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Published 15:00 10 Feb 2022 GMT
Updated 17:21 11 Feb 2022 GMT
The Royal College of Surgeons report stated: "The review team were strongly of the opinion that the majority of the surgical notes and supporting correspondence, results and reports were disorganised, illegible and incomplete."
In total, the review made nine recommendations, five of which were urgent to "address patient safety risks".
Wales' Minister for Health Eluned Morgan said that she was "concerned" by the review's findings.
In a statement, she said: "The cases reviewed here involve real people and their families and there will be many others who may be worrying about the quality of the care they have received or are about to receive and whether this service is safe.
"I expect the health board to address these issues with immediate effect and put a plan and processes in place to contact and review patients appropriately and sensitively, to provide them with information and assurance as well as to address the other recommendations made by the RCS."10 effortless tips to level up your protein intake
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