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Ethicon-Endo Study Demonstrates MIS Benefits

Tue, 10/27/2009 - 5:16am

Ethicon Endo-Surgery recently announced the results from two newly published studies that demonstrate a minimally invasive approach in three common procedures resulted in a reduced rate of complications and lower overall cost of care, including a difference of more than $15,000 on average for colectomies, when compared to open surgery.

One study compared two types of minimally invasive hysterectomy procedures to open abdominal hysterectomy and another study analyzed outcomes of minimally invasive approaches for appendectomy and colectomy procedures compared to open surgery.

The study, entitled Open Abdominal versus Laparoscopic and Vaginal Hysterectomy: Analysis of a Large United States Payer Measuring Quality and Cost of Care showed, in line with previous studies, that a minimally invasive hysterectomy reduced rates of postoperative infection and length of stay in the hospital when compared to open abdominal hysterectomy. Open surgery was also associated with higher costs than those who underwent laparoscopic and vaginal hysterectomy. Given these findings, the study authors concluded a substantial opportunity exists to shift more hysterectomies from an in-patient to an outpatient setting.

“The clinical and economic outcomes of the study demonstrate the need for higher adoption of minimally invasive hysterectomy procedures in patients who are candidates for this approach,” said Lori Warren, M.D., and  lead author of the study. “In this age of comparative effectiveness, this study shows that when it comes to hysterectomy, a minimally invasive approach gives physicians the opportunity to increase the quality of care women are receiving while potentially saving the healthcare system millions of dollars.”

When compared with patients that underwent an open abdominal hysterectomy, the vaginal approach was associated with an average cost-savings of more than $4,000 and laparoscopic hysterectomy an average of $2,000. Among the three methods of hysterectomy, open abdominal hysterectomy remains the most common approach as 70 percent of procedures are still performed in this manner.

The results of the study, which was sponsored by Ethicon Endo-Surgery, were published in the September issue of The Journal of Minimally Invasive Gynecology. In similar findings, another study titled Comparison of the Clinical and Economic Outcomes Between Open and Minimally Invasive Appendectomy and Colectomy: Evidence from a Large Commercial Payer Database concluded minimally invasive appendectomies and colectomies were associated with lower infection rates, fewer complications, shorter hospital stays and lowerexpenditures than open surgery.

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