[Viscerosynthesis in laparoscopic interventions--concepts and cost benefit relations].
Viscerosyntheses represent an unrenouncable component of several endoscopic procedures. The extra cost for a laparoscopic viscerosynthesis of approximately 2000 DM in the year 1994 are economically well invested with regard to a reduced postoperative pain, a reduced amount of postoperative analgesics, a faster recovery, and most of all drastically reduced morbidity of the abdominal wall. The unfortunate structure of the healthcare system burdens the hospital with additional financial expenditures, thus shifting the profits to the insurance companies. A change in this profit structure would allow for a faster spread of efficient and promising therapies. Economical studies including patients, physicians, hospital administrations and insurance companies are considered to be imperative in order to promote the development of efficient therapies.
Eypasch
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II. Chirurgischer Lehrstuhl, Universität zu Köln.
Köhler
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Troidl
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D003362:Cost-Benefit Analysis; D005858:Germany; D006801:Humans; D007410:Intestinal Diseases / Q000191:economics / Q000601:surgery*; D007414:Intestinal Neoplasms / Q000191:economics / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000191:economics*; D013528:Surgical Staplers / Q000191:economics*