A group of 100 women are considering legal action against Britain’s most influential pelvic surgeon, claiming that operations he conducted left them with traumatic, life-altering complications, reports The Guardian. They claim that Anthony Dixon, a consultant colorectal surgeon at Southmead Hospital in Bristol and the private Spire Bristol Hospital, was too quick to recommend invasive surgical procedures to deal with pelvic problems.
There are also complaints by several of the women that he made lewd or inappropriate comments about their appearance or sex lives.
The report says Dixon is recognised as a pioneer of surgery aimed at repairing bowel problems, often linked to childbirth. He was founding chair of the Pelvic Floor Society and his reputation is such that patients travelled from across the country and from abroad to seek his help. But after numerous complaints, the surgeon has been placed under investigation by his local health trust. He has been suspended from work, and the General Medical Council is carrying out a separate “fitness to practise” inquiry.
The report says complaints from eight former patients of Dixon’s include: suffering unmanageable pain or incontinence after elective surgical procedures – risks they say they were not adequately informed about; needing to undergo further major surgery to help resolve complications they say followed from Dixon’s treatment; and inappropriate remarks made during consultations.
One woman, who was in her 20s when she sought treatment, says she was told: “You have the arse of an 80-year-old. I wouldn’t want you dancing in my strip club.” Another woman said that after her operation Dixon threw some polaroids on to her bed, saying: “There you go, would you like to see your insides?”
According to the report, Dixon said he was unable to comment on specific allegations due to patient confidentiality. He added: “As with any surgical procedure, there may be complications but I would like to reassure patients that the overwhelming majority of operations I have completed have been successful.”
Jean-Jacques de Gorter, group medical director at Spire Healthcare, the private group where Dixon carried out some of his work, said an internal review of the “complications relating to Mr Dixon’s practice” found they were “within normal parameters”.
Several former patients are quoted in the report as saying they felt they had been inadequately informed about risks of operations they had signed up for and they ought to have been offered alternative treatments before surgery. Some patients recalled inappropriate remarks during consultation. One woman said he told her she could be sexually promiscuous after he had operated on her. Several said he had suggested they see a psychiatrist or take antidepressants when they had ongoing pain.
The report says some of Dixon’s former patients also underwent a second procedure, called a Starr, which involves using surgical staples in a rectal procedure – it is understood that the GMC investigation was triggered by a complaint from a woman who suffered serious complications after being given the operation as an NHS patient.
Sohier Elneil, a consultant uro-gynaecologist at University College Hospital in London, has, along with colleagues, treated nine of Dixon’s former patients with mesh-related complications. She said some had stated they were not sure why they had had the two procedures, rectopexy and Starr, in the first place. “We’re in a bit of a quandary as to how much information these patients had, based on what they recounted to us,” she said. “Currently you would not be doing that kind of surgery without full discussion.”
Andrew Williams, current chair of the Pelvic Floor Society, said in the report that Dixon had a reputation for taking on patients with complex problems and was one of the most experienced surgeons in the country at carrying out the rectopexy procedure. He also pointed out that the more operations a surgeon carried out, the more patients with complications they were likely to have. “However fantastic a surgeon you are, surgery is not without complications,” he said. “When and if complications occur they can be really horrible for both the patient and the surgeon.”
Williams added that the best available evidence suggested 60-70% of patients with internal prolapse benefited from the rectopexy procedure, a fraction would see no change or get worse and about 2% would have complications linked to their implant.
The report says the women considering legal action are primarily represented by Thompsons Solicitors and Irwin Mitchell. Madeleine Pinschof, from Thompsons, said most of the women had said they were “in worse pain now than before the surgery and were not adequately warned of the complications that could arise”. Luke Trevorrow, from Irwin Mitchell, added: “Concerns raised include not having been told of risks and complications prior to surgery, and whether the surgery was appropriate.”
Monica Baird, deputy medical director at North Bristol NHS Trust, said it was investigating concerns raised by several patients “regarding certain pelvic floor repair procedures”. “We would like to reassure patients affected by this that we are doing all we can to investigate their concerns fully,” she said. “We will continue to update patients as more information is available.”
Spire Healthcare added: “Our top priority is always the welfare and safety of our patients.”
[link url="https://www.theguardian.com/society/2017/nov/24/women-top-uk-surgeon-traumatic-complications-anthony-dixon"]The Guardian report[/link]