Minimalinvasive Kinderchirurgie: Entwicklung und Fortschritt durch innovative Technologie* - Die ATCS-Klebung -

Rt, Carbon; Baar, S.; Waldschmidt, J; Hp, Hümmer; Simon, S.

doi:10.1055/s-2001-15858

Cited by 6 publications

(2 citation statements)

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“…Despite the quite different results, more specifically concerning total amounts, the evidence produced by this analysis confirmed what was inferred from other economic evaluations carried out in Europe 6,23. These investigations demonstrated how the use of fleece-bound sealants to stop air leakage could reduce the length of hospital stay and what effect this may have on economic impact.…”

Section: Discussionsupporting

confidence: 78%

Cost analysis of pulmonary lobectomy procedure: comparison of stapler versus precision dissection and sealant

Droghetti¹,

Marulli²,

Vannucci³

et al. 2017

CEOR

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ObjectiveWe aimed to evaluate the direct costs of pulmonary lobectomy hospitalization, comparing surgical techniques for the division of interlobar fissures: stapler (ST) versus electrocautery and hemostatic sealant patch (ES).MethodsThe cost comparison analysis was based on the clinical pathway and drawn up by collecting the information available from the Thoracic Surgery Division medical team at Mantova Hospital. Direct resource consumption was derived from a previous randomized controlled trial including 40 patients. Use and maintenance of technology, equipment and operating room; administrative plus general costs; and 30-day use of postsurgery hospital resources were considered. The analysis was conducted from the hospital perspective.ResultsOn the average, a patient submitted to pulmonary lobectomy costs €9,744.29. This sum could vary from €9,027 (using ES) to €10,460 (using ST). The overall lower incidence (50% vs 95%, P=0.0001) and duration of air leakage (1.7 days vs 4.5 days, P=0.0001) in the ES group significantly affects the mean time of hospital stay (11.0 days vs 14.3 days) and costs. Cost saving in the ES group was also driven by the lower incidence of complications. The main key cost driver was staff employment (42%), then consumables (34%) and operating room costs (12%).ConclusionThere is an overall saving of around €1,432.90 when using ES patch for each pulmonary lobectomy. Among patients undergoing this surgical procedure, ES can significantly reduce air leakage incidence and duration, as well as decrease hospitalization rates. However, further multicenter research should be developed considering different clinical and managerial settings.

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Section: Discussionsupporting

confidence: 78%

Cost analysis of pulmonary lobectomy procedure: comparison of stapler versus precision dissection and sealant

Droghetti¹,

Marulli²,

Vannucci³

et al. 2017

CEOR

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“…Its spectrum of indications has increased steadily since then. Its applications have also been gradually augmented in various surgical areas, including trauma, minimally invasive surgery, urological, plastic and reconstructive, neurological, thoracic, gastrointestinal, and head and neck surgery, and as an adjuvant in treating burns in children [13,14,[18][19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Role of Fibrin Glue in the Prevention of Cervical Leakage and Strictures After Esophageal Reconstruction of Caustic Injury

et al. 2009

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Use of fibrin glue (Tissucol) as a hemostatic in laparoscopic conservative treatment of spleen trauma

et al. 2007

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Laparoscopic management of spleen trauma can be used once a positive diagnosis has been made. It is useful for assessing the degree of splenic injury. A laparoscopic spleen-preserving procedure can be used safely for patients with stable vital data. It is an effective procedure for the evaluation and treatment of hemodynamically stable patients with splenic injuries for whom nonoperative treatment is controversial. The topical application of a fibrin sealant in splenic trauma achieves definitive hemostasis safely, rapidly, and reliably. It also is simple to use in either laparoscopic or open procedures.

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Minimalinvasive Kinderchirurgie: Entwicklung und Fortschritt durch innovative Technologie* - Die ATCS-Klebung -

Abstract: The ATCS is an innovative instrument for MIPS and ca be employed for efficient and socio-economic (e.g. DRGs) closure of large-area defects.

Cited by 6 publications

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Cost analysis of pulmonary lobectomy procedure: comparison of stapler versus precision dissection and sealant

Cost analysis of pulmonary lobectomy procedure: comparison of stapler versus precision dissection and sealant

Role of Fibrin Glue in the Prevention of Cervical Leakage and Strictures After Esophageal Reconstruction of Caustic Injury

Use of fibrin glue (Tissucol) as a hemostatic in laparoscopic conservative treatment of spleen trauma

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