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A mother broke her leg on holiday and died after complications during surgery
The 34-year-old flew home from Hawaii to Melbourne for surgery in August 2014
Her death was the result of undiagnosed deep vein thrombosis, a coroner said
The family have long-claimed the condition could have been spotted earlier
Coroner today said the surgeon did not remove her bandages prior to surgery
This was 'not good practice' and meant he was 'unable to examine... the limb'

By Laura Hedges For Daily Mail Australia and Australian Associated Press

Published: 00:42 EST, 3 December 2018 | Updated: 00:42 EST, 3 December 2018

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A Melbourne woman who died after breaking her leg on a family holiday wasn't examined properly by her surgeon, a court has heard.

Anna Bowditch, 34, broke her leg on while on holiday in Hawaii with her husband and young daughter on July 30, 2014, after she slipped over by a swimming pool.

She flew back home with her family on August 10 and went in for surgery on August 16, but died five days later after complications caused by undiagnosed deep vein thrombosis.

Anna Bowditch (left), 34, broke her leg on while on holiday in Hawaii with her husband and young daughter on July 30, 2014, having slipped over by a swimming pool

Ms Bowditch's family have long-believed her condition could have been spotted earlier and claim there were a number of treatment, communication and system failures that contributed to her death

Ms Bowditch had flown home on a cramped flight, with her leg propped up on a tray table and booked herself in for surgery at St Vincent’s Private Hospital as soon as possible after she landed.

Coroner Audrey Jamieson said that Ms Bowditch's surgeon, Audi Widjaja, failed to remove the bandage on her limb before she went into the operating theatre, which was not consistent with good practice.

The lack of a 'fulsome' examination meant he could not effectively compare the state of the limb when he did finally view it 'unencumbered', prior to surgery.

Ms Bowditch had flown home on August 10, with her leg propped up on a tray table (right) and booked herself in for surgery at St Vincent’s Private Hospitalo on August 16

'It is difficult not to characterise it as an opportunity lost to have possibly improved on the medical management of Anna Bowditch,' she said.

However, Ms Jamieson said on Monday she could not find the death was preventable and it may have occurred even if Ms Bowditch had not undergone surgery.

Ms Bowditch's family have long-believed her condition could have been spotted earlier.

'We would maintain that it was preventable,' lawyer Tom Ballantyne told reporters outside the Coroners Court.

Coroner Audrey Jamieson said that Ms Bowditch's surgeon, Audi Widjaja (pictured), failed to remove the bandage on her limb before she went into the operating theatre, which was not consistent with good practice

'There was a clear opportunity to make the diagnosis of the DVT and then institute preventative treatment.'

Mr Ballantyne said Ms Bowditch's family believe there were a number of treatment, communication and system failures that contributed to her death.

'They are satisfied with some of the criticisms that the coroner has made today, she's highlighted a number of clear failures in the treatment she received,' he said.

The family hope the case can 'serve as a lesson' for the medical profession, to ensure no one else has to suffer similar pain.

The coroner made 'no adverse comment' against the hospital or its staff, but recommended the Royal Australasian College of Surgeons uses the case as a learning tool for orthopaedic surgeons on how to rigorously examine a fractured limb.