Doctor removed wrong fallopian tube

A doctor who removed the wrong fallopian tube from a patient, leaving her unable to conceive naturally, has been criticised by a tribunal for her "hasty, careless, and dismissive" attitude.

Dr Samina Tahseen failed to identify which fallopian tube needed to be removed before carrying out the procedure to get rid of an ectopic pregnancy at Royal Derby Hospital in September 2010.

A panel hearing by the Medical Practitioners Tribunal Service in Manchester found that Dr Tahseen's treatment of the woman, referred to as Patient A, amounted to a "serious misconduct" and impaired her fitness to practice.

The doctor failed to discuss the procedure with her patient beforehand, removed the wrong fallopian tube after mistaking a cyst for the ectopic pregnancy, and did not send the patient for an ultrasound afterwards even though she had raised concerns about the operation, the panel said.

The panel told Dr Tahseen: "In your care of Patient A, you failed to place yourself in a position to assess adequately the needs of your patient, and in so doing, you failed to make the care of your patient your first concern.

"You failed to treat the condition which had brought Patient A under your care and instead caused unnecessary damage and distress.

"There is now no possibility that Patient A will be able to conceive naturally. You were careless in your pre-operative approach, hasty in your intra-operative approach, and dismissive of the patient's concerns in your post-operative approach."

But despite the seriousness of the misconduct, the panel decided that Dr Tahseen should still be allowed to practice with the requirement that she be "supervised, overseen and reported upon".

It said it took into account Dr Tahseen's good clinical practice before and after the incident, and her "full admission" of the facts.

Ectopic pregnancies occur when a fertilised egg develops outside of the womb, usually in the fallopian tubes. It can cause life-threatening internal bleeding if left untreated.