Health technology assessment through the six sigma approach in abdominoplasty: Scalpel vs electrosurgery

Ricciardi, Carlo; Gubitosi, Adelmo; Lanzano, Giuseppe; Parisi, Simona; Grella, E; Ruggiero, Roberto; Izzo, Sara; Docimo, Ludovico; Ferraro, Giuseppe; Improta, Giovanni

doi:10.1016/j.medengphy.2021.05.019

Cited by 6 publications

(6 citation statements)

References 46 publications

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“…The use of DMAIC cycle for assessing two biomedical technologies or medical processes has recently been appreciated in literature [ 38 , 39 , 40 ] but it has again shown its usefulness for guiding researchers into the solution of HTA.…”

Section: Discussionmentioning

confidence: 99%

“…The aim of the project was basically the implementation of an HTA study by using the DMAIC strategy as already performed in previous research, where the DMAIC cycle and SS have shown their feasibility [ 38 , 39 , 41 ]; in particular, the surgical procedures were compared according to the CTQs previously defined.…”

Section: Methodsmentioning

confidence: 99%

“…The aim of this work is to carry out an HTA procedure to compare two different surgical procedures using an adapted DMAIC cycle of SS, as recently performed in literature [ 38 , 39 ]. The rationale is to produce helpful data for the evaluation of the best surgical technique, and therefore, more generally, for the decision-making and management processes of health governance.…”

Section: Introductionmentioning

confidence: 99%

“…The processes and characteristics of HTA were combined with those of the SS, taking the DMAIC cycle from the latter, to analyse the available data and obtain ad hoc information that can help decision makers in the process evolution of the healthcare system. In particular, traditional TT was compared with TT performed through a device considering seven relevant variables as input and three outcomes: length of hospital stay (LOS) (which was already used previously in literature [ 38 , 40 ]), drain output (which was recently employed for similar scopes in literature [ 39 , 41 ]) and surgery duration. We can consider the big picture of this work as an HTA in order to evaluate the usefulness of purchasing specific devices for the surgical activity in detail in order to reduce the patient’s stay time in the surgical facility and improve the clinical conditions after surgery compared to traditional surgery methods.…”

Section: Introductionmentioning

confidence: 99%

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Comparing Two Approaches for Thyroidectomy: A Health Technology Assessment through DMAIC Cycle

Ricciardi

Gubitosi

Vecchione³

et al. 2022

Healthcare

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Total thyroidectomy is very common in endocrine surgery and the haemostasis can be obtained in different ways across surgery; recently, some devices have been developed to support this surgical phase. In this paper, a health technology assessment is conducted through the define, measure, analyse, improve, and control cycle of the Six Sigma methodology to compare traditional total thyroidectomy with the surgical operation performed through a new device in an overall population of 104 patients. Length of hospital stay, drain output, and time for surgery were considered the critical to qualities in order to compare the surgical approaches which can be considered equal regarding the organizational, ethical, and security impact. Statistical tests (Kolmogorov–Smirnov, t test, ANOVA, Mann–Whitney, and Kruskal–Wallis tests) and visual management diagrams were employed to compare the approaches, but no statistically significant difference was found between them. Considering these results, this study shows that the introduction of the device to perform total thyroidectomy does not guarantee appreciable clinical advantages. A cost analysis to quantify the economic impact of the device into the practice could be a future development. Healthy policy leaders and clinicians who are requested to make decisions regarding the supply of biomedical technologies could benefit from this research.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparing Two Approaches for Thyroidectomy: A Health Technology Assessment through DMAIC Cycle

Ricciardi

Gubitosi

Vecchione³

et al. 2022

Healthcare

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“…These complications result in infection, seroma, or hematoma formation and wound dehiscence. 1 , 2 In the latter case, surgical revision followed by split thickness grafting, or conservative wound treatment is required. The poor overall condition of some postbariatric patients may be incompatible with surgical procedures such as the closure of the wound by primary intention.…”

mentioning

confidence: 99%

Successful Treatment of Wound Dehiscence by Innovative Type 1 Collagen Flowable Gel: A Case Report

Ferraro

Lanzano

Grella

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: The growing demand for postbariatric body-contouring surgery after massive weight loss goes hand-in-hand with an increase in wound complications. Consequently, surgical reoperation or conservative management is necessary and represents a difficult challenge to healthcare professionals. Moreover, it is well known that postbariatric patients present aberrant wound healing due to multifactorial causes, such as preoperative illness, nutritional deficiencies, and vascular disease. To treat such complex wounds, several methods have been recommended, such as the use of negative pressure wound therapy, tissue-engineered skin substitutes, and collagen-based wound dressings. The case presented here is of a patient with deep wound dehiscence of the inner left thigh, 1 week after a medial thigh lift procedure, successfully managed with Vergenix Flowable Gel, a human recombinant type I collagen produced in plants. After 2 weeks of treatment, wound dehiscence was replaced with granulation tissue, and after 4 weeks, the patient was completely healed, with an acceptable aesthetic outcome of the surgical scar.

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Comparing the Outcomes of Scalpel and Diathermocoagulation Dissection in Abdominoplasty: A Systematic Review and Meta-Analysis

Alhebshi,

Almawash,

Albarkheel

et al. 2024

Aesth Plast Surg

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Health technology assessment through the six sigma approach in abdominoplasty: Scalpel vs electrosurgery

Cited by 6 publications

References 46 publications

Comparing Two Approaches for Thyroidectomy: A Health Technology Assessment through DMAIC Cycle

Comparing Two Approaches for Thyroidectomy: A Health Technology Assessment through DMAIC Cycle

Successful Treatment of Wound Dehiscence by Innovative Type 1 Collagen Flowable Gel: A Case Report

Comparing the Outcomes of Scalpel and Diathermocoagulation Dissection in Abdominoplasty: A Systematic Review and Meta-Analysis

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