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Letter to the editor
Letter in reference to the article “Surgery on the wrong side: Implication for the patient and the professional. Experience in a Major Ambulatory Surgery of the Foot Unit”
Carta en relación al artículo «Cirugía en lado erróneo: implicación del paciente y los profesionales. Experiencia en la Cirugía Mayor Ambulatoria de la Unidad de Pie»
D. García-Germána,b,
Corresponding author
diegoggerman@gmail.com

Corresponding author.
, F. Viloriaa, P. Menéndeza, F. Canillasa
a Servicio de Cirugía Ortopédica y Traumatología, Hospital Central de la Cruz Roja, Madrid, Spain
b Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Madrid-Torrelodones, Madrid, Spain
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        "titulo" => "Carta en relaci&#243;n al art&#237;culo &#171;Cirug&#237;a en lado err&#243;neo&#58; implicaci&#243;n del paciente y los profesionales&#46; Experiencia en la Cirug&#237;a Mayor Ambulatoria de la Unidad de Pie&#187;"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with interest the article &#8220;Surgery on the wrong side&#58; Implication for the patient and the professional&#46; Experience in a Major Ambulatory Surgery of the Foot Unit&#8221; by Asuncion M&#225;rquez J&#46;&#44; L&#243;pez Guti&#233;rrez A&#46;&#44; P&#233;rez Mart&#237;nez V&#46;&#44; et al&#46;&#44; published in issue 2&#44; volume 56&#44; of the Spanish Journal of Orthopaedic Surgery and Traumatology &#40;Revista Espa&#241;ola de Cirug&#237;a Ortop&#233;dica y Traumatolog&#237;a&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> We wish to congratulate the authors for their work and for highlighting an often overlooked problem&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">We also wish to insist&#44; as we have done on other occasions&#44; that the definition &#8220;wrong-site surgery&#8221; would be more adequate than &#8220;wrong-side surgery&#8221;&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a> The concept of &#8220;wrong-site surgery&#8221; encompasses both surgery performed on the wrong side of the body and that conducted in a wrong location &#40;such as an elbow instead of a wrist&#44; even if they are on the same side of body&#41;&#46; It also includes surgery performed on a wrong patient and surgery conducted with a different procedure than that originally planned and for which the patient has given his consent &#40;such as performing knee prosthesis instead of arthroscopy&#41;&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The translation of &#8220;site&#8221; is &#8220;sitio&#8221; and the translation of &#8220;sitio&#8221; is &#8220;site&#8221;&#46; The different protocols mentioned in this article &#40;AAOS&#44; CAO&#44; JCAHO&#44; etc&#46;&#41; refer to &#8220;wrong-site surgery&#8221;&#44; so it does not seem correct to translate this as &#8220;wrong-side surgery&#8221; as has been done throughout the entire article&#46; Discussing surgery on the wrong side limits the concept and this term does not encompass other dimensions of the problem&#46; In the study by Meimberg and Stern cited by the authors&#44; the most common mistake was to operate on a different finger than planned in the same hand&#46; This could hardly be defined as an error of &#8220;side&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">One of the most common mistakes of this kind in orthopaedic surgery is operating at the wrong level in spinal surgery&#46; Once again&#44; this does not seem to fit in the concept of &#8220;wrong-side surgery&#8221;&#44; whereas it is included within the more generic concept of &#8220;wrong-site surgery&#8221;&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Even the title of the English translation of the summary of the article published in the Journal refers to &#8220;surgery on the wrong side&#8221; and the abstract refers to &#8220;surgery of the wrong side&#8221;&#44; rather than &#8220;wrong-site surgery&#8221;&#44; which is the generally accepted term to describe the problem&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Therefore&#44; we support the Spanish translation of &#8220;wrong-site surgery&#8221; as &#8220;cirugia en sitio erroneo&#8221;&#46; On the other hand&#44; we wish to emphasise that the crucial point is to increase awareness of this issue among orthopaedic surgeons and to establish clearly defined methods which aid in preventing this error&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara">Please cite this article as&#58; Garc&#237;a-Germ&#225;n D&#44; et al&#46; Carta en relaci&#243;n al art&#237;culo &#171;Cirug&#237;a en lado err&#243;neo&#58; implicaci&#243;n del paciente y los profesionales&#46; Experiencia en la Cirug&#237;a Mayor Ambulatoria de la Unidad de Pie&#187;&#46; Rev Esp Cir Ortop Traumatol&#46; 2012&#59;<span class="elsevierStyleBold">56</span>&#58;421&#46;</p>"
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Article information
ISSN: 19888856
Original language: English
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