28
Throughout the trial, an attempt has been made to demonstrate that the patient gave her verbal consent
to the bilateral tubal ligation procedure during the peri-operative period. However, this court is convinced
that contradictions exist in that respect[.]
[…]
This court establishes fully that, even if the patient had given her verbal consent during the surgical procedure,
IT WOULD NOT BE LEGALLY VALID, because the patient was under surgical stress and anesthesia and,
consequently, did not possess the appropriate mental or volitional faculties to authorize or consent to a
surgical procedure involving the loss of her reproductive capacity. Finally, this court finds that, for this kind
of surgery, verbal authorizations are not valid. Rather there must be WRITTEN CONSENT BASED ON
INFORMATION AND GUIDANCE PROVIDED TO THE COUPLE BY THE PHYSICIAN, as established by medical
regulations in Bolivia and internationally.95
94.
This judgment was appealed by the persons convicted on December 5, 2002.96 The appeal
was decided on February 12, 2003, by the Third Criminal Chamber of the Superior Court of the La
Paz Judicial District, declaring that the appeal was admissible, annulling the judgment that had been
appealed completely, and ordering that the case be re-tried by another Trial Court.97 It considered
that the appealed judgment had been delivered with irremediable defects involving the failure to
respect, or the violation of rights and guarantees established in the Constitution, in the conventions
and treaties in force, and in the Code of Criminal Procedure; in particular, infringements of the right
to admissibility of evidence to the detriment of the defense, and flaws in the application of criminal
law.98
E.2
Second oral proceeding
95.
On March 14, 2003, the case was moved to the First Trial Court of the La Paz Judicial District99
and on March 17, 2003, an order was issued to open the proceedings.100 On April 22, 2003, the First
Trial Court annulled the drawing of lots for lay judges and the resulting constitution of the Court
owing to a problem with the computerized system, and established a new date and time for the
hearing of the oral proceeding, for the public hearing to draw lots for lay judges, and for the hearing
to constitute the court.101
96.
On May 9, 2003, the Presiding Judge of the First Trial Court and a technical judge of this court
recused themselves from hearing the case, the former because he had given his opinion out of court
in an interview, and the latter because he had been accused of malfeasance in this case.102
Resolution No. 086/2002 issued by the Second Trial Court of La Paz on November 18, 2002 (evidence file, volume VII,
annex 24 to the submission of the case, folios 2191 to 2192).
95
Cf. Brief of the restricted appeal presented by Dr. Edgar Torrico Ameller on December 5, 2002 (evidence file, volume
XII, annex 1(a) to the State’s final arguments, folios 4139 to 4151).
96
Cf. Resolution No. 21/003 issued by the Third Criminal Chamber of the Superior Court of the La Paz Judicial District on
February 12, 2003 (evidence file, volume VII, annex 25 to the submission of the case, folios 2197 to 2200).
97
Cf. Resolution No. 21/003 issued by the Third Criminal Chamber of the Superior Court of the La Paz Judicial District on
February 12, 2003 (evidence file, volume VII, annex 25 to the submission of the case, folios 2197 to 2200).
98
Cf. Filing of the case before the First Trial Court of the La Paz Judicial District on March 14, 2003 (evidence file, volume
VII, annex 26 to the submission of the case, folio 2202).
99
Cf. Order to open the proceedings of March 17, 2003 (evidence file, volume XII, annex 1(a) to the State’s final
arguments, folios 4213 to 4214).
100
Cf. Resolution No. 19/2003 issued by the First Trial Court of the La Paz Judicial District, Reasoned order of April 22,
2003 (evidence file, volume VII, annex 27 to the submission of the case, folios 2204 to 2205).
101
Cf. Brief submitted by Dr. Jose Luis Rivero Aliaga, President of the First Trial Court, to the technical judge of this Court
on May 9, 2003 (evidence file, volume VII, annex 28 to the submission of the case, folio 2207); Brief submitted by Dr. Raúl
Gaston Huaylla Rivera, technical judge of the First Trial Court in case FIS No. 894, dated May 9, 2003 (evidence file, volume
VII, annex 29 to the submission of the case, folio 2209).
102