1 –What it is a minimum invasive procedure?

We classify today, as minimum invasive procedure, that one that little attacks the tissues during the accomplishment of a surgery. That is, the surgical openings to reach the organ that will be repaired had reduced in extension for the improvement of the surgical technique with reduction of the incisions and stages or for the equipment incorporation of high technology. Such devices allow the accomplishment of the procedure through punctures with the videolaparoscopia or of the robotics. This is a concept that is being incorporated for great part of the surgical medicine.

2 –The minimum invasive surgeries can substitute any conventional surgery?

Although to be used in many surgeries before carried through only through the traditional method, at the moment, not yet it is possible to substitute all the surgical procedures. The technique is used preferential in patients with elective admission, in surgeries that can be set appointments with antecedence and all the medical checkup carried through previously. Already it has an initial experience of application in character of urgency in the best hospital centers of the world, as for example, in the cases of apendicectomia, colecistectomias and repairs of some traumas.

3 –Which the benefits of the minimum invasive surgeries?

The benefits of the minimum invasive surgery are several, because it reduces the extension of the cut, of the surgical stages through the use of special instruments, apart from lesser time of accomplishment of the procedure, of the exposition of the patient to the infections and reduction of the postoperative complications, that facilitate the recovery of the sick person making with that it returns faster to its daily routine. The use of the surgical technique for video favors the reduction of the process of postoperative recovery, on average, of 15 days compared with the conventional method. In the case of a conventional colecistectomia they are necessary at least 15 days for the patient comes back to its activities, however, with the accomplishment of the procedure for videolaparoscopia the period of total recovery is of one week.

4 –Which its risks?

The risks are inherent to any type of surgical procedure, even if minimized for the improvement of the surgical techniques and the sophisticated technology today available . The patients continue submitted to the anesthesias, cuts, manipulation and amputation of organs and sutures. Patients with advanced age, diabetes’historical, circulation disturbs and hemorrhagic hipertension, demand the same attention, independent of the surgical technique applied.

5 –Any hospital offers the option of minimum invasive surgeries?

Hospitals of big sized, since that equipped well and that continuously they invest in the improvement of its technological structure and in the qualification of its clinical corps, in the world and Brazil, they can carry through minimum invasive procedures.

The concept introduced for the Specialized Center is new, and has as focus the surgical act and eventual complications, counting on with all the resources necessary, and only the necessary ones, without adding resources of high cost of diagnosis, first aid.

6 –Which the difference between the CECMI and a Hospital day?

The difference between the Specialized Center in Surgeries minimum Invasive CECMI - and one Hospital-Day is huge. The hospital-day concept is exceeded and declining, as form accomplishes of surgical assistance for a great number of procedures. They are only carried through procedures of small sized , that use local anesthesia or of short duration, therefore any surgeries with bigger time of  two hours require a minimum period of six hours of internment.

In the case of a center specialized in minimum invasive surgeries it is essential to available technology of last generation. It is possible to carry through a great number of elective procedures, with security and all rearguard doctor-hospital necessary for the immediate and perfect recovery of the patient. Besides, it has physical structure, medical and nursing team to give complete support to the patient who needs to spend the night in the hospital, to recover fully of the surgery, what it is not possible in one hospital-day where the high hospital is carried through in the same day.

7 –Does have a special training to the doctor to operate this type of surgery?

Yes, the incorporation of new methods of treatment and new technologies are directly related to training and medical qualification. Not only the first surgeon, but also all the assistants team, anesthetists, clinical engineers and of nursing are qualified for the improvement of the surgical techniques, guaranteeing total security  to the patient.

8 –The minimum invasive procedures are accepted for the health insurances?

Yes, because the minimum invasive procedures in specialized centers, offer to the market a safe option with highly predictable costs. When accredit a hospital or specialized center, the operators evaluates the physical structure, technologically and mainly the involved costs.

Differently of the great hospitals, that need supply for innumerable procedures, team and services of support that add costs, the specialized centers keep  professionals, materials and technology  in their essential capacity, offering differentiated prices.