A healthcare worker is unable to have children naturally after a hospital removes the wrong fallopian tube during surgery.
Chelsie Thomas, 26, clearly & # 39; had & # 39; suffered from an ectopic pregnancy – when a fertilized egg starts developing outside the womb – in her right fallopian tube.
She was operated on at Walsall Manor Hospital in March last year – run by the same trust that had her – and was told that the right-hand tube was successfully removed.
But the mother-of-one was recalled to the hospital a week later when the maternity staff raised concerns after reading her medical notes.
A further scan revealed that Mrs. Thomas was still pregnant and the first surgeon had accidentally removed the left fallopian tube.
She had to be operated on again to remove the right one and is now no longer operated on, which means that she can never conceive naturally.
Chelsie Thomas, 26, underwent rapid surgery after an ectopic pregnancy was found in March 2018. It was & # 39; clear & # 39; in her right fallopian tube, but a surgeon removed the left one. Image date unknown
After the surgery to remove the wrong fallopian tube, Mrs. Thomas was still in pain and was recalled to the hospital after the doctors were worried about her notes.
Mrs. Thomas, from Walsall, West Midlands, said that her relationship with her partner failed because of the operation, she quit her job and is on antidepressants.
Walsall Healthcare NHS Trust, which runs the hospital, has apologized for the blunder and offered to pay for a round of IVF.
The mother of six-year-old son Riley-Jay said: & I have had to explain to my son that he cannot have a brother or sister.
& # 39; I had to leave my job because I can't stand to go back and I need therapy because it doesn't get worse.
& # 39; None of this seems real. I am deeply saddened and just stunned by what happened and am devastated by the fact that I can no longer have children naturally. & # 39;
Thomas' ectopic pregnancy was discovered after she noticed unusual bleeding and went to the hospital on March 7 last year.
She was operated on the same day, but her healthy fallopian tube was accidentally removed.
& # 39; After I came to my first operation, I felt really sick, & # 39; she said. & # 39; I was in so much pain that it lasted all day.
& # 39; The next day the doctor who performed the operation came to me and told me that the operation went very well and I was told that I could go home that morning.
& # 39; Shortly after I got home, I received a phone call asking me to go back to the hospital for a scan.
& # 39; When I was scanned, I said I thought the ectopic pregnancy was removed and I saw my baby's heartbeat on the screen. I immediately started crying. & # 39;
Mrs. Thomas said it was difficult to process the facts that she had not only undergone unnecessary surgeries, but was unable to have more children naturally.
She said: & # 39; I was planning to have two more children because I come from a large family. I wanted Riley-Jay to grow up with little brothers and sisters. & # 39;
Thomas should still be able to have IVF because her ovaries were not removed – a fertilized egg could still be implanted in her womb.
Mrs. Thomas said: & # 39; The hospital has classified this as a & # 39; never happen & # 39; and it's hard to understand how this happened.
& # 39; I just hope it doesn't happen to anyone else. & # 39;
After her trial, Ms. Thomas instructed the Irwin Mitchell law firm to investigate her care and Walsall Healthcare NHS Trust apologized.
Mrs. Thomas said that her relationship with her partner has failed due to the operation, has quit her job and is on anti-depressants after the trial. Image date unknown
A report from lawyers showed that the original procedure & # 39; without due care and attention & # 39; had been carried out and without the intervention of staff who have expressed concern about Mrs Thomas' concern it is likely that her fallopian tube would rupture. Image date unknown
Mrs. Thomas, from Walsall, had to undergo another operation, performed by another surgeon, to remove the correct tube, which prevented her from naturally reforming. Image date unknown
WHAT IS AN ECTOPIC PREGNANCY?
An ectopic pregnancy is when a fertilized egg is implanted outside the womb, usually in one of the fallopian tubes.
The fallopian tubes are the tubes that connect the ovaries with the uterus. If an egg gets stuck, it will not develop into a baby.
In the UK, about one in 90 pregnancies is ectopic. This is approximately 11,000 pregnancies per year.
An ectopic pregnancy does not always cause symptoms and can only be diagnosed during a routine pregnancy scan.
Symptoms can be a combination of:
- a missed menstrual period and other signs of pregnancy
- abdominal pain low on 1 side
- vaginal bleeding or a brown aqueous discharge
- pain in the tip of your shoulder
- discomfort when urinating or pooping
Symptoms of a fallopian tube that breaks open or splits open are:
- a sharp, sudden and intense pain in your stomach
- feeling very dizzy, sick or faint
- looks very pale
This is very serious and surgery to repair the fallopian tube must be performed as quickly as possible.
A fracture can be life threatening, but luckily they are unusual and treatable if they are treated quickly. Deaths from fractures are extremely rare in the UK.
Irwin Mitchell said the Trust published an internal report for a serious incident investigation stating that the registrar and adviser involved in the first operation did not have a & # 39; appropriate weight & # 39; had given to the original scan result.
It said the original procedure & # 39; without due care and attention & # 39; is carried out.
The report also found that the doctor who had performed the second procedure discovered that Mrs. Thomas was having an "obvious" ectopic pregnancy and had performed the procedure without difficulty or with delay.
If the right tube of Thomas was & # 39; inspected the entire length, the ectopic pregnancy must have been detected and removed & quot; said the report.
Without the intervention of staff who have expressed concern over Mrs. Thomas's concern, it is likely that her fallopian tube would rupt because of the ectopic pregnancy, which could potentially have life-threatening consequences, the confidence said.
The trust, which has accepted the liability, has offered to finance one round of IVF treatment.
Mrs. Thomas's lawyers welcomed the NHS's acceptance of liability and urged health employers to act as quickly as possible on recommendations from their own report following the hospital incident.
Lawyer Jenna Harris said: “It is understandable that Chelsie has been destroyed by the events that have occurred and she is still struggling to come to terms with not only losing a child, but also the fact that she has the ability not to have more children, sees the future.
& # 39; Ectopic pregnancies can be very dangerous and Chelsie's care has raised some very troubling questions.
& # 39; The Trust's own findings in its internal investigation report are quite damning. & # 39;
Dr. Matthew Lewis, NHS Trust medical director, Walsall Healthcare, said the findings of the & # 39; robust & # 39; investigation were shared after the incident.
He said in a statement: “We would once again offer our sincere apologies to the affected patient for the fact that our care fell below the standard that we would expect for anyone using our services.
& # 39; In this specific case, while the necessary checks were performed before surgery and permission were given, an error was unfortunately made. & # 39;
He added that the trust worked with & # 39; patients and their families, our own clinicians and staff to learn lessons and set up systems to try and avoid such incidents.
CAN YOU HAVE CHILDREN WITHOUT FALLOPIC TUBES?
Removal of ovaries and fallopian tubes involves the surgical extraction of the ovaries and fallopian tubes, sometimes due to the presence of ovarian mass, cancer, or ectopic pregnancy.
An ectopic pregnancy, which occurs in one in 90 UK pregnancies, is when a fertilized egg is implanted outside the womb, usually in one of the fallopian tubes.
In an ectopic pregnancy, surgery is performed to remove the pregnancy, usually together with the affected fallopian tube.
Removing the affected fallopian tube is the most effective treatment and it is not thought that this will reduce your chances of becoming pregnant again, according to the NHS.
Normally when a woman becomes pregnant, the egg is fertilized in the fallopian tube and then travels into the womb to grow into an embryo. So without a fallopian tube, due to damage or because they are blocked, the egg and the sperm cannot find each other.
This is called fallopian tube factor infertility.
IVF can bypass the snakes when fertilized embryos are placed in the womb, meaning that women can still have children.
Although rare, there are data about women who become pregnant nautically pregnant even though they do not have fallopian tubes.
Davor Jurkovic, a gynecologist at the University College Hospital in London, has revealed that it is not possible to completely remove the fallopian tubes during the operation.
He said: & # 39; It is not possible to completely remove the tubes during surgery, because part of them goes through the uterine muscle and therefore has to be left behind.
& # 39; It is very likely that the end of one of her tubes was reopened after the operation.
& # 39; This could cause the sperm to enter the abdominal cavity and fertilize the egg after it was released from the ovary. & # 39;
Other scientific articles have suggested that operations may leave small openings that connect the ovary and uterus other than the fallopian tube, causing sperm to leak out of the uterus, or eggs to come in – both can lead to pregnancy.
Dr. Hana Visnova, director of the IVF Cube fertility clinic in Prague, said that an egg can bypass the space between an ovary and the uterus if the two are close together and did not heal the wound removal tube well after surgery.
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