Cost analysis of a laparoscopic hysterectomy technique
Análisis de costos de una técnica de histerectomía laparoscópica
Show authors biography
The gynecological endoscopy group of the Department of Gynecology and Obstetrics of the Hospital of San José develops its own technique of Japaroscopic hysterectomy, based on bipolar coagulation, dissection and cutting, looking for it to strengthen the training program and its costs are of interest for Health Promotion Organizations (EPS). Between 1995 and 1998 20 patients were treated with the procedure already described. A surgical time of 120 minutes was obtained as an important result and hospital stay, professional fees, material and equipment were calculated, comparing them with the already known costs of the abdominal and vaginal route. Said technique is less expensive than the other routes, as long as the use of disposable elements is rationalized. This also allowed us to perfect the training program in gynecological endoscopy, leading us to be pioneers in the field.
Article visits 320 | PDF visits 11420
Downloads
1. Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg 1989;5:213-16.
2. Kovac SR. Guidelines to determinate the route of hysterectomy. Obstet Gynecol 1995;85:18-23.
3. Malcon G. Munro. MD. Controversias en endoscopia ginecológica. Clínicas obstétricas y ginecológicas. 2/1995-385:406.
4. Nezhat C, Nezhat F, Nezhat C, Admon D, Nezhat A. Proposed classification of hysterectomies involving laparoscopy. J Amer Assoc Gynecol Laparo 1995;2(4):427-429.
5. Richards S. Simpkins S. Laparoscopic supracervical hysterectomy versus laparoscopi - assisted vaginal hysterectomy. J Am Assoc Gynecol Laparo 1995:2(4):431-435.
6. Carlson K, Miller B, Fowler F, The Maine Women's healt study: I outcomes of hysterectomy. Obstet Gynecol 1994:83(4)556-565.
7. Lyons T. Laparoscopic supracervical hysterectomy a comparision of morbidioty results with laparoscopically assisted vaginal hysterectomy. J Reproduct Med 1993:38(10):763-767.
8. Richardson RE, Bournas N, Magos AL. Is laparoscopic hysterectomy a waste of time? Lancet 1995:345:36-41.
9. Johns DA, Benito C, Jones J et al. The medical and economic impact of laparoscopically assisted vaginal hysterectomy in a large, metropolitan, not-for-profit hospital. Am J Obstet Gynecol 1995: 172:1709-1719.