Woman bled to death at Basildon Hospital after screw to secure hip pierced vein

Southend Standard: Woman bled to death after screw to secure hip pierced vein Woman bled to death after screw to secure hip pierced vein

A WOMAN bled to death after a surgeon cut into a vein during a hip replacement operation.

Eileen Brown, 60, went into Basildon Hospital where surgery was supposed to fix her hip – but she died the next day.

Her brother, Peter Humphrey, and her two sons, Roger and Steve Brown, are now considering legal action after an inquest at Chelmsford Coroners Court yesterday which found the operation led to her death.

The court heard Mrs Brown, who was less than 5ft tall and weighed nine stones, also suffered from brittle bones and osteoporosis and could have had her new hip set into her pelvis with a quick-drying cement.

However, orthopaedic locum consultant Dr Amgad Nakhla opted for a procedure involving widening of the hip socket and drilling through bones.

The court heard this fractured her hip in several places and some of the screws, up to 35mm long which were meant to hold the hip in place, ended up passing through the bone before a vein was ruptured.

Medics tried to repair the tear, but she lost “a significant amount” of blood and later died.

At the inquest, pathologist Dr Martin Goddard said she had to be given about six litres of blood in a bid to save her life.

He gave the cause of death as a haemorrhage caused by the ruptured vein and existing heart disease may have affected her chances of survival too.

Southend Standard:

Dr Graham Keene, a consultant orthopaedic surgeon, who wrote a report for the coroner, said: “It appears the first inserted socket was loose and did not fit well when screwed in place.

“It was removed and the socket was drilled up and a larger one put in and in that process a fracture was noticed.”

He said the punctured vein was likely to have been caused by the drilling or a screw.

Dr Nakhla, who carried out most of the surgery, on May 2 last year, initially stood by his decision, saying patients under 70 would usually have the uncemented procedure.

However, he told the inquest: “I perfectly accept if it was cemented it could have prevented the fracture and vein injury and that the cementless procedures have higher incidents of fracture.”

He added: “The risk of this happening was very low, but unfortunately for everyone here it did happen.”

Southend Standard:

Coroner Eleanor McGann said: “The conclusion I reach is she died as a result of a complication of a medical procedure which was necessary to relieve her pain.”

Mrs Brown’s grieving relatives said her death could easily have been avoided.

Brother Peter Humphrey, of Kennedy Avenue, Laindon, and her sons Roger and Steve Brown, from Aveley, attended the inquest.

Outside court, Mr Humphrey said: “This should never have happened.

“For someone with her history of brittle bones, they should have cemented the hip. There are a lot of unanswered questions from the inquest and we will be looking to take legal action.”

Southend Standard:

The hospital carried out an internal investigation after the death.

Dr Amgad Nakhla said: “I am currently working on a system to drill into bones and avoid vascular injury.”

 

Lack of communication between surgeons and anaesthetists during the operation was also criticised at the inquest, but Dr Nakhla said: “We now speak to anaesthetists more often than ever, even when there are no problems.”

Mrs Brown lived in Elm Road, South Ockendon.

TIMELINE:

2010 – Eileen Brown originally had three screws inserted to hold her hip in place after a fracture 2012 – It was found the repair had collapsed after screws came loose, meaning a full hip replacement was needed May 2, 2013 – Mrs Brown admitted for surgery in Basildon Hospital. During the operation at 5.30pm concerns were raised about her low blood pressure.

5.59pm – a second anaesthetist was called as she was not responding to treatment 6.20pm – vascular surgeons called to repair vein She was later transferred to intensive care, but died the next day.

Comments (13)

Please log in to enable comment sorting

7:55pm Fri 20 Jun 14

John Right says...

How utterly awful, all through a screw
How utterly awful, all through a screw John Right
  • Score: 14

8:28pm Fri 20 Jun 14

sesibollox says...

Horrible result for having a screw lose.
Horrible result for having a screw lose. sesibollox
  • Score: -29

8:07am Sat 21 Jun 14

Jilly from Leigh says...

A question of competence and judgement comes to mind doesn't it?
A question of competence and judgement comes to mind doesn't it? Jilly from Leigh
  • Score: 9

10:17am Sat 21 Jun 14

CHRISTMAS CAROL says...

Hope he never works again but he will because we employe rude, arrogant ,myopic little Gods in the NHS
Hope he never works again but he will because we employe rude, arrogant ,myopic little Gods in the NHS CHRISTMAS CAROL
  • Score: 7

6:30pm Sat 21 Jun 14

heartbeat says...

Condolences to the family and friends of this lady, this is tragic.
Condolences to the family and friends of this lady, this is tragic. heartbeat
  • Score: 10

11:32pm Sat 21 Jun 14

beejiu says...

Jilly from Leigh wrote:
A question of competence and judgement comes to mind doesn't it?
It is unfortunate that occasionally patients do die while in surgery. It seems here that the coroner deemed the death due to medical complications, and the surgeon has taken on board the experience and improved processes. One death is not evidence to say the doctor is incompetent. Even the most competent surgeons will occasionally kill people -- in many cases, the deaths were avoidable. They take the experience on board, and improve.
[quote][p][bold]Jilly from Leigh[/bold] wrote: A question of competence and judgement comes to mind doesn't it?[/p][/quote]It is unfortunate that occasionally patients do die while in surgery. It seems here that the coroner deemed the death due to medical complications, and the surgeon has taken on board the experience and improved processes. One death is not evidence to say the doctor is incompetent. Even the most competent surgeons will occasionally kill people -- in many cases, the deaths were avoidable. They take the experience on board, and improve. beejiu
  • Score: 7

11:33pm Sat 21 Jun 14

beejiu says...

CHRISTMAS CAROL wrote:
Hope he never works again but he will because we employe rude, arrogant ,myopic little Gods in the NHS
Who will replace him? Surgeons aren't ten to the dozen.
[quote][p][bold]CHRISTMAS CAROL[/bold] wrote: Hope he never works again but he will because we employe rude, arrogant ,myopic little Gods in the NHS[/p][/quote]Who will replace him? Surgeons aren't ten to the dozen. beejiu
  • Score: 2

8:18am Sun 22 Jun 14

Kim Gandy says...

beejiu wrote:
CHRISTMAS CAROL wrote:
Hope he never works again but he will because we employe rude, arrogant ,myopic little Gods in the NHS
Who will replace him? Surgeons aren't ten to the dozen.
It will be somebody else incompetent.

And I agree with Carol
[quote][p][bold]beejiu[/bold] wrote: [quote][p][bold]CHRISTMAS CAROL[/bold] wrote: Hope he never works again but he will because we employe rude, arrogant ,myopic little Gods in the NHS[/p][/quote]Who will replace him? Surgeons aren't ten to the dozen.[/p][/quote]It will be somebody else incompetent. And I agree with Carol Kim Gandy
  • Score: -2

5:17pm Sun 22 Jun 14

jolllyboy says...

Not due to complications - due to the wrong method.
Not due to complications - due to the wrong method. jolllyboy
  • Score: 1

5:24pm Sun 22 Jun 14

arram says...

why does Basildon Hospital have such a bad reputation....is it because they have staff from countries outside the UK who were trained in their own country and not tested here...
why does Basildon Hospital have such a bad reputation....is it because they have staff from countries outside the UK who were trained in their own country and not tested here... arram
  • Score: 1

8:15pm Sun 22 Jun 14

cgb says...

When the reaction of people above is that there should never be any mistakes made / one error= incompetence etc. it's no wonder that we aren't training enough doctors here- who the hell would want to go into medicine with the me me me now now now attitude of today when surgeons are not allowed to make any mistake (guess what folks they are human) and will apparently have a career written off because of the complications of a procedure.
Are you all really that deluded you think operations (or any treatments for that matter) don't have complications with death being one of the potentials!
And as for wrong method- do you really think there is a one size fits all black and white decision for how to do an operation??
When the reaction of people above is that there should never be any mistakes made / one error= incompetence etc. it's no wonder that we aren't training enough doctors here- who the hell would want to go into medicine with the me me me now now now attitude of today when surgeons are not allowed to make any mistake (guess what folks they are human) and will apparently have a career written off because of the complications of a procedure. Are you all really that deluded you think operations (or any treatments for that matter) don't have complications with death being one of the potentials! And as for wrong method- do you really think there is a one size fits all black and white decision for how to do an operation?? cgb
  • Score: 4

12:40pm Sat 28 Jun 14

suecotter says...

I sincerely hope that Jilly and CGB above never lose a family member or friend in this way as maybe they wouldnt be so quick to defend this doctor... he said most people under 70 didnt have the cement procedure!! Eileen had brittle bones and osteoporosis and was 60 dont you think maybe he should have thought abit more carefully and taken this into consideration... i think so and i wish he had been struck off, he caused the death of a lovely friend who was kind caring and a wonderful mum and i hope karma comes around
I sincerely hope that Jilly and CGB above never lose a family member or friend in this way as maybe they wouldnt be so quick to defend this doctor... he said most people under 70 didnt have the cement procedure!! Eileen had brittle bones and osteoporosis and was 60 dont you think maybe he should have thought abit more carefully and taken this into consideration... i think so and i wish he had been struck off, he caused the death of a lovely friend who was kind caring and a wonderful mum and i hope karma comes around suecotter
  • Score: 0

2:25pm Sat 28 Jun 14

Jilly from Leigh says...

suecotter wrote:
I sincerely hope that Jilly and CGB above never lose a family member or friend in this way as maybe they wouldnt be so quick to defend this doctor... he said most people under 70 didnt have the cement procedure!! Eileen had brittle bones and osteoporosis and was 60 dont you think maybe he should have thought abit more carefully and taken this into consideration... i think so and i wish he had been struck off, he caused the death of a lovely friend who was kind caring and a wonderful mum and i hope karma comes around
My comment was on the lines you have taken. Consider the state of the lady's bones, discuss it with colleagues, use cement! If he did not confer with colleagues, the term Bombastic might fit. However will lessons ever be learnt?
I was certainly NOT in defence of the surgeon!
[quote][p][bold]suecotter[/bold] wrote: I sincerely hope that Jilly and CGB above never lose a family member or friend in this way as maybe they wouldnt be so quick to defend this doctor... he said most people under 70 didnt have the cement procedure!! Eileen had brittle bones and osteoporosis and was 60 dont you think maybe he should have thought abit more carefully and taken this into consideration... i think so and i wish he had been struck off, he caused the death of a lovely friend who was kind caring and a wonderful mum and i hope karma comes around[/p][/quote]My comment was on the lines you have taken. Consider the state of the lady's bones, discuss it with colleagues, use cement! If he did not confer with colleagues, the term Bombastic might fit. However will lessons ever be learnt? I was certainly NOT in defence of the surgeon! Jilly from Leigh
  • Score: 0

Comments are closed on this article.

click2find

About cookies

We want you to enjoy your visit to our website. That's why we use cookies to enhance your experience. By staying on our website you agree to our use of cookies. Find out more about the cookies we use.

I agree