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Acquisitions - Additional Information (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 20, 2018
Oct. 04, 2018
Jun. 21, 2018
Oct. 02, 2017
Dec. 31, 2018
Dec. 31, 2017
Feb. 17, 2017
Dec. 31, 2016
Business Acquisition [Line Items]                
Business combination, consideration transferred           $ 80,100    
Goodwill         $ 2,246,579 2,235,592   $ 1,276,720
Payments to acquire intangible assets     $ 20,600          
Contingent consideration liabilities         304,248 $ 272,136    
Specialty Surgical                
Business Acquisition [Line Items]                
Business combination, consideration transferred $ 37,000              
Goodwill $ 10,000              
Useful life of Intangible assets, in years 15 years              
Specialty Surgical | Customer relationships                
Business Acquisition [Line Items]                
Intangible assets $ 20,000              
Specialty Surgical | Intellectual property                
Business Acquisition [Line Items]                
Intangible assets $ 3,000              
Essential Medical                
Business Acquisition [Line Items]                
Business combination, consideration transferred   $ 114,700            
Initial payment   60,400            
Aggregate contingent consideration amount   100,000            
Goodwill   $ 30,100            
Useful life of Intangible assets, in years   20 years            
Essential Medical | Customer relationships                
Business Acquisition [Line Items]                
Intangible assets   $ 2,000            
Essential Medical | Intellectual property                
Business Acquisition [Line Items]                
Intangible assets   103,200            
NeoTract, Inc                
Business Acquisition [Line Items]                
Initial payment       $ 725,600        
Aggregate contingent consideration amount       300,000        
Favorable working capital adjustment       1,400        
Contingent consideration liabilities       $ 234,400        
Vascular Solutions, Inc.                
Business Acquisition [Line Items]                
Fair value of the consideration at the date of acquisition             $ 975,500  
Estimated Fair Value Of Contingent Consideration One | Essential Medical                
Business Acquisition [Line Items]                
Estimated fair value of contingent consideration   $ 54,300            
Sales and Regulatory Goals | NeoTract, Inc                
Business Acquisition [Line Items]                
Payment for contingent consideration liability         75,000      
Distributor To Direct Sales Conversions [Member]                
Business Acquisition [Line Items]                
Asset acquisition, consideration transferred         $ 4,900