Cost Analysis of Minimally Invasive Surgery in a Pediatric Setting

Mahomed, Anies; McLean, Vanessa

doi:10.1089/lap.2006.0077

Cited by 24 publications

(33 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because the surgery is based on a single injection and the whole intervention does not exceed 15 min, a single operator without surgical experience can perform the intervention. Moreover, the minimally invasive surgery involved also decreased risk of postoperative infection, experimental failure [27], and morbidity/mortality. Thus, the fact that the surgery is minimally invasive is important to consider in regards to ethical and cost-effectiveness issues, since with currently used animal models of the lowest invasiveness such as the rat calvarial defect model, the morbidity/mortality variable is about 5–10% [28].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Injectable Constructs for Bone Repair with a Subperiosteal Cranial Model in the Rat

et al. 2013

View full text Add to dashboard Cite

While testing regenerative medicine strategies, the use of animal models that match the research questions and that are related to clinical translation is crucial. During the initial stage of evaluating new strategies for bone repair, the main goal is to state whether the strategies efficiently induce the formation of new bone tissue at an orthotopic site. Here, we present a subperiosteal model in rat calvaria that allow the evaluation of a broad range of approaches including bone augmentation, replacement and regeneration. The model is a fast to perform, minimally invasive, and has clearly defined control groups. The procedure enables to evaluate the outcomes quantitatively using micro-computed tomography and qualitatively by histology and immunohistochemistry. We established this new model, using bone morphogenetic protein-2 as an osteoinductive factor and hyaluronic acid hydrogel as injectable biomaterial. We showed that this subperiosteal cranial model offers a minimally invasive and promising solution for a rapid initial evaluation of injectables for bone repair. We believe that this approach could be a powerful platform for orthopedic research and regenerative medicine.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of Injectable Constructs for Bone Repair with a Subperiosteal Cranial Model in the Rat

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The ability to perform additional cases could then offset any increased costs of laparoscopy, such as the initial investment in the equipment, as well as its maintenance. 9 On the other hand, the changes in operative times may be surgeon dependent and might not alter costs or the number of cases performed. It is also possible that the observed differences in operating times may be secondary to the same surgeons repairing larger hernias with the open method.…”

Section: Inversion Herniotomymentioning

confidence: 99%

Inversion Herniotomy: A Laparoscopic Technique for Female Inguinal Hernia Repair

Guner

Emami

Chokshi

et al. 2010

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

show abstract

“…19 As a result of this study, the development of standard operating procedures that address instrumentation and room conversion may decrease operating time. Actively developing procurement strategies that may involve bulk purchasing or group purchasing with other local hospitals may effectively reduce the cost of disposables.…”

Section: Discussionmentioning

confidence: 99%

Prospective cost analysis of laparoscopic vs. open pyeloplasty in children: Single centre contemporary evaluation comparing two procedures over a 1-year period

Moore

Lorenzo

Turner

et al. 2013

CUAJ

View full text Add to dashboard Cite

Introduction: Laparoscopy in pediatric urological surgery continues to gradually gain acceptance. Since economic implications are of increasing importance in our cost-containment environment, few studies have compared the expense associated with open to laparoscopic approaches. We present a prospective comparative cost-analysis between the laparoscopic (LP) and open pediatric pyeloplasty (OP). Methods: Over a period of a year (2007)(2008), 54 consecutives pyeloplasties were performed. The "traditional" OP was performed in 33 patients and the remaining 21 children underwent LP. Costs were prospectively collected for each group and divided based on amounts incurred by all different departments involved: nursing, laboratory, diagnostic imaging, pharmacy and operative room. Results: Overall, the average cost for a LP was CDN$6240 compared to CDN$5079 for an OP with a median hospital stay of 2 days (range OP: 1-18, LP: 1-7). The main difference was found in operative room expenses (OP: $2508 vs. LP: $3925). The higher cost could not be solely explained by the use of disposable items, which only subtracts $335 per procedure (23.6% of the cost difference between OP and LP). Length of time spent in the operating room was 1.2 hours longer for the LP and appears to be the main factor explaining the cost difference. Conclusion: Our findings show that at our institution, pediatric LP is more expensive than OP. This cost difference is mainly due to operating room time. For cost-containment purposes, efforts aimed at increasing efficiency in the operating room may help equalize both approaches.

show abstract

Cost Analysis of Minimally Invasive Surgery in a Pediatric Setting

Cited by 24 publications

References 20 publications

Evaluation of Injectable Constructs for Bone Repair with a Subperiosteal Cranial Model in the Rat

Evaluation of Injectable Constructs for Bone Repair with a Subperiosteal Cranial Model in the Rat

Inversion Herniotomy: A Laparoscopic Technique for Female Inguinal Hernia Repair

Prospective cost analysis of laparoscopic vs. open pyeloplasty in children: Single centre contemporary evaluation comparing two procedures over a 1-year period

Contact Info

Product

Resources

About