INDEPENDENT: French doctors on trial for series of blunders in cosmetic surgery

Ilena Rose · medicine forum Guru Joined: 05 May 2005 Posts: 813

http://news.independent.co.uk/europe/story.jsp?story=647375

French doctors on trial for series of blunders in cosmetic surgery
By John Lichfield in Paris
17 June 2005

Danger: Beauty can be bad for your health. Two French doctors have
been on trial in Bordeaux this week, accused of negligence in cosmetic
operations which went wrong.

In one case, a specialist cosmetic surgeon is accused in a civil
action of pressing ahead with a liposuction and stomach-reduction
operation despite unacceptably high risks. His patient, a 55-year-old
woman, died two days later.

In the second case, a 53-year-old woman is suing a non-specialist
doctor after she developed a serious infection from a fat-reduction
operation on her legs.

The two cases have drawn attention to a boom in cosmetic surgery in
France. The country invented liposuction and has led the way in other
forms of body-altering surgery. In some cases, including the fatal
case in Bordeaux, cosmetic surgery is paid for by the French health
service.

Christine Maze, the lawyer conducting both cases in Bordeaux, said:
"These are unacceptable tragedies in comfort operations which had no
medical necessity."

In the first case - dating back to 1997 - a criminal action has
already been brought against the doctor, Denis Delonca, and thrown
out. His patient, Bernadette Méline, who had five children, was
cremated without an autopsy. The criminal investigators could not
establish a definite link between her death and the operation two days
before.

Her family has brought a civil action, arguing that the doctor - and
an anaesthetist and heart specialist consulted in the case - took
unnecessarily high risks in allowing an obese woman with high blood
pressure to have an operation for no pressing medical reason.

Dr Delonca's lawyers say the operation was approved, and paid for, by
the Sécurité Sociale, so that proves it was medically justified. Mme
Méline was 5ft 5in tall and weighed 203lbs at the time of the
operation, a liposuction and a lipectomy to reduce the fat on her
waist and hips. She had gone to the doctor a year earlier, complaining
that her body was "disgusting". He insisted she must lose at least
25lbs before he could operate.

Her family says that Dr Delonca did not sufficiently warn her of the
risks involved. These were first brought to her attention by the
anaesthetist, eight days before she went into surgery.

In the second case, dating from 2001, Clotilde Besse contracted a
serious infection which put her in hospital for six weeks. She had
been given a liposuction operation on her legs by a non-specialist
doctor, a Dr Claverie.

The infection was blamed on her not having a shower before the
operation. The doctor says he was not made aware of that. Her lawyers
- and the clinic - say he specifically requested that she should skip
the shower to preserve the marks he had made on her legs to guide his
work during the operation.

The Tribunal de Grande Instance de Bordeaux reserved its judgment on
both cases until October.

The decision to hear both cases in the same court on the same day has
caused questions to be asked about the boom in cosmetic surgery in
France. The newspaper, Libération, headed its report "cosmetic surgery
on trial".

Although no official figures are available, the cosmetic surgery
industry estimates there were up to 200,000 operations last year,
probably double the number of a decade ago. Breast enlargement
operations are said to be running at 18,000 a year, twice as many as
five years ago.

One in five of all cosmetic operations in France, 40,000 a year, are
liposuctions, a procedure for sucking fat from beneath the skin
pioneered in France in 1980.

The latest boom is cosmetic surgery for men, especially face-lifts and
operations on the eyebrows to turn back the years.

Cosmetic surgery cannot normally be charged to the health service,
except if the doctor signs a certificate saying it is medically
necessary. In the case of Mme Méline, the health service accepted that
the reduction of her weight might improve her overall health and cut
its future bills.

An investigation by the newspaper, Le Canard Enchainé, two years ago
discovered that the health service was spending €1bn (£664m) a year on
cosmetic surgery. These were said to include nose operations which
were passed off as "straightening" of the nasal passages.

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