Outpatient Surgery Magazine

OR Excellence Awards 2016 - September 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 Mini-lap's changing role While mini-laparoscopy was thought to be the next big thing in laparoscopy, surgeons we talked to say its appeal has dimin- ished somewhat. "It's not the rage right now," says Daniel Jones, MD, FACS, chief of minimally invasive surgical services at Beth Israel Deaconess Medical Center in Boston, Mass. "There was a lot of interest before, but it's since waned. Having 2-mm holes looks nicer, but most people think, 'Let's save that healthcare dollar.'" Though some say mini-lap has several potential advantages over laparoscopy, including less post-op pain and fewer complications, Dr. Jones notes that mini-lap's biggest draw may be cosmetic — a smaller incision size that means minimal scarring. Because of this, he notes, the technique is taking off in facilities located within highly competi- tive markets "where they're not as sensitive to costs." However, certain procedures done with mini-lap can actually end up saving a facility money, says Aurora D. Pryor, MD, professor of sur- gery and vice chair for clinical affairs at Stony Brook (N.Y.) School of Medicine. Some mini-lap systems require fewer dis- posable devices for each case, depend- ing on the manufac- turer. "Some of these devices have reusable ports or 1 2 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 6 • TINY CUTS Though mini-lap may not be as popular as it once was, some surgeons still feel that its smaller incisions could help improve outcomes.

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