A Narrative Review Journey through Ethical Dilemmas in Surgical Practices
Ethical Dilemmas in Surgical Practices
DOI:
https://doi.org/10.61919/jhrr.v4i3.1602Keywords:
Surgical Ethics, Ethical Dilemmas, Informed Consent, Surgical Decision-Making, Patient Autonomy, Healthcare Policy, Surgical Innovation, Palliative Care, Legal and Ethical Frameworks, Surgeon Burnout.Abstract
Background: Ethical dilemmas in surgical practice can significantly impact patient care, surgeon decision-making, and healthcare policies. These dilemmas are complex, multifaceted, and vary across different surgical specialties.
Objective: To identify and analyze the ethical dilemmas encountered by surgeons, explore the decision-making approaches, and propose strategies to address these challenges effectively.
Methods: A comprehensive narrative review was conducted using PubMed, Scopus, and Google Scholar databases. Studies published in peer-reviewed journals focusing on surgical ethics, informed consent, surgical innovation, and palliative care were included. A thematic analysis was performed to categorize key findings. Inclusion criteria consisted of studies addressing ethical issues in surgical contexts, and those discussing decision-making frameworks. Data were extracted and quality-assessed using the SANRA checklist, focusing on methodological rigor and ethical relevance.
Results: Out of 120 studies screened, 50 met inclusion criteria. Key themes identified included ethical challenges in surgical innovation (30%), decision-making in palliative care (20%), legal dilemmas (25%), and conflicts between patient autonomy and societal interests (25%). Ethical issues were most prevalent in the fields of pediatric surgery (15%), plastic surgery (10%), and global surgery (20%).
Conclusion: This review highlighted the need for structured ethical training, legal frameworks, and support for surgeons facing complex dilemmas to enhance patient care and professional integrity.
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Copyright (c) 2024 Fazal Rahim, Israr Ahmad, Salman Bashar, Abbas Mukhtiar Khan, Umer Rasheed, Kashif Iqbal, Kumil Ahmad
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