From the Operating Room to the Courtroom: Wrong-Site Surgery

Yıl 2025, Cilt: 8 Sayı: 4, 413 - 416, 31.12.2025

Zafer Liman , Abdülkadir İzci , Uğur Kayhan

https://doi.org/10.36516/jocass.1795640

Öz

Introduction: Wrong-site surgery (WSS) is considered a “never event” and represents a serious and fully preventable patient safety issue. Despite international protocols, these incidents continue to occur, leading to significant clinical, legal, and social consequences. This study aimed to analyze wrong-site surgery cases reported in Supreme Court decisions and the media in Türkiye, identifying their characteristics and legal implications from a forensic medicine perspective.
Material Methods: A retrospective review was conducted using the legal database lexpera.com.tr and Google News search engine. Keywords such as “wrong-side surgery” and equivalent Turkish terms were used to identify cases between 2010 and 2025. A total of 22 cases meeting inclusion criteria were analyzed. Descriptive statistics were performed using SPSS v21.0.
Results: Among the 22 cases, 45.5% involved orthopedic surgery, followed by ophthalmology and general surgery (each 13.6%). The most common surgical sites were lower (31.8%) and upper extremities (22.7%). Wrong-site surgery was most frequently reported in public hospitals (45.5%), followed by university/research hospitals (31.8%). Legal analysis revealed that several decisions initially favoring physicians at local courts were overturned in Supreme Courts, mostly in favor of patients, indicating significant medico-legal risk.
Conclusion: WSS remains a critical patient safety issue in Türkiye, particularly in orthopedic and high-volume surgical settings. Findings suggest that existing protocols alone are insufficient; effective implementation, regular audits, mandatory time-out compliance, and strengthening safety culture through structured training programs are essential for prevention.

Anahtar Kelimeler

Wrong-Site Surgery , Patient Safety , Surgical Safety Checklist , Medico-Legal Analysis

Etik Beyan

The study was initiated following the approval of the Afyonkarahisar Health Science University Non-Interventional Clinical Research Ethics Committee, dated 05 September 2025 and numbered 2025/11. All procedures were conducted in accordance with the principles of the Declaration of Helsinki.

Destekleyen Kurum

Not applicable

Teşekkür

Not applicable

Ameliyathaneden Mahkeme Salonuna: Yanlış Taraf Cerrahisi

Öz

Giriş: Türkiye’de yanlış taraf cerrahisi olgularının yüksek yargı kararları ve basına yansıyan haberler üzerinden analiz edilmesi ve hasta güvenliği ile hukuki boyutlarının ortaya konulmasıdır.
Gereç ve Yöntem: 2010-2025 yıllarını kapsayan taramada lexpera.com.tr ve news.google.com kullanılarak toplam 22 olgu incelendi. Tanımlayıcı istatistikler SPSS v21.0 ile analiz edildi.
Bulgular: Olguların %45,5’i ortopediye ait olup, alt ekstremite (%31,8) ve üst ekstremite (%22,7) en sık etkilenen bölgelerdi. Yanlış taraf cerrahisi en fazla kamu hastanelerinde görüldü (%45,5). Üst mahkemelerce hekim lehine yerel kararların hasta lehine bozulması dikkati çekti.
Sonuç: Yanlış taraf cerrahisi önlenebilir bir hasta güvenliği sorunu olmasına rağmen ciddi klinik ve hukuki riskler barındırmaktadır. Protokollerin yanı sıra etkin uygulama, düzenli denetim, zorunlu eğitimler ve güvenlik kültürünün güçlendirilmesi önerilmektedir.

Anahtar Kelimeler

Yanlış Taraf Cerrahisi , Hasta Güvenliği , Cerrrahi Güvenlik Protokolü , Tıbbi Uygulama Hatası

Etik Beyan

Çalışma, Afyonkarahisar Sağlık Bilimleri Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu'nun 05 Eylül 2025 tarih ve 2025/11 sayılı onayının ardından başlatıldı. Tüm işlemler Helsinki Deklarasyonu ilkelerine uygun olarak yürütüldü.

Destekleyen Kurum

-

Teşekkür

-

Kaynakça

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