FORMER Queensland surgeon Jayant Patel has insisted his decision to operate on a patient who died three weeks later was appropriate.
Patel finished giving evidence in his manslaughter trial in the Supreme Court in Brisbane on Wednesday.
He has pleaded not guilty to causing the death of a 75-year-old patient in Bundaberg in 2003.
Under at times intense cross-examination, Patel defended his decision to perform bowel surgery on Mervyn Morris to address his rectal bleeding.
Mr Morris later died of complications in the Bundaberg Base Hospital.
In court, Patel's barrister Ken Fleming QC asked his client whether he thought it was a rash decision to operate on Mr Morris.
"I think it was an appropriate decision at the appropriate time," Patel said.
"I don't think it was a rash decision at all."
Earlier he denied the assertion by crown prosecutor Peter Davis SC that the reason he didn't consult with other doctors before the operation was because he didn't like asking for advice.
"No, that's not true.
"I didn't think it was necessary at that stage," Patel told the court.
"I thought his life was in danger if he had another severe episode of bleeding."
The former surgeon agreed he knew of Mr Morris's frailty and his other medical conditions but said in this case they weren't relevant.
"It could not be treated otherwise," he said.
Mr Davis suggested a second "wound dehiscence" operation performed by Patel to fix complications from the first operation killed Mr Morris.
He suggested Patel acknowledged in Mr Morris's death certificate that his operation was the cause of death.
"I didn't," Patel replied.
"You'd accept though, wouldn't you, that the wound dehiscence operation would not have been necessary without the operation on the 23rd (of May)?"
"Yes," the former surgeon replied.
Patel has blamed his patient's death on respiratory failure caused by aspiration - the contents of his stomach being sucked into his lungs.
"That only occurred because of the presence of the naso-gastric tube, and that was only necessary because of the operation, do you agree with that?" Mr Davis asked.
"No, I don't agree with that," the former surgeon replied.
The trial continues.
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