{UAH} 'Perfectly healthy': Jane Kiiza, who died following ‘curve enhancing’ cosmetic operation

Gwokto,

Read this sad story of a 48 year old Ugandan woman who died after
operation to enhance her bum. I have neen married three times and
never to a woman with fat bums. I just do not see what other men see
in fat bums. But for a 48 year old woman to still be aspiring to
subject her body to cosmetic surgery so as to be more attractive to
men is surely tragic. What a waste of life. And yet she seemed a
responsible and well grounded woman who brought up her son on her own.

George Okello


Is this the first British woman to die of controversial £8,000 'curve
enhancement'? •Jane Kiiza died after having a 'curve enhancing'
operation on her buttocks
•The Brazilian lift is in demand as women try to emulate celebrities' figures
•Ms Kiiza, 48, is believed to be the first British casualty from the procedure
•Cascade of infection tore through her body, killing her days after surgery
By Barney Calman, Health Editor and Stephanie Condron for The Mail on Sunday
Published: 22:05, 8 August 2015 | Updated: 00:46, 9 August 2015

'Perfectly healthy': Jane Kiiza, who died following 'curve enhancing'
cosmetic operation known as a Brazilian lift, at her son's wedding
It must have been her proudest moment. Pictured beaming at her
Cambridge-graduate son's wedding earlier this year, Jane Kiiza could
not look happier.
Yet just months after this picture was taken, the 48-year-old was dead
following an increasingly popular 'curve enhancing' cosmetic operation
known as a Brazilian lift.
Named after the famously body-conscious and beach-loving country where
it became popular, it involves removing fat from the abdomen and
reinjecting some of it into the buttock area. It is a serious but
relatively routine procedure.
Yet in Ms Kiiza's case something triggered a cascade of infection that
tore through her body, killing her when she returned to hospital just
days after the procedure.
Although no official statistics exist, the Brazilian lift is said to
claim lives annually in the US and South America, where it is highly
demanded by women hoping to emulate the famous hour-glass figures of
celebrities such as singer Jennifer Lopez and reality TV star Kim
Kardashian.
It is believed Ms Kiiza is the first British casualty. At the opening
of an inquest, it was revealed that doctors battled to save the mother
of one, who was said to be 'in good health' before the operation.
Ms Kiiza is believed to have told only a select few friends she was
having the surgery. It was to be 'a treat to herself', one said. 'Her
son had recently left home and she wanted a "new Jane". She was ready
to start a new life.'
When told the shocking details last night, Sir Bruce Keogh, the
medical director for NHS England, who led a Government-backed review
into cosmetic surgery industry standards in 2013, renewed his calls to
toughen regulation. 'This tragic outcome should awaken everybody to
the fact that all cosmetic surgery carries risks,' he said.
'The more complex the surgery, the greater the risks. This is why I
recommended greater regulation of people performing procedures and the
institutions where those procedures are performed. This is a public
safety issue.'
Ms Kiiza, from North London, underwent the operation at the BMI
Clementine Churchill Hospital in Harrow on Friday, June 19. She
reportedly spent the night at the clinic, and was discharged the next
morning and driven home by a friend who claims she stayed with her all
afternoon 'because she was in pain' despite medication. Another friend
said Ms Kiiza texted him saying she was in pain. On the Sunday she
told another friend by text that she had had a 'very rough night'.
According to her friends the following Monday she returned to the
hospital. A text to a friend said this was for 'pain management'. She
was then taken by ambulance to nearby Northwick Park Hospital.
Ms Kiiza, from north London, underwent the operation at the BMI
Clementine Churchill Hospital in June
The pathologist's report details her rapid decline: on arrival, she
was found to have low blood pressure and 'tenderness to her buttock'.
She was given antibiotics but then 'went into septic shock'. Sepsis,
if not quickly controlled, causes a drastic drop in blood pressure,
starving the vital organs of oxygen.
Ms Kiiza was rushed into an operating theatre for 'debridement of
necrotic fat'. Necrosis is the medical term for irreversible tissue
death resulting from loss of blood supply.
This condition can quickly trigger more severe complications including
blood poisoning, so the dead tissue must be cut away, or debrided.
The pathologists's notes continue: '... the plan was to return the
patient to theatre for another debridement.' However, Ms Kiiza's
condition continued to deteriorate. Her kidneys failed and despite
emergency dialysis, she could not be saved. A post mortem gave the
cause of death as multiple organ failure and sepsis. A friend of Ms
Kiiza, who asked to remain anonymous, said: 'She was a healthy woman.
There was nothing wrong with her. It is unbelievable.'
Ms Kiiza's surgeon, Shailesh Vadodaria, is said by colleagues to have
been 'unofficially suspended' by the BMI Clementine Churchill
Andrew Walker, coroner for Brent and Harrow, will hear an inquest into
her death in November.
The hospital where her operation was carried out, BMI Clementine
Churchill, has been hit by scandal in recent months. Last month this
newspaper found that executives at the private healthcare provider had
tried to cover up 'systemic failings' that may have contributed to the
death of another patient, James Hughes, four years ago. Mr Hughes, 40,
died from a perforated bowel, unrelated to his original knee surgery.
Numerous missed opportunities and delays led to his worsening
condition not being picked up until it was too late to save him. In
2013, colorectal surgeon Mr David Sellu – just one of a number of
doctors involved – was jailed for gross negligence and manslaughter,
ending what colleagues described as an 'exemplary' 40-year career.
Friends of the doctor claim he was 'made a scapegoat' by BMI
Healthcare, a private chain, 'perhaps to protect its commercial
position'. BMI chiefs failed to produce at either the inquest or
subsequent High Court trial crucial documents that suggested that the
hospital's 'crash cart' protocols – procedures used in the rare event
when those undergoing routine procedures develop life-threatening
complications – were not up to scratch.
The hospital also received criticism from watchdogs the Care Quality
Commission last year for inadequate emergency procedures.
Sources claim operating theatres were closed following Ms Kiiza's
death 'to swab for possible sources of the infection' but nothing was
found and they were reopened.
Ms Kiiza's surgeon, Shailesh Vadodaria, is said by colleagues to have
been 'unofficially suspended' by the BMI Clementine Churchill.
However, when contacted last week, his personal secretary was still
taking bookings for consultations.
Mr Vadodaria, from India, is registered with the General Medical
Council and described on his website as 'one of the UK's leading
cosmetic surgeons'. He has featured in Channel 4's Embarrassing Bodies
series.
The Brazilian lift is highly demanded by women hoping to emulate the
famous hour-glass figures of celebrities such as singer Jennifer Lopez
(left) and reality TV star Kim Kardashian (right)
See one of the dangers of bum surgery that women crave (related) As
well as operating from the BMI hospitals in Harrow and London, he has
private clinics on Harley Street, London, and in Glasgow, offering
everything from breast-augmentation and facelifts to nose jobs and a
surgical procedure that creates 'cute' dimples in the cheeks.
When approached by The Mail on Sunday, Mr Vadodaria said: 'This is a
tragic case and I would like to express my sincere sympathy to the
family for their sad loss. I am co-operating with the inquest.'
The Brazilian lift is an umbrella term for a variety of surgical
techniques. All involve fat extraction, known as liposuction, from the
abdomen, flanks and sometimes from the thighs. Some of this fat is
then reinjected, or grafted, back into the buttock area.
The effect of reducing the waist while increasing the posterior
creates the hour-glass silhouette. The painstaking grafting process
can sometimes involve hundreds of injections that deposit
'micro-droplets' of fat tissue, and often focuses on the upper
quadrant to create a lifted, perky appearance.
Tragic: Ms Kiiza died just days after the operation
While often performed across the Atlantic, these procedures are less
common in the UK and no official statistics exist.
However, they do account for a growing proportion of the 5,000 annual
liposuction cases carried out by British doctors. One surgeon recently
claimed to have seen a 200 per cent rise in numbers of women asking
for the operation.
Professor Dr Fuat Yuksel said last October: 'In the past 12 months
we've had a massive rise in the numbers asking for "a Kim Kardashian
bum". The Brazilian lift is now one of the most highly sought-after
procedures we do.'
The cause of death in many reported cases in America has been a lung
embolism, or blockage, caused by fatty tissue entering a vein and
travelling to the major veins around the heart.
A consultant plastic surgeon at the BMI Clementine Churchill who
wishes to remain anonymous said: 'The more fat taken out during one
session, the bigger the trauma to the body, and the greater the risks.
If I take any more than three litres, I would keep the patient in
overnight for observation, as a dangerous drop in blood pressure is
possible. It is not clear at present just what went wrong in this
case.'
More than 300 people attended Ms Kiiza's funeral in July – so many
that they spilled out of the chapel.
The mourners, who included her mother, dropped single white roses on
to her coffin as it was lowered into the ground.
A spokesman for BMI Healthcare said: 'We would never discharge a
patient who was displaying symptoms of concern. On the rare occasions
that an unexpected death occurs after treatment at one of our
hospitals we undertake our own rigorous investigation, and apply any
lessons learnt, as well as openly engaging with external
investigations. However, it is important to understand that where a
coroner has called an inquest, it will be for the coroner to determine
how the individual died.'
A spokesman for the London Northwest Healthcare NHS Trust, which runs
Northwick Park Hospital, said: 'This patient was transported from the
BMI Clementine Churchill Hospital to Northwick Park Hospital by
ambulance, but sadly could not be saved by our clinical teams.
COMMENT: WE NEED TRANSPARENT INQUIRY TO AVOID ANOTHER TRAGEDYJane
Kiiza did not make the decision to have cosmetic surgery lightly.
Friends say she had been talking about it 'for ages' and had been
concerned by the risks, no matter how remote.
But, like so many women who choose such operations, she felt she had
done the very best she could as a mother – her son had graduated from
Cambridge and was aiming for a solid career in finance – and now she
wanted to do something for herself.
The horrific, heartbreaking outcome is so extraordinary the medical
community is still reeling. But as Professor Sir Bruce Keogh points
out, these complex operations do go wrong and even if they are carried
out perfectly, the body can react in unexpected ways.
Every possible eventuality must be accounted for when nurses and
doctors are sending a patient home. It is the job, and legal duty, of
those caring for patients to be highly vigilant, even if the chances
of complications are remote.
No one could have foreseen this tragedy, least of all Jane and her
utterly devastated family. But it is imperative that BMI Healthcare
now fully and transparently investigate their safety protocols, which
have found to be worryingly lacking in the past.
And the question that must be asked by the coroner now investigating
is: Could her death have been prevented?
..

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Is Jane Kiiza the first British woman to die of £8k curve enhancement ...
www.dailymail.co.uk/.../Posing-proudly-son-s-wedding-British-woman-die-
controversial-8-000-curve-enhancement.html
19 hours ago ... Posing proudly at her son's wedding, is this the
first British woman to die ...
operation on her buttocks; The Brazilian lift is in demand as women ...

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