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Title Abdominal wall surgery : how reimbursement systems can change surgical evolution / Dalila Patrizia Greco, Elio Borgonovi, editors
Published Cham, Switzerland : Springer, [2019]
Online access available from:
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Description 1 online resource
Contents Intro; Foreword; Preface; Contents; 1: The Evolution of Surgery; Part I: Abdominal Wall; 2: Anatomy of the Abdominal Wall; 2.1 General Appearance; 2.1.1 Superficial Layers; 2.1.2 Myoaponeurotic Structures; 2.1.3 Vascular Supply; 2.1.4 Innervation; 2.2 Weak Areas of the Anterior and Posterior Abdominal Wall; 2.2.1 Linea Alba; 2.2.2 Umbilical Region; 2.2.3 Inguinofemoral Region; General Description; The Anterior View; The Posterior View; Innervation; 2.2.4 Semilunar Line of Spigel; 2.2.5 Triangle of Petit; 2.2.6 Triangle of Grynfeltt
6.2.1 Classification6.2.2 How to Describe Meshes; 6.2.3 How to Study Meshes; 6.3 Host and Mesh; 6.3.1 Implant and Inflammatory Reaction; 6.3.2 Complications and Undesirable Effects; 6.4 Conclusions; References; 7: Care Settings; 7.1 Introduction; 7.2 Surgical Pathway; 7.3 Why Abdominal Wall Surgery Has Been Important in the Evolution of Care Models; 7.3.1 Which Came First: The Chicken or the Egg?; 7.4 To What Extent Technology Has Affected the Effectiveness of PDTA (Integrated Care Pathways); 7.5 Is a Future Evolution Possible?; References
8: Preventing Incisional Hernias: Closure of Abdominal Wall, Follow-Up in Abdominal Surgery8.1 Epidemiology of Incisional Hernia; 8.2 Prevention; 8.2.1 Guidelines; 8.2.2 Incision and Suture Techniques; 8.2.3 Prophylactic Mesh Placement; 8.3 Parastomal Hernias; 8.4 Trocar Site Hernias; 8.5 Costs; References; Part II: Economics; 9: State-of-the-Art of Abdominal Wall Surgery in Italy: Coding, Reimbursement, Hospitalisations and Expenditure for Surgical Meshes; 9.1 Introduction; 9.2 Patient Classification and Hospital Reimbursement System in Italy
9.3 Technologies for Abdominal Wall Repair9.4 Classification of Hospitalisations and Coding Guidelines for Abdominal Wall Surgery; 9.4.1 Methods; 9.4.2 Results; 9.5 Reimbursement for Abdominal Wall Surgery in Italy; 9.5.1 Methods; 9.5.2 Results; 9.6 Hospitalisations for Abdominal Wall Surgery in Italy; 9.7 The Market of Surgical Meshes for Hernia Repair in Italy; 9.8 Discussion; 9.9 Conclusion; References; 10: Presurgical Hidden Costs: Imaging, Assessment Clinic; 10.1 Introduction: Role of Imaging; 10.2 Imaging Modalities; 10.2.1 Conventional Radiological Techniques
Suggested Reading3: Clusters of Pathology and Interventions; 3.1 History; 3.2 Etiology; 3.3 Epidemiological and Social Aspects; 3.4 Classification; 3.5 Surgery; References; 4: Unit of Wall Surgery; 4.1 Introduction; 4.2 Which Surgeron?; 4.3 Certification; References; 5: Organization and Certification of Abdominal Wall Surgery; 5.1 Introduction; 5.2 The Spanish Example; 5.3 The Eastern Europe Example (Poland); 5.4 The Italian Example; 5.5 Conclusions; References; 6: Biomaterials in Abdominal Wall Surgery; 6.1 History of Prosthetics in Hernia Surgery; 6.2 Mesh
Summary This book presents different patient-oriented perspectives from surgeons, economic evaluation and management researchers, and business companies active in the healthcare sector, striking a balance between the appropriateness/effectiveness of treatment and efficiency/cost. It does not include technical surgical details, but instead provides the necessary knowledge regarding different groups of patients to help economic and management researchers make accurate evaluations. Although partially based on the specific case of abdominal wall surgery in the Italian health system, the book defines a model that can, with the necessary adaptations, be applied in other national contexts. It also analyzes different reimbursement systems and methods of data collection. This approach supports the evolution form evidence-based medicine (EBM) to the future of real-world data (big data analysis). Further, it highlights the critical issue of "silos" reimbursement, which is the pillar of DRG, and proposes methodology to evaluate the direct and indirect benefit and costs of surgery (for example quality of care, costs incurred in cases of surgical complications due to the use of inappropriate, low-cost material or due to surgical procedure. It is a valuable resource for clinicians, surgeons, policymakers and managers in the field
Bibliography Includes bibliographical references
Notes Online resource; title from digital title page (viewed on April 12, 2019)
Subject Abdominal Wall -- surgery
Abdominal wall -- Surgery
Abdominal wall -- Surgery.
MEDICAL -- Surgery -- General.
Form Electronic book
Author Borgonovi, Elio, 1946- editor
Greco, Dalila Patrizia, editor
ISBN 3030024261