Single-use versus reusable laparoscopic surgical instruments: a comparative cost analysis

Article Abstract:

Using single-use surgical instruments and supplies could add substantially to the cost of surgical procedures. Researchers did a cost analysis of the reusable instruments and supplies used in 402 different surgical procedures during a 12-month period. They included not only the cost of the instruments and supplies but also the cost of cleaning, sterilizing and repairing them. They compared these costs with the costs of using disposable instruments and supplies. Overall, the cost of the reusable supplies for all 402 operations was $32,380. The same operations using disposable supplies would have cost $252,295. In some specific operations, the cost of disposable supplies would outweighed the cost of reusables by a factor of nine. Disposable supplies are often much more expensive than reusable supplies.

Economic aspects, Equipment and supplies, Disposable medical supplies, Surgery, Medical supplies, Disposable

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New surgical procedures: can our patients benefit while we learn?

Article Abstract:

Gynecologists must minimize the risk of harm and maximize the likelihood of benefit from the introduction of new surgical techniques. To do this, gynecologists must evaluate new technologies and techniques, resist pressures from sales people and health maintenance organizations, learn the new techniques under the guidance of experienced physicians, engage in peer review to ensure quality of care, and assist patients in making informed decisions. This last requirement includes telling patients what is known about the benefits and risks of the new procedure and openly and honestly discussing the surgeon's expertise and experience in performing it.

Practice, Ethical aspects, Surgeons, Gynecology, Operative, Gynecological surgery

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