Sunday 23 September 2018

Doctor in sterilisation case ‘took right action’

Dr Declan Egan leaves the Medical Council hearing
Dr Declan Egan leaves the Medical Council hearing

The doctor who clipped both of a woman’s fallopian tubes during a procedure made “a measured decision”, according to a gynaecology expert.

Leading consultant obstetrician Dr Mary Wingfield, from the National Maternity Hospital, believes that Dr Declan Egan made a “measured decision” when he clipped both of a patient’s fallopian tubes, despite the fact that he had been given permission to clip just the right one.

She told a Medical Council Fitness to Practise hearing that “different doctors do different things”.

But she remarked that she thinks that his decision during a procedure on Lorna McKeogh in 2010 was possibly the right course of treatment. Dr Wingfield said that it is difficult to put “every detail on a consent form” when you are going to perform a laparoscopy.

She was the expert witness during the hearing in Dublin yesterday.

Dr Wingfield admitted that she probably wouldn’t have followed the same line of treatment if she had spoken to the patient beforehand.

But she added: “I think this patient went in thinking it was going to improve her fertility. I think Dr Egan did what he thought was going to do that for her.”

Ms McKeogh was referred to Dr Declan Egan, who runs the private Galway Fertility Unit, for treatment after she suffered a number of miscarriages. 

Dr Egan previously told the hearing that when he examined the patient during the surgery he discovered that both fallopian tubes showed a “hydrosalpix”, a water-filled sac, after initially believing it was just one. He then made the decision to clip both fallopian tubes.

Ms McKeogh said she was sterilised without consent.

Dr Egan previously told the court he believed this course of action would improve her chances of becoming pregnant through IVF. 

Dr Egan previously apologised to the couple for the “deep upset”.

The hearing continues.

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