NEW YORK |
NEW YORK (Reuters Health) – The suit of women carrying their uterus private regulating robotic-assisted medicine increasing from one in 200 procedures in 2007 to roughly one in 10 in 2010, according to a new study.
However, a apparatus didn’t revoke complications related to hysterectomy or differently urge women’s opinion after surgery, researchers found. And it lifted a cost of a procession by roughly one-third.
“This is clearly in some ways a rubbish of resources,†pronounced Joel Weissman from Brigham and Women’s Hospital in Boston, who co-wrote an editorial published with a study.
“It’s a rubbish since there are equally good options and one is usually some-more costly than a other,†he told Reuters Health.
According to a Centers for Disease Control and Prevention, about 600,000 hysterectomies are achieved any year in a U.S.
Researchers led by Dr. Jason Wright from Columbia University in New York analyzed annals from some-more than 260,000 women who had a procession since of endometriosis, draining or fibroids between 2007 and 2010.
During that time, a series of women treated both robotic and customary minimally-invasive surgery, rather than open surgery, increased.
During robotic or minimally-invasive non-robotic surgery, a identical suit of patients – between 5 and 6 percent – had complications such as bladder injuries or bleeding. There was also no disproportion in women’s chances of wanting a blood transfusion or requiring serve caring during a nursing home post-surgery, formed on procession type.
The usually advantage to robotic medicine was a dump in a suit of women staying longer than dual days in a sanatorium – 20 percent, contra 25 percent of those who had customary minimally-invasive surgery, also famous as laparoscopy.
On average, a check for a robot-assisted hysterectomy was about $8,900, compared to $6,700 for medicine though a robot, Wright’s group wrote Tuesday in a Journal of a American Medical Association.
Surgery-assisting robots, marketed by a association Intuitive Surgical, run for about $1.5 million.
MARKETED HEAVILY
The apparatus is used for a operation of procedures, and mostly marketed heavily by hospitals. One new investigate suggested group who get robotic medicine for prostate cancer have fewer complications, during slightest in a brief term, than those who have customary prostatectomy – though again, a robot-assisted procedures were some-more costly (see Reuters Health story of Sept 6, 2012 here: reut.rs/OdVZoZ).
“Robotic medicine has clear advantages in certain clinical situations,†Weissman said. But hysterectomy doesn’t seem to be one of them.
“What’s function is we have an costly record that’s being used for reduction and reduction required things,†he said.
“For many of a things that are finished in gynecology, hysterectomy is particular, there are already other minimally-invasive approaches,†Wright said.
Dr. Myriam Curet, arch medical confidant for Intuitive Surgical and a surgeon during Stanford University in Palo Alto, California, pronounced a new investigate didn’t take into comment justification suggesting robotic medicine can be achieved on some-more severe patients – such as portly women – who competence differently need open surgery.
Open medicine is famous to come with some-more complications than possibly form of less-invasive hysterectomy, Curet added.
“We consider that’s where a drudge can come in,†she told Reuters Health. “It allows we to finish some-more formidable patients in a (minimally-invasive) proceed than laparoscopy does.â€
Wright concluded there are certain forms of women that might do improved after a robotic hysterectomy. He told Reuters Health destiny investigate should demeanour quite during portly women, as good as those with a really vast uterus or mixed before surgeries.
“Each patient’s unfolding is different, so we consider it’s critical that women have this knowledge, and they should lay down and speak with their alloy about that procession is best for them,†Wright said.
SOURCE: bit.ly/JjFzqx Journal of a American Medical Association, online Feb 19, 2013.
