510 cases of surgical lymph node biopsies during a five year periode are reviewed with the following conclusionsthe lymph node biopsy constitues 5% of all the surgical biopsies, the cervical and axillary lymph nodes are the most commonly biopsicd nodes due to their easy accessibility and due to the fact that they drain the lymph from many vital organs: the next most commonly biopsied nodes are ...

lymph node dissection is of prime importance for accurate staging of colorectal carcinomas. since a great number of small lymph nodes are missed in the traditional method, several fat clearing solutions have been introduced for easier detection of smaller lymph nodes. in this study we evaluated the efficacy of a new fat clearing solution so-called lymph node revealing solution (lnrs) in colecto...

The practice of “procedural disclosure” involves clinicians providing a description of the sensations that they assume patients are likely to experience during a procedure. The presumed rationale is threefold: as a corollary of the principle of informed consent; as part of truth telling in the clinician-patient relationship that fosters trust; and to help patients cope with procedures. But this...

The American physician is today besieged by economic and societal forces which conspire to weaken whatever equanimity he or she could once bring to the practice of medicine. In the latter realm, the threat of malpractice actions is ever-present. In this regard, negligence has long been the theory whereupon plaintiffs' attorneys seek to recover damages for patients' misfortunes in the medical sy...

Continues overleaf ➤ Patient safety is the prevention of avoidable errors and the harm they cause to patients; it is the foundation of good patient care. Achieving safety in patient care is part of achieving quality patient care. When we think about patient safety, we normally think about the physical safety of the patient in terms things like prevention of cross-infection and safe site surgery...

Is it ethical for medicine to use patients as learning tools for medical students if these patients have not been given a chance to provide truly informed consent? Dr. Caroline Shooner raises this question in the following article, which claimed second prize in CMAJ's 1996 Logie Medical Ethics Essay Contest. She considers the case of a patient whose trust was shaken when a medical student perfo...

Four theoretical ethical perspectives on professional-patient relationships-autonomy, justice, virtue ethics, and the ethic of care-are surveyed, and some of their implications for the informed consent requirement in health care are sketched out. The practical issues of competence to consent, adequate information, and voluntariness are reviewed, and examples are given of the ways in which the t...

Four theoretical ethical perspectives on professional-patient relationships—autonomy, justice, virtue ethics, and the ethic of care—are surveyed, and some of their implications for the informed consent requirement in health care are sketched out. The practical issues of competence to consent, adequate information, and voluntariness are reviewed, and examples are given of the ways in which the t...

Physicians and other professionals in the field of medicine have to perform invasive and non-invasive procedures on patients as part of their duties. There is a legal basis upon which these procedures are done; this is called 'informed consent.' Sociocultural factors have strong influence on the sick role. These factors influence the application of informed consent in Nigeria.

Kihlbom has recently argued that a system of seeking negatively informed consent might be preferable in some cases to the ubiquitous informed consent model. Although this theory is perhaps not powerful enough to supplant informed consent in most settings, it lends strength to Evans' and Hungin's proposal that it can be ethical to prescribe placebos rather than "active" drugs. This paper present...