Possibly unethical plastic surgery

Case number: 
00-27
Anonymised text of the case: 

A paper was submitted in which a plastic surgeon described what we thought was a very strange and unconventional operation. We asked the opinion of another plastic surgeon, who described the procedure as “very dangerous. ” He said that there was no consistent evidence that this operation could possibly work. The operation had been conducted in a private clinic, and we are sufficiently concerned that we are thinking of contacting the GMC. Are we doing the right thing?

Advice: 

- The GMC should not be informed.

- The author did send in several papers from the US where this procedure is being carried out, but there had been no randomised trials.

- Patients might not have been given the whole story—only told, for example, that it was successful in California.

- The editor would like to publish the whole case and ask for readers’ responses.

- The editor should write to the Special Advisory Committee on Plastic and Reconstructive Surgery at the Royal College of Plastic Surgeons to get advice on this procedure.

Follow up: 

The editor asked the original author for permission to publish something on their debate, but the request was declined. The editor now plans to raise the issue in a more general way. He did write to the British Association of Plastic Surgeons, but no action seems to have been taken.

Resolution: 
Case Closed
Advice on follow up: