Published Paper Details:

Informed consent has become the primary paradigm for protecting the legal rights of patients and guiding the ethical practice of medicine. It may be used for legal, ethical or administrative purposes. Although legal and ethical debate persists, but it is agreed that it has implication on the decision-making and the physician should disclose sufficient details for the decision-maker to make an informed choice; the decision-maker should show his or her understanding of the disclosed information; and the decision-maker should freely authorize the treatment plan. A retrospective study of informed consent of 20 cases, operated for different neurosurgical diseases was carried out in department of Neurosurgery, SGPGIMS within 05 months in year 2022 (from January to May, 2022). Total 221 possible issues of complications & sequalae were covered in 20 cases. Out of 221 issues 18 were taken for recurrence of tumors, during fallow up, 15 complications occurred preoperatively out of 221expected complications covered in informed consent. In present study the informed consent of relatives /kin of the patient to be operated was taken in each case, however, patients who were fully conscious and oriented or having spinal pathologies were involved in an informed consent. Their signatures were also taken fallowing explaining the risks and benefits to each case depending on disease of individual case. The consents were recorded by resident doctor as the concerned resident always discussed the case with operating surgeon during rounds and a day prior to surgery. The points to be covered in consent of individual patients were also discussed with operating surgeon. Neurosurgeons have a duty to provide patients with all pertinent information related to disease and operation to be performed in particular case to allow them to make decisions about their case. The alternative and possible interventions available to improve an outcome of disease should be included informed consent. Emergency decisions on table can be taken by operating surgeon depending on severity of problem. Adequate consent offers enough safety to patients and surgeon both.