At the same time, the positive information concerning the length of the surgery, the multi functionality of the technology as well as the reduction in the use of other devices make affirm that all the organizational system, for example the individual operating rooms, could take selleck chemical considerable advantage of it. Moreover, the observed reduction of complications, such as seroma and hematoma, the reduction of surgical wound infections related to the reduction of the suction drainage of any postoperative collections, the reduction of involuntary muscle spasms, inevitable when the patient is operated with normal electrosurgical unit, may lead to an improvement in terms of organization and management of the structure providing the performance. Obviously, the impact in terms of cost reduction in favor of the structure should not be forgotten.

Technology can be introduced immediately, since the generator is present in the surgery unit of the hospital. In particular, the code FCS9M has already been recorded and encoded by the Hospital therefore, it should not follow the paths involved in the introduction process of ��new products��. The reduced recovery time compared to the average duration with a standard technique will allow departments to increase hospital bed turnover rate (16, 18, 19). This could be a benefit to reduce waiting lists thus increasing profitability. At the same time, the patient can return to work earlier or resume normal activities in a much shorter time, reducing the impact on the costs of the Social and Health System.

The lack of specific economical studies makes difficult a cost-efficacy evaluation on the use of the HF in the surgical interventions for breast carcinoma; therefore we decided to compare the estimate of costs of the single procedure in our structure with the DRG (Diagnosis Related Group) fares reported in the 2009 TUC (Tariffa Unica Convenzionale). In order to estimate the total cost per procedure we have considered: the cost of purchasing the technology, the cost of human resources involved, the cost of the operating room, the cost of hospitalization. In order to estimate the total cost per procedure we have considered: the cost of purchasing the technology, the cost of human resources involved, the cost of the operating room, the cost of hospitalization.

An inner ��survey�� allowed to collect information concerning: the staff involved in the execution of the surgical procedure, the Cilengitide execution time of the surgical procedure (incision – suture), the total amount of operating-room time and the devices used in the procedure. To connect the cost of the time spent by all human resources involved, we have considered the National Collective Labor Agreement for the Medical and Veterinary management in the National Health Service and the average salary of the management staff in ��S. Maria�� Terni Hospital.