Court Finds Treating Abdominal Adhesions With Multiple Procedures Complies With General Surgery Standards

ByWendy Ketner, M.D.

|

Updated onFebruary 6, 2020

Court Finds Treating Abdominal Adhesions With Multiple Procedures Complies With General Surgery Standards

Court: Common Pleas Court of Dauphin County, PennsylvaniaJurisdiction: FederalCase Name: Taylor v. DeLeoCitation: 2015 Pa. Dist. & Cnty. Dec. LEXIS 20

Facts

This case involves a plaintiff who underwent multiple laparoscopic surgeries to treat adhesions in her abdomen. The plaintiff filed a medical malpractice suit alleging that the defendant surgeon’s negligence in performing too many surgeries caused her chronic abdominal pain. The defendant retained a general surgery expert to support his case that performing multiple surgeries on the plaintiff was within the standards of care. The plaintiff filed this post-trial motion claiming that the trial court had erred in admitting testimony from the defendant’s general surgery expert.

The General Surgery Expert Witness

The defendant’s general surgery expert was board-certified in colon and rectal surgery. For 30+ years, the expert served as a colon and rectal surgeon at Cooper University Hospital as well as Head of the Division of Colorectal Surgery. The general surgery expert also worked as a faculty facilitator at the Cooper Medical School of Rowan University teaching medical students.

Over the course of his career, the expert witness served on numerous industry committees and authored peer reviewed publications in general surgery. The expert also received various awards and honors at the city, state, and national levels.

The defendant’s expert in general surgery testified that the defendant had not deviated from the standard of care regarding her treatment of the plaintiff. He concluded that it was not unreasonable for the defendant to perform a lysis of adhesions on the plaintiff, even though she had done several such surgeries in the past. It was noted that following the earlier surgeries, the plaintiff experienced relief from her symptoms and did not suffer significant postoperative complications. The general surgery expert testified that there was no medical literature indicating that performing lysis of adhesions to treat chronic abdominal pain is against the standard of care.

The general surgery expert admitted that none of the articles he depended on to form his opinion promoted the utilization of multiple laparoscopic surgeries to lyse adhesions. However, none of the articles explicitly discouraged a doctor from performing more than one laparoscopic surgery. He admitted that even though he knew this practice is common in other clinics, he did not know a single person who had done more than 2-3 laparoscopic surgeries to lyse adhesions. The general surgery expert witness used multiple peer-reviewed scholarly studies and articles to support his views.

Discussion

The court noted that the general surgery expert cited several scholarly articles in his supplemental reports supporting his opinion that performing multiple laparoscopic surgeries to lyse adhesions is within the standards of care. The validity of the argument and reliability of his sources only affected the weight of his testimony, not its admissibility. Thus, the court found no issues with the trial court’s admittance of the general surgery expert witness’s testimony.

Held

The plaintiff’s motion to preclude the testimony of the defendant’s general surgery expert witness was denied.

About the author

Wendy Ketner, M.D.

Wendy Ketner, M.D.

Dr. Wendy Ketner is a distinguished medical professional with a comprehensive background in surgery and medical research. Currently serving as the Senior Vice President of Medical Affairs at the Expert Institute, she plays a pivotal role in overseeing the organization's most important client relationships. Dr. Ketner's extensive surgical training was completed at Mount Sinai Beth Israel, where she gained hands-on experience in various general surgery procedures, including hernia repairs, cholecystectomies, appendectomies, mastectomies for breast cancer, breast reconstruction, surgical oncology, vascular surgery, and colorectal surgery. She also provided care in the surgical intensive care unit.

Her research interests have focused on post-mastectomy reconstruction and the surgical treatment of gastric cancer, including co-authoring a textbook chapter on the subject. Additionally, she has contributed to research on the percutaneous delivery of stem cells following myocardial infarction.

Dr. Ketner's educational background includes a Bachelor's degree from Yale University in Latin American Studies and a Doctor of Medicine (M.D.) from SUNY Downstate College of Medicine. Moreover, she is a member of the Board of Advisors for Opollo Technologies, a fintech healthcare AI company, contributing her medical expertise to enhance healthcare technology solutions. Her role at Expert Institute involves leveraging her medical knowledge to provide insights into legal cases, underscoring her unique blend of medical and legal acumen.

Find an expert witness near you

What State is your case in?

What party are you representing?

background image

Subscribe to our newsletter

Join our newsletter to stay up to date on legal news, insights and product updates from Expert Institute.