Surgical innovation in LMICs–The perspective from India

Low-cost solutions incorporated in a standard surgical pathway for early breast cancer: A pilot study

“…Needs-driven low-cost surgical innovations can provide simple, safe, ethical and local evidence-based customised solutions thus to achieve health equity for underserved populations. 19 Another welcome trend in this contemporary medical field, which resonates with our low-cost pathway, is an increased call for ensuring the involvement of all LMIC stakeholders, when framing contextualised guidelines. 20,21 The lack of long-term follow-up is a major limitation of our study as we are not able to calculate recurrence rate, overall and disease-specific survival with the short follow-up allowed by our study.…”

“…Needs-driven low-cost surgical innovations can provide simple, safe, ethical and local evidence-based customised solutions thus to achieve health equity for underserved populations. 19 Another welcome trend in this contemporary medical field, which resonates with our low-cost pathway, is an increased call for ensuring the involvement of all LMIC stakeholders, when framing contextualised guidelines. 20,21…”

Low Value Surgical Care: Are We Choosing Wisely?

“…There is little research on de-implementation in LMICs but clearly a tremendous opportunity exists to weed out LVSC, avoid wasteful practices, and use the resultant significant savings to close the equity gaps in the delivery of high-quality surgical care [7,8]. Evidence-based affordable solutions can easily replace those with disproportionately high cost and play an important role in this endeavor [9][10][11][12]. However, it must be ensured that idealistically pursued de-implementation efforts do not exacerbate existing inequities [13].…”

Scintillating Surgery: A critical analysis of the idea of surgical innovation and what this looks like in a South African context

“…is made for. 1 Furthermore, this essay speaks of S.I. as defined by Sharma et al (2022) "SI is 'any' new surgical idea which improves patient welfare by solving an existing problem".…”