Single-use versus reusable laparoscopic surgical instruments: a comparative cost analysis.
OBJECTIVE
Our purpose was to determine and compare the total annual costs for reusable and single-use laparoscopic instruments.


METHODS
Records were kept over a 12-month period of all laparoscopic operations (performed only with reusable instrumentation), the surgical instruments used, depreciation costs, and all associated expenses (repairs, maintenance, replacements, cleaning, sterilization, wages). The total cost was then calculated and compared with the total cost (purchase price plus disposal fees) that single-use instruments would have caused for the same operations.


RESULTS
The total cost for single-use instruments would have been more than seven times that for reusable instruments.


CONCLUSIONS
We have decided to continue using reusable instruments for most of our laparoscopic operations. However, single-use instruments are used in situations in which they present a definite advantage. A proper balance is thus sought between the importance of cost factors, on the one hand, and the recognition of the need for the best instrument available for certain procedures, on the other.
Schaer
G N
GN
Department of Obstetrics and Gynecology, University of Zurich, Switzerland.
Koechli
O R
OR
Haller
U
U
D003365:Costs and Cost Analysis; D004209:Disposable Equipment / Q000191:economics*; D017743:Equipment Reuse / Q000191:economics*; D020706:Laparoscopes; D010535:Laparoscopy / Q000191:economics*