The Weight Difference of Gülşah Gizem Angı, a Doctor Student in Antalya, Before and After the Surgery was 16 Kilograms

The report of the Supreme Council of Forensic Medicine was included in the file in the case regarding the death of Gülşah Gizem Angı, a 32-year-old doctoral student and tourism professional, during myoma surgery at Akdeniz University Hospital in ANTALYA. One of the most striking details in the 101-page report prepared by the Third Supreme Board of the Istanbul Forensic Medicine Institute was the difference of 16 kilograms between Gülşah's pre-operative weight of 58 kilograms and her weight of 74 kilograms measured during the autopsy.

24 LITERS ISOTONIC IN SURGERY

According to the Forensic Medicine report, 8 isotonic fluid bags of 3 thousand cc were used during the surgery. Thus, the total amount of liquid used was recorded as 24 thousand cc, that is, 24 liters. It was stated that the ninth bag was tied but not used. However, it was determined that the fluid deficit was shown as 1,500 cc in the surgery records. The Supreme Board concluded that a 1.5-liter fluid deficit, despite the use of 24 liters of fluid, was not possible when evaluated together with Gülşah's weight, which increased from 58 kilograms to 74 kilograms, widespread edema findings, and other fluids given during the surgery.

'LIQUID DEFICIT HAS NOT BEEN CALCULATED'

The report emphasized that the difference between the fluid given and the fluid taken back during hysteroscopic myomectomy, that is, the fluid deficit, should be monitored for the safety of the surgery. The Supreme Board found it medically inappropriate for the surgeon responsible for the surgery to continue the operation without calculating the fluid deficit at appropriate intervals. According to the majority opinion of the board, this situation was considered as one of the medical errors that were effective in the death process.

The autopsy report stated that Gülşah had severe edema in her lungs. It was recorded that the right lung weighed 1,138 grams and the left lung weighed 952 grams. Marked edema in the brain and cerebellum, approximately 900 cc of serous fluid in the abdominal cavity, and widespread edema in different parts of the body were detected.

DEFECT RATES HAVE BEEN DETERMINED

One of the most important conclusions of the Forensic Medicine report in the case was regarding the responsibilities of physicians. In the opinion of the Supreme Council, it was medically inappropriate for Mete Çağlar, the surgeon responsible for the surgery, to continue the surgery without calculating the fluid deficit at appropriate intervals. The Board evaluated the degree of impact of this erroneous action on Gülşah's death as 4/8.

The committee, anesthesia and reanimation experts Dr. Bilge Karslı and Prof. Dr. He also concluded that there was a medical error on the part of Nurten Kayacan. The report stated that following the findings of venous return and possible fluid overload, necessary evaluations should be made, fluid deficit should be calculated, and the decision regarding the continuation of the operation should be made in the light of these findings. The board evaluated the degree of impact of the erroneous actions of the two physicians on death as 2/8.

THEY OBJECTED THE REPORT

At the hearing held at Antalya 15th Criminal Court of First Instance, the parties were asked about the evaluations in the report. The participating attorney stated that they did not accept the adverse issues in the Forensic Medicine report and argued that the fault rates were not clearly determined in the report and that the scientific justifications for the evaluations, especially 4/8 and 2/8, should be revealed in detail.

The court decided to give time to the participating attorney and defendant's defense counsel to make a statement against the Forensic Medicine report. It ruled that after the statements of the parties are received, it will be evaluated separately whether the file should be sent again to Forensic Medicine. The court also decided to issue a warrant to forcibly bring the witness Ö.N., who did not attend the hearing.