Canada starts fight-back against bloodless surgery?

by darkspilver 13 Replies latest watchtower medical

  • ILoveTTATT2
    ILoveTTATT2

    OC...

    I was saying that the data against the procedure is flawed. Comparing apples to oranges... It seems one sided, the Government using one study vs the doctors saying they support the procedure, and people even paying for the extra costs...

    I will go where the data leads, but then the urologists or scientists or whoever makes the data, should come up with a good study which decisively shows benefits or drawbacks either way...

    That was my point.


  • OrphanCrow
    OrphanCrow

    Okay, ILove. Sorry if I misunderstood. The issue was like you said, evidence.

    Solid data and evidence is needed. Especially when public $$$ is being used.

    What I find interesting about the OP is that this is yet another media piece that uses a Jehovah's Witness patient to promote and/or discuss medical technology. A patient who doesn't even have a medical blood disorder - they have a blood disorder that has been given to them. And that is the selling point - no blood. From a made up blood disorder.

  • Bill Covert
    Bill Covert

    I went the robot, at a leading cancer center "City of Hope" LA Ca.

    The blood issue is no major issue in this type of sugary.

    Incontinence is the major issue, how much the plumbing leaks after operation. The robot is very precise, using magnification, air pressure to create space for minimal amount of tissue to be cut. The movements are very controlled through what ever setting the operator sets. A major determining factor of sugary success lies in the patient and how serious he takes his pelvic floor exercises.

    This is just personal opinion. A surgeon told me sugary is one half science, one half art. A highly skilled surgeon is just that. The robot can take a good surgeon and make him competitive with a higher skilled surgeon. Sugary has three factors 1; how healthy we have maintained our body, 2; skill of surgeon, 3; how serious we do our rehab. Personally for me the robot was a much wiser decision then the Urologist I knew from the gym.

  • darkspilver
    darkspilver

    FYI below is a link to the full 172 page report

    http://www.hqontario.ca/Portals/0/Documents/evidence/reports/hta-prostatectomy-1707-en.pdf

    Health Quality Ontario - Ontario Health Technology Assessment Series

    Robotic Surgical System for Radical Prostatectomy: A Health Technology Assessment

    KEY MESSAGES

    Prostate cancer is the second most common cancer in men in Canada. It forms in the prostate gland of the male reproductive system and often grows very slowly. However, in some patients, prostate cancer grows more quickly and is fatal.

    One of the possible treatments for prostate cancer is to surgically remove the prostate gland. This is known as radical prostatectomy. It can be performed in an open, laparoscopic, or robot-assisted approach. The open approach is the traditional surgical approach and involves a large incision. In contrast, laparoscopic and robot-assisted approaches are minimally invasive and performed through small keyhole incisions. The robot-assisted approach is the newest method. It uses a surgical robotic system with arms that the surgeon controls to perform the radical prostatectomy.

    We reviewed the evidence to evaluate the effectiveness, safety, and cost-effectiveness of the robotic surgical system for radical prostatectomy compared with the open and laparoscopic approaches.

    We did not find high-quality evidence that the robot-assisted approach improves cancer-related outcomes or important functional outcomes (e.g., urinary function and sexual function). The robotic surgical approach does appear to improve some perioperative outcomes, such as the length of the hospital stay and blood loss.

    Patients may prefer the robot-assisted method, particularly if their surgeon recommends it as a better treatment.

    Our economic analysis showed that compared with open radical prostatectomy, the costs of using the robotic system are relatively large while the health benefits are relatively small. Thus, robot-assisted radical prostatectomy does not appear to be cost-effective in Ontario.

    http://www.hqontario.ca/Portals/0/Documents/evidence/reports/hta-prostatectomy-1707-en.pdf

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