[Surgical procedures involved in claims for alleged defects in praxis]. / Procedimientos quirúrgicos objeto de reclamación por presunto defecto de praxis.

Medical professional liability and adverse events in health care are major concerns worldwide and the analysis of claims for alleged defects in praxis is a potential source of knowledge. High rates of adverse events and complaints have been reported in surgical procedures. This article analyzes the claims registered by the Council of Medical Colleges in Catalonia between 1986 and 2012, and explores surgical procedures claimed (ICD- 9-CM coding), as well as the final outcome of the claim. Among the 5,419 records identified on surgical procedures, the interventions of the musculoskeletal system and skin and integument showed the highest frequencies. Interventions related to "non-curative" medicine should be emphasized because of their higher rates of economical agreement or condemnation outcomes, which were significantly higher for mastopexia. The results underscore the importance of the surgical area in medical professional liability and the high risk of payouts among those procedures belonging to the so-called "non-curative" medicine.

Procedimientos quirúrgicos objeto de reclamación por presunto defecto de praxis / Surgical procedures involved in claims for alleged defects in praxis

La responsabilidad profesional médica y los episodios adversos en la asistencia sanitaria son preocupaciones de primer orden en el ámbito internacional y el análisis de las reclamaciones por presunto defecto de praxis supone una potencial fuente de conocimiento. Se han descrito tasas específicamente elevadas de episodios adversos y reclamaciones en los procedimientos quirúrgicos. El presente artículo analiza las reclamaciones interpuestas ante el Consejo de Colegios de Médicos de Cataluña entre los años 1986 y 2012, mediante la exploración de los procedimientos quirúrgicos reclamados mediante codificación CIE-9-MC, así como el resultado final de la reclamación. Entre los 5.419 expedientes identificados sobre procedimientos quirúrgicos destacaron, por su elevada frecuencia, las intervenciones del sistema musculoesquelético y de piel y tegumentos. Las intervenciones correspondientes a la medicina «no curativa» destacaron por sus elevadas tasas de procedimientos que finalizaron mediante acuerdo transaccional o condena, que resultó significativamente mayor para las mastopexias. Los resultados obtenidos subrayan la importancia del área quirúrgica en responsabilidad profesional médica y el riesgo elevado de condena de los procedimientos pertenecientes a la denominada «medicina satisfactiva o no curativa» (AU)

Medical professional liability and adverse events in health care are major concerns worldwide and the analysis of claims for alleged defects in praxis is a potential source of knowledge. High rates of adverse events and complaints have been reported in surgical procedures. This article analyzes the claims registered by the Council of Medical Colleges in Catalonia between 1986 and 2012, and explores surgical procedures claimed (ICD- 9-CM coding), as well as the final outcome of the claim. Among the 5,419 records identified on surgical procedures, the interventions of the musculoskeletal system and skin and integument showed the highest frequencies. Interventions related to «non-curative» medicine should be emphasized because of their higher rates of economical agreement or condemnation outcomes, which were significantly higher for mastopexia. The results underscore the importance of the surgical area in medical professional liability and the high risk of payouts among those procedures belonging to the so-called «non-curative» medicine (AU)

[Hopf's acrokeratosis verruciformis. Communication of a non-familial case]. / Acroqueratosis verruciforme de Hopf. Comunicación de un caso no familiar.

A 46-years-old man with non familial acrokeratosis verruciformis of Hopf is described. We comment on the clinical and histopathological features of this rare dermatosis and the unsuccessful therapy with etretinate.

[Actinic granuloma]. / Granuloma actínico.

We report a case of starting actinic granuloma. A revision about the subject is realized emphasizing the importance of histopathologic findings in starting lesions.

Masson's pseudoangiosarcoma of the tongue: report of two cases.

Two cases of Masson's vegetant intravascular hemangioendothelioma localized on the tongue are reported. This lesion has sometimes been confused histologically with angiosarcoma but always behaves in a benign fashion.

[Generalized Mibelli's porokeratosis in transformation to spinocellular carcinoma. Clinical, histologic and ultrastructural study. Favorable response to RO-109359]. / Poroqueratosis de Mibelli generalizada en transformación a carcinoma espinocelular. Estudio clínico, histológico y ultraestructural. Respuesta favorable a RO-109359.

Two cases of Disseminated Poroqueratosis of Mibelli with squamous cell carcinomata development of many lesions are reported. Histopathological findings showed us the typical structure of the cornoid limella. Ultrastructural features are described with increased number of Langerhans" cells. Treatment in both cases was RO-109359. Squamous cell carcinomata were treated by surgical excision.