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TITLE 25HEALTH SERVICES
PART 7TEXAS MEDICAL DISCLOSURE PANEL
CHAPTER 601GENERAL
RULE §601.2Procedures Requiring Full Disclosure of Specific Risks and Hazards--List A

    (C) Liver failure or injury.

    (D) Gallbladder injury.

    (E) Hemorrhage (severe bleeding).

    (F) Recurrent ascites (fluid building up in abdomen) and/or bleeding.

    (G) Kidney failure.

    (H) Heart failure.

    (I) Death.

  (6) Myelography.

    (A) Chronic (continuing) pain.

    (B) Nerve injury with loss of use and/or feeling.

    (C) Transient (temporary) headache, nausea, and/or vomiting.

    (D) Numbness.

    (E) Seizure.

  (7) Percutaneous abscess/fluid collection drainage (percutaneous abscess/seroma/lymphocele drainage and/or sclerosis (inclusive of percutaneous, transgluteal, transrectal and transvaginal routes)).

    (A) Sepsis (infection in the blood stream), possibly resulting in shock (severe decrease in blood pressure).

    (B) Injury to nearby organs.

    (C) Hemorrhage (severe bleeding).

    (D) Infection of collection which was not previously infected, or additional infection of abscess.

  (8) Procedures utilizing prolonged fluoroscopy.

    (A) Skin injury (such as epilation (hair loss), burns, or ulcers).

    (B) Cataracts (for procedures in the region of the head).

(o) Respiratory system treatments and procedures.

  (1) Biopsy and/or excision of lesion of larynx, vocal cords, trachea.

    (A) Loss or change of voice.

    (B) Swallowing or breathing difficulties.

    (C) Perforation (hole) or fistula (connection) in esophagus (tube from throat to stomach).

  (2) Rhinoplasty or nasal reconstruction with or without septoplasty.

    (A) Deformity of skin, bone or cartilage.

    (B) Creation of new problems, such as perforation of the nasal septum (hole in wall between the right and left halves of the nose) or breathing difficulty.

  (3) Submucous resection of nasal septum or nasal septoplasty.

    (A) Persistence, recurrence or worsening of the obstruction.

    (B) Perforation of nasal septum (hole in wall between the right and left halves of the nose) with dryness and crusting.

    (C) External deformity of the nose.

  (4) Lung biopsy.

    (A) Pneumothorax (collapsed lung).

    (B) Hemothorax (blood in the chest around the lung).

  (5) Segmental resection of lung.

    (A) Hemothorax (blood in the chest around the lung).

    (B) Abscess (infected fluid collection) in chest.

    (C) Insertion of tube into space between lung and chest wall or repeat surgery.

    (D) Need for additional surgery.

  (6) Thoracotomy.

    (A) Hemothorax (blood in the chest around the lung).

    (B) Abscess (infected fluid collection) in chest.

    (C) Pneumothorax (collapsed lung).

    (D) Need for additional surgery.

  (7) Thoracotomy with drainage.

    (A) Hemothorax (blood in the chest around the lung).

    (B) Abscess (infected fluid collection) in chest.

    (C) Pneumothorax (collapsed lung).

    (D) Need for additional surgery.

  (8) Open tracheostomy.

    (A) Loss of voice.

    (B) Breathing difficulties.

    (C) Pneumothorax (collapsed lung).

    (D) Hemothorax (blood in the chest around the lung).

    (E) Scarring in trachea (windpipe).

    (F) Fistula (connection) between trachea into esophagus (tube from throat to stomach) or great vessels.

  (9) Respiratory tract/tracheobronchial balloon dilatation/stenting.

    (A) Stent migration (stent moves from position in which it was placed).

    (B) Pneumomediastinum (air enters the space around the airways including the space around the heart).

    (C) Mucosal injury (injury to lining of airways).

(p) Urinary system.

  (1) Partial nephrectomy (removal of part of the kidney).

    (A) Incomplete removal of stone(s) or tumor, if present.

    (B) Blockage of urine.

    (C) Leakage of urine at surgical site.

    (D) Injury to or loss of the kidney.

    (E) Damage to organs next to kidney.

  (2) Radical nephrectomy (removal of kidney and adrenal gland for cancer).

    (A) Loss of the adrenal gland (gland on top of kidney that makes certain hormones/chemicals the body needs).

    (B) Incomplete removal of tumor.

    (C) Damage to organs next to kidney.

  (3) Nephrectomy (removal of kidney).

    (A) Incomplete removal of tumor if present.

    (B) Damage to organs next to kidney.

    (C) Injury to or loss of the kidney.

  (4) Nephrolithotomy and pyelolithotomy (removal of kidney stone(s)).

    (A) Incomplete removal of stone(s).

    (B) Blockage of urine.

    (C) Leakage of urine at surgical site.

    (D) Injury or loss of the kidney.

    (E) Damage to organs next to kidney.

  (5) Pyeloureteroplasty (pyeloplasty or reconstruction of the kidney drainage system).

    (A) Blockage of urine.

    (B) Leakage of urine at surgical site.

    (C) Injury to or loss of the kidney.

    (D) Damage to organs next to kidney.

  (6) Exploration of kidney or perinephric mass.

    (A) Incomplete removal of stone(s) or tumor, if present.

    (B) Leakage of urine at surgical site.

    (C) Injury to or loss of the kidney.

    (D) Damage to organs next to kidney.

  (7) Ureteroplasty (reconstruction of ureter (tube between kidney and bladder)).

    (A) Leakage of urine at surgical site.

    (B) Incomplete removal of the stone or tumor (when applicable).

    (C) Blockage of urine.

    (D) Damage to organs next to ureter.

    (E) Damage to or loss of the ureter.

  (8) Ureterolithotomy (surgical removal of stone(s) from ureter (tube between kidney and bladder)).

    (A) Leakage of urine at surgical site.

    (B) Incomplete removal of stone.

    (C) Blockage of urine.

    (D) Damage to organs next to ureter.

    (E) Damage to or loss of ureter.

  (9) Ureterectomy (partial/complete removal of ureter (tube between kidney and bladder)).

    (A) Leakage of urine at surgical site.

    (B) Incomplete removal of stone.

    (C) Blockage of urine.

    (D) Damage to organs next to ureter.

  (10) Ureterolysis (partial/complete removal of ureter (tube between kidney and bladder from adjacent tissue)).

    (A) Leakage of urine at surgical site.

    (B) Blockage of urine.

    (C) Damage to organs next to ureter.

    (D) Damage to or loss of ureter.

  (11) Ureteral reimplantation (reinserting ureter (tube between kidney and bladder) into the bladder).

    (A) Leakage of urine at surgical site.

    (B) Blockage of urine.

    (C) Damage to or loss of ureter.

    (D) Backward flow of urine from bladder into ureter.

    (E) Damage to organs next to ureter.

  (12) Prostatectomy (partial or total removal of prostate).

    (A) Leakage of urine at surgical site.

    (B) Blockage of urine.

    (C) Incontinence (difficulty with control of urine flow).

    (D) Semen passing backward into bladder.

    (E) Difficulty with penile erection (possible with partial and probable with total prostatectomy).

  (13) Total cystectomy (removal of bladder).

    (A) Probable loss of penile erection and ejaculation in the male.

    (B) Damage to organs next to bladder.

Cont'd...

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