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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers, unexplained...
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:

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Open versus endoscopic component separation: a cost comparison.

Karem C Harth1, Johnie Rose, Conor P Delaney

  • 1Department of General Surgery, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106-5047, USA.

Surgical Endoscopy
|June 4, 2011
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Comparing open and endoscopic components separation technique (CST), this study found similar overall direct costs. While endoscopic instruments contributed minimally, biologic grafts and wound morbidity were significant cost drivers for both approaches.

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Area of Science:

  • Abdominal Wall Reconstruction
  • Minimally Invasive Surgery
  • Surgical Cost Analysis

Background:

  • Components separation technique (CST) is utilized for abdominal wall reconstruction via open or endoscopic methods.
  • The cost-effectiveness of endoscopic CST versus open CST, considering instrument costs and clinical benefits, remains unclear.
  • This study aimed to compare the direct costs of open and endoscopic CST.

Purpose of the Study:

  • To compare the direct costs associated with open and endoscopic components separation technique (CST).
  • To evaluate the impact of surgical approach on overall healthcare expenditure within a 6-month follow-up period.

Main Methods:

  • Retrospective review of patients undergoing open or endoscopic CST between 2005 and 2009.
  • Comparison of patient demographics, surgical variables, length of stay, wound morbidity, and direct costs.
  • Analysis included index operation costs and 6-month follow-up encounters.

Main Results:

  • No significant difference in overall median direct costs between open and endoscopic CST ($17,701 vs. $9,942).
  • Endoscopic CST showed lower wound morbidity (19% vs. 41%), though not statistically significant (p=0.07).
  • Biologic grafts and wound morbidity were identified as major cost contributors, not endoscopic instruments.

Conclusions:

  • Total direct costs for open and endoscopic CST are comparable in similar patient groups.
  • Endoscopic instruments represent a minor portion of total costs; biologic grafts and wound morbidity are more significant factors.
  • Endoscopic CST may offer benefits in reduced wound morbidity, warranting further investigation into its long-term cost-effectiveness.