A CORONER who found a woman died after being infected during a liposuction procedure has called for national reforms to the cosmetic surgery industry.
South Australia's Deputy State Coroner Anthony Schapel also recommended that patients be seen by their surgeon within 24 to 48 hours of having liposuction.
Lauren Michelle Edgar, 28, died five days after Dr George Kerry carried out the $7000 procedure on her stomach and thighs at his North Adelaide rooms on Wednesday March 5, 2008.
He did not examine her again after her discharge on the same day.
In his findings on Thursday, the coroner found Ms Edgar's death was a result of multi-organ failure due to her contracting a clostridium perfringens infection that led to gas gangrene, a very rare condition.
He concluded that an instrument used in the procedure picked up the micro-organism from Ms Edgar's skin surface, but he could not determine if she had been inadequately sterilised.
Ms Edgar's parents gave evidence about her increased discomfort and pain in the days after the surgery.
The coroner said that on March 7, Ms Edgar spoke to Dr Kerry twice on the phone about her pain.
He found that the information she gave him about her pain, her desire to take off the post-surgery corset and her need for stronger medication "should have generated significant concern in Dr Kerry's mind about her welfare."
Dr Kerry should have immediately insisted on examining her and, if he had, he should then have immediately referred her to hospital.
But the coroner could not determine whether Ms Edgar would have survived if her hospital treatment for gangrene had started earlier than March 8 when she was taken there by her parents.
Mr Schapel endorsed recommendations made by the Inter-Jurisdictional Cosmetic Surgery Working Group made in November 2010.
He pointed to its recommendation for "a national framework covering cosmetic, medical and surgical procedures" including basic requirements for the training, expertise and qualifications of cosmetic surgeons.
Regulation of the places where cosmetic surgery is undertaken, compulsory licensing and standards for private health facilities were also recommended.
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