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The Economics of Prefilled Syringes - August 2017 - 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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That's because a lot of things can go wrong if surgeons aren't totally comfortable with the complex anatomy of the area. They have to watch out for the iliohypogastric, ilioinguinal and genitofemoral nerves. The spermatic cord and its associated structures are vulnera- ble. The bladder and other organs are right nearby. If they use tacks, the tacker can cause injuries. Even if they do everything else right, if the dissection isn't wide enough, there's likely to be a recurrence. Same thing if the mesh the surgeon uses is too small. It's no wonder that some say it takes about 250 laparoscopic inguinal hernia repairs to ease the anxiety and become truly comfort- able with the procedure. Others say 250 is actually optimistic, that complications don't really begin to plateau at an acceptable level until you have about 500 laparoscopic hernias under your belt (so to speak). So it's also no wonder that most general surgeons continue to use the open approach, despite study (osmag.net/vdd3cm) after study (osmag.net/js2ofe) showing that patients who have laparoscopic repairs are less restricted and less likely to experience chronic pain, even as long as 5 years after the procedure. Open and closed The beauty of robotics is that it gives you the best of both worlds. From a technical standpoint, it's much easier to perform most opera- tions robotically than laparoscopically. The way your hands move and how you hold the needles is much more intuitive, much more like a replication of an open surgery. With a robot, you're basically operating on the inside the way you would in an open procedure. But on the outside, it's minimally inva- sive, with less scarring and all the other benefits of laparoscopy. That's a great combination. A U G U S T 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 8 7

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