Abstract
INTRODUÇÃO: O termo de consentimento informado representa uma segurança para o cirurgião plástico e para o paciente, sendo sua utilização preconizada pelo Código de Defesa do Consumidor. MÉTODO: Realizada análise de 100 acórdãos dos Tribunais de Justiça de 5 estados brasileiros, em casos envolvendo cirurgias plásticas estéticas. O estudo retrospectivo foi realizado no período de julho de 2010 a agosto de 2012, em um universo de 3.427 cirurgiões plásticos. Foram avaliadas as causas mais frequentes das ações e os principais elementos probatórios que levaram à condenação ou absolvição dos casos. RESULTADOS: Houve uma taxa média de condenação entre os estados avaliados de 55%, variando de 35% a 85%. O valor médio das indenizações por dano moral foi de R$ 30.900,00. As principais cirurgias que motivaram as ações e as condenações foram abdominoplastia, mamoplastia e implante de próteses mamárias. Nos casos de absolvição do médico, houve perícia oficial favorável em 84,6% dos acórdãos, além da prestação de informações adequadas em 100% dos casos avaliados. CONCLUSÕES: Este estudo permitiu observar que a perícia oficial favorável e o fornecimento adequado das informações sobre os tratamentos preconizados foram fundamentais para a absolvição do médico.
Highlights
The informed consent form (ICF) provides security for the plastic surgeon and the patient since it levels and strengthens the contractual nature of the service between the parties
This study showed that a favorable expert opinion and the adequate provision of information about suggested treatments were instrumental in physician acquittal
Plastic surgeons have been concerned with the way some convictions have been decided, as evidenced by somewhat “feckless” votes and defended by some lawyers; even without a clear justification of guilt, a physician ends up being convicted because the court assumes that aesthetic plastic surgery is associated with the obligation of delivering a positive result
Summary
The informed consent form (ICF) provides security for the plastic surgeon and the patient since it levels and strengthens the contractual nature of the service between the parties. This kind of arrangement consists of the physician being obliged to inform the patient and the patient stating that he/she understands and agrees to undergo the proposed treatment without having the ability to negate what he/she has signed unless the form was obtained irregularly. Methods: A total of 100 judgments made by the courts of 5 Brazilian states were analyzed, in cases involving aesthetic plastic surgeries This retrospective study was conducted between July 2010 and August 2012 involving a total of 3,427 plastic surgeons. Conclusions: This study showed that a favorable expert opinion and the adequate provision of information about suggested treatments were instrumental in physician acquittal
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