An inquest found the surgeon was inattentive to detail and prioritised a speedy procedure in the lead-up to the patient's death.
surgeon forced multiple herniated organs from a patient's chest and delayed potentially life-saving surgery, according to damning inquest findings.
Deputy State Coroner David O'Neil found Flynn responsible for a series of failures including inattention to detail, insufficient review of medical documents, blunt force of multiple organs and an unacceptable delay in follow-up surgery. Despite the operation carrying "significant risk of morbidity and mortality", Flynn also failed to inform Montgomery of the risks.Tears and defects on the bowel and liver were caused by instruments used to push the organs back into the chest.
"I find that Doctor Flynn's operation report did not accurately record the operation performed by him and had the potential to mislead readers as it tended to portray an uneventful procedure," O'Neil said.
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