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2014, Number 3

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Rev Esp Med Quir 2014; 19 (3)

Minimally invasive surgery: historical background; present and future perspectives at ISSSTE

Guerrero-Aguirre J, Ortiz-Barrón S, Castillo-Arriaga R, Salazar-Lozano C
Full text How to cite this article

Language: Spanish
References: 19
Page: 375-386
PDF size: 752.27 Kb.


Key words:

Minimally Invasive Surgery, Cost-Benefit Assessment, Coverage, Future of laparoscopy.

ABSTRACT

Attempts to perform minimally invasive procedures are as old as medicine’s history. However, it was not until the Industrial Age when development allowed its peak and made safe this type of surgical techniques. The advent of the Information Age has made minimal invasion surgery only an evolutionary step in the development of surgery. The lack of financial resources in our country has produced a severe technological backwardness in this area, compared to first world countries. However, the emergence of more efficient financial policies in our country, hiring services provided by third parties, has allowed to improve operational deficiencies resulting from the lack of investment in health infrastructure and poor supply chains. This has significance for the ISSSTE, as a significant growth was observed in the number of minimally invasive surgeries performed in the last decade. However, the lack of coverage of these services in all hospital units of the Institute results in limited effective access to such health care; condition that poses a challenge in the near term. More favorable contractual conditions for the Institution, together with costs appropriately differentiated according to the type of procedure performed, are viable alternatives to amend these deficiencies. Finally, the ISSSTE cannot stay apart of the vertiginous development of new technologies available, if we intend to provide health services in the medium term to match our patient’s needs and demands.


REFERENCES

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Rev Esp Med Quir. 2014;19