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Professional Liability: Sentence No. 4277/2024 of the Court of Cassation on the Surgeon and Iatrogenic Injury

The Court of Cassation, with ordinance No. 4277/2024, addressed a case of healthcare professional liability, confirming the conviction of a surgeon for injuries caused during a surgical intervention. This sentence highlights the delicacy of the issue of liability in medical practice and the consequences of the actions of healthcare personnel.

The Case Examined by the Court of Cassation

The appeal was filed by A.A., a surgeon who had been convicted by the Court of Appeal of Rome for causing, during a cystopexy operation, an iatrogenic injury to the ureter. The patient, F.F., sustained significant damage that required further interventions and led to serious consequences, such as renal hypofunction and psychological disturbances. The Court upheld the conviction, considering that the surgeon had not adhered to professional guidelines, despite his justifications.

The Court emphasized that, in the case of medical liability, the merits judgment of the judge is unassailable in legitimacy if properly motivated.

The Reasons for the Appeal and the Court's Response

  • The first reason for the appeal concerned the alleged violation of the rules regarding professional liability, arguing that there were external factors to his conduct causing the damage.
  • The second reason contested the assessment of causality concerning subsequent interventions, while the third reason concerned the amount of compensation, deemed excessive.

The Court declared all three reasons inadmissible, stating that the assessment of the surgeon's conduct was adequately supported by technical consultations and that there were no significant inconsistencies in the observations made.

Conclusions on the Sentence and Future Implications

Sentence No. 4277/2024 of the Court of Cassation represents an important precedent in the field of healthcare professional liability. It reaffirms that doctors have the obligation to follow guidelines and ensure patient safety during interventions. In case of non-compliance, the consequences can be severe, not only for the health of patients but also for the professional careers of healthcare operators.

In a regulatory and jurisprudential context that is constantly evolving, it is essential that health professionals remain updated and aware of their responsibilities, to ensure not only the protection of patients but also their own legal safety.