Skip to main content
SpringerLink
Log in
Book cover

Abdominal Wall Surgery pp 191–198Cite as

Health Technology Assessment in Abdominal Wall Surgery

  • Chapter

  • 642 Accesses

Abstract

Health Technology Assessment (HTA) would provide a useful tool for the assessment of different technologies. HTA aims at systematically evaluating the properties, effects, and impacts of health technologies, in order to support policy-makers in taking decisions. This chapter presents how HTA is conducted in abdominal wall surgery, by analyzing the main differences across many techniques that can be adopted. Open surgery, videolaparoscopic surgery, and robotic surgery are compared. Additionally, the case study of Tuscany is presented, where thanks to the collaboration of the University Hospital of Pisa and the Grosseto Hospital, the robotic technique plays an important role in the treatment of the abdominal wall hernia. The Tuscany case shows that an important change is ongoing, by presenting how surgeons and institutions may collaborate in order to find the best solution both from the side of science and of economy.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Gutt CN, Oniu T, Mehrabi A, Kashfi A, Schemmer P, Büchler MW. Robot-assisted abdominal surgery. Br J Surg. 2004;91(11):1390–7.

    Article  CAS  Google Scholar 

  2. Monson JR. Advanced techniques in abdominal surgery. BMJ. 1993;307(November):1346–50.

    Article  CAS  Google Scholar 

  3. Hanly EJ, Talamini MA. Robotic abdominal surgery. Am J Surg. 2004;188(4 Suppl. 1):19–26.

    Article  Google Scholar 

  4. Armijo PR, Pagkratis S, Boilesen E, Tanner T, Oleynikov D. Growth in robotic-assisted procedures is from conversion of laparoscopic procedures and not from open surgeons’ conversion: a study of trends and costs. Surg Endosc. 2018;32(4):2106–13.

    Article  Google Scholar 

  5. Jefferson T, Abraha I, Chiarolla E, Corio M, Paone S, Piccoli M, et al. HTA report robotic surgery. Vol. Agenas, Ro. 2017.

    Google Scholar 

  6. Hanly EJ, Zand J, Bachman SL, Marohn MR, Talamini MA. Value of the SAGES Learning Center in introducing new technology. Surg Endosc Other Interv Tech. 2005;19(4):477–83.

    Article  CAS  Google Scholar 

  7. D’Annibale A, Morpurgo E, Fiscon V, Trevisan P, Sovernigo G, Orsini C, et al. Robotic and laparoscopic surgery for treatment of colorectal diseases. Dis Colon Rectum. 2004;47(12):2162–8.

    Article  Google Scholar 

  8. Jain S, Jain M. Comparison between laparoscopic and open hernia repair: a clinical trial. Int J Adv Multidiscip Res. 2018;5(4):1–5.

    Google Scholar 

  9. Kuhry E, Van Veen RN, Langeveld HR, Steyerberg EW, Jeekel J, Bonjer HJ. Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc. 2007;21(2):161–6.

    Article  CAS  Google Scholar 

  10. Smink DS, Paquette IM, Finlayson SRG. Utilization of laparoscopic and open inguinal hernia repair: a population-based analysis. J Laparoendosc Adv Surg Tech. 2009;19(6):745–8.

    Article  Google Scholar 

  11. McCormack K, Scott N, Go PM, Ross SJ, Grant A. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2003;1:CD001785.

    Google Scholar 

  12. Khajanchee YS, Kenyon TAG, Hansen PD, Swanström LL. Economic evaluation of laparoscopic and open inguinal herniorrhaphies: the effect of cost-containment measures and internal hospital policy decisions on costs and charges. Hernia. 2004;8(3):196–202.

    Article  CAS  Google Scholar 

  13. Jacobs VR, Morrison JE Jr. Comparison of institutional costs for laparoscopic preperitoneal inguinal hernia versus open repair and its reimbursement in an ambulatory surgery center. Surg Laparosc Endosc Percutaneous Tech. 2008;18(1):70–4.

    Article  Google Scholar 

  14. Payne JH, Grininger LM, Izawa MT, Podoll EF, Lindahl PJ, Balfour J. Laparoscopic or open inguinal herniorrhaphy?: a randomized prospective trial. Arch Surg. 1994;129(9):973–81.

    Article  Google Scholar 

  15. Menon M, Tewari A, Baize B, Guillonneau B, Vallancien G. Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic prostatectomy: the Vattikuti Urology Institute experience. Urology. 2002;60(5):864–8.

    Article  Google Scholar 

  16. Tan A, Ashrafian H, Scott AJ, Mason SE, Harling L, Athanasiou T, et al. Robotic surgery: disruptive innovation or unfulfilled promise? A systematic review and meta-analysis of the first 30 years. Surg Endosc. 2016;30(10):4330–52. https://doi.org/10.1007/s00464-016-4752-x.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Roh HF, Nam SH, Kim JM. Robot-assisted laparoscopic surgery versus conventional laparoscopic surgery in randomized controlled trials: A systematic review and meta-analysis. PLoS One. 2018;13:1–12.

    Google Scholar 

  18. Goodman CS. Introduction to health technology assessment. 2014.

    Google Scholar 

  19. National Academy of Engineering C on PEP. A Study of Technology Assessment. 1969.

    Google Scholar 

  20. Galbraith JK. The New Industrial State. Princeton: Princeton University Press; 1977. 577p

    Google Scholar 

  21. Brooks H, Bowers R. The assessment of technology. Sci Am. 1970;222:13–21.

    Article  Google Scholar 

  22. Banta D, Jonsson E. History of HTA: introduction. Int J Technol Assess Health Care. 2009;25(Suppl.S1):1–6.

    Article  Google Scholar 

  23. Sorenson C, Chalkidou K. Reflections on the evolution of health technology assessment in Europe. Heal Econ Policy Law. 2012;7(1):25–45.

    Article  Google Scholar 

  24. Oliver A, Mossialos E, Robinson R. Health technology assessment and its influence on health-care priority setting. Int J Technol Assess Health Care. 2004;20(1):1–10.

    Article  Google Scholar 

  25. Banta D, Jonsson E. History of HTA: introduction. Int J Technol Assess Health Care [Internet]. 2009;25(S1):1–6. Available from: http://www.journals.cambridge.org/abstract_S0266462309090321.

    Article  Google Scholar 

  26. Bero L, Rennie D. The cochrane collaboration: preparing, maintaining, and disseminating systematic reviews of the effects of health care. JAMA. 1995;274(24):1935–8.

    Article  CAS  Google Scholar 

  27. Stevens A, Milne R, Burls A. Health technology assessment: history and demand. J Public Health. 2003;25(2):98–101.

    Article  Google Scholar 

  28. Department of Health L. Assessing the effects of health technologies. London: Department of Health; 1991.

    Google Scholar 

  29. Ballantyne GH. Telerobotic gastrointestinal surgery: phase 2—safety and efficacy. Surg Endosc. 2007;21(7):1054–62.

    Article  CAS  Google Scholar 

  30. Taylor GW, Jayne DG. Robotic applications in abdominal surgery: their limitations and future developments. Int J Med Robot Comput Assist Surg. 2007;3(1):3–9.

    Article  CAS  Google Scholar 

  31. Schumpelick V. In: Schumpelick V, editor. Narbenhernie. Stuttgart: Hernien Thieme; 2000. p. 266–9.

    Google Scholar 

  32. Chevrel JP, Rath AM. Classification of incisional hernias of the abdominal wall. Hernia. 2000;4(1):7–11.

    Article  Google Scholar 

  33. Korenkov M, Paul A, Sauerland S, Neugebauer E, Arndt M, Chevrel JP, et al. Classification and surgical treatment of incisional hernia. Langenbeck’s Arch Surg. 2001;386(1):65–73.

    Article  CAS  Google Scholar 

  34. Dietz UA, Hamelmann W, Winkler MS, Debus ES, Malafaia O, Czeczko NG, et al. An alternative classification of incisional hernias enlisting morphology, body type and risk factors in the assessment of prognosis and tailoring of surgical technique. J Plast Reconstr Aesthet Surg. 2007;60(4):383–8.

    Article  CAS  Google Scholar 

  35. Ammaturo C, Bassi G. The ratio between anterior abdominal wall surface/wall defect surface: a new parameter to classify abdominal incisional hernias. Hernia. 2005;9(4):316–21.

    Article  CAS  Google Scholar 

  36. Miserez M, Alexandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, et al. The European hernia society groin hernia classication: simple and easy to remember. Hernia. 2007;11(2):113–6.

    Article  CAS  Google Scholar 

  37. Muysoms F, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, et al. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407–14.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Economics and Management, University of Pavia, Pavia, Italy

    Valentina Beretta

  2. Hospital Programming Unit, HTA Office, Regional Government Health Care Directorate, Lombardy Region, Italy

    Michele Tringali

  3. Surgery Department, University Hospital of Pisa, Pisa, Italy

    Antonio Marioni

Authors
  1. Valentina Beretta
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Michele Tringali
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Antonio Marioni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Valentina Beretta .

Editor information

Editors and Affiliations

  1. Day&Week Surgery Unit, Ospedale Niguarda Ca’ Granda, Milano, Italy

    Dalila Patrizia Greco

  2. Department of Social and Political Sciences, Bocconi University, Milano, Italy

    Elio Borgonovi

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Cite this chapter

Beretta, V., Tringali, M., Marioni, A. (2019). Health Technology Assessment in Abdominal Wall Surgery. In: Greco, D.P., Borgonovi, E. (eds) Abdominal Wall Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-02426-0_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-02426-0_17

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02425-3

  • Online ISBN: 978-3-030-02426-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation