QuoteYes, LL patients die in all countries, even if you don't want to believe it. LL is a dangerous surgery. However, no patient of Dr. Monegal has died in february. You're referring to a patient of another doctor, and that's unfair.

So apparently this surgery can be fatal, obviously this is very worrying and yet something that we rarely speak of. So I'd like to make this thread the forum for our death discussions

-How likely is it?

-Are you aware of a patient who has died?

-How can the risks be minimized?

-Is the surgery worth risking our lifes over?

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Quote from: musicmaker on April 20, 2015, 10:58:21 PMYes, of course. This surgery can be fatal, but it's very rare.
Here you've my answers:
1) very, very rare (sorry, but I don't know the exact percentage)
2) yes, I'm aware of some people who have died
3) choose a good surgeon who operates in a good clinic and follows careful protocols
4) it depends on your personal case

Could you tell us a bit more about the deaths, was there anything foreboding it or did it come out of the blue?

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Quote from: Dr Monegal on April 20, 2015, 11:39:04 PMThanks guys for starting That thread as this is a very important Point,

I have warned patients about life risk condition due to fat embolism syndrome when performing bilaterals. Some users Just replied and misscredited my arguments.
I have never had such a terrible experience myself, But this can happen to The most experienced, respected and skiLL Forumull doctors in LL.

In some cases like in Achondroplasya there migth be other health issues but short stature such as heart malformation that can end up in heart failure during anaesthetic induction.

You can probably find in the literature some statistics of such unlikely complications.
We always discuss at meetings that we must stay safe But There are some factors we cannot control. So It is better to prevent this as much as we can.

To prevent FES i normally perform drilling of the osteotomy line prior to the canal reaming to reduce intramedullary preasure and to create some escape of the fat drops out of the canal. I Also Try to ream as smoothly as I can.
One of the points that created more controversy in my thread..most of US do not  recommend bilateral Femur as reaming of both bones at the same time may be risky. So I do recommend 2-stage and patients normally can deal with it quite easily.

I hope that infO is helpfull to you guys

Yes, it is thank you and, I must say, it's always good to have a professional on the forum.

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Quote from: Metanoia on June 13, 2015, 11:34:49 AMHow would you find out about it?

It would be in the papers, there is a scandal going on in Stockholm right now about a malpracticing surgeon.

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Quote from: Metanoia on June 13, 2015, 11:57:57 PMThat's the exception. Normally when people die it's not in the papers. And doctors protect each other.Didn't you know that? There are many malpracticing surgeons but only few scandals.

Well then investigate your doctor thouroughly, is anyone aware of any of Guichet's paients that have suffered death?

His website claims there are none, and I am inclined to believe.