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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 |  |  |

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