			Home About us Contact

New Surgical Techniques (new + surgical_techniques)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Assuring quality in HPB surgery , efficacy and safety

HPB, Issue 5 2007
Prof G.J. MADDERN
Surgical innovations have made enormous contributions towards the welfare of patients when they have been appropriate, effective and applied with expertise and overall care. However, the potential for advancement and for harm of new surgical techniques, and the level of expertise necessary for their safe introduction, are not always immediately apparent. Furthermore, it is difficult and time-consuming to assess the efficacy and safety of new procedures in the clinical setting. In 1998 the Royal Australasian College of Surgeons established ASERNIP-S, the Australian Safety and Efficacy Register of New and Interventional Procedures , Surgical, to help ensure that new technologies that are being introduced are well proven in concept, are as safe and effective as possible, and are utilized with high levels of skill underpinned by the level of training. [source]

Experimental research and surgery: Why, how, and when?

MICROSURGERY, Issue 4 2001
Antonio Di Cataldo M.D.
Experimental research faces two great problems: the significant reduction of public funding and the firm opposition of the public opinion. The law forbids the use of large animals, so that it is possible to use small animals only, which require microsurgical techniques. However, even a skillful surgeon does not know how to perform microsurgery and has to begin a long and tiring training to master techniques. We think that experimental surgery should play a role because it tests the validity and safety of new surgical techniques and allows special pathophysiological aspects to be studied. Furthermore experimental surgery could represent an essential stage in the training of young surgeons. We should find a balance between observance of the law and respect of the animals and, on the other hand, the role of experimental surgery because we should not forget that its most important aim is the improvement of the health of the humankind. La ricerca sperimentale presenta delle difficoltà che dipendono in gran parte dalla scarsezza dei fondi ad essa destinati e dalla latente ostilità dell'opinione pubblica. Le leggi hanno ormai praticamente abolito la possibilità di utilizzare animali di grossa taglia per cui si possono impiegare solo piccoli animali, con la necessità di ricorrere a tecniche microchirurgiche, che non sono patrimonio di tutti i chirurghi, per cui per acquisirle bisogna sottoporsi a lunghi ed estenuanti tirocinii. Noi riteniamo che alla chirurgia sperimentale debba essere riconosciuto un suo ruolo per le possibilità che essa fornisce di saggiare la validità di nuove tecniche chirurgiche, di studiare particolari aspetti di fisiopatologia e di consentire un adeguato training dei giovani chirurghi. Sarebbe forse più giusto trovare un migliore equilibrio tra l'osservanza delle leggi ed il rispetto degli animali da un lato e la giusta collocazione della chirurgia sperimentale dall'altro, non dimenticando che quest'ultima ha come scopo unico ed esclusivo il miglioramento della salute dell'uomo. © 2001 Wiley-Liss, Inc. MICROSURGERY 21:118,120 2001 [source]

ASERNIP-S: INTERNATIONAL TREND SETTING

ANZ JOURNAL OF SURGERY, Issue 10 2008
Guy Maddern
The Australian Safety and Efficacy Register of New Interventional Procedures , Surgical (ASERNIP-S) came into being 10 years ago to provide health technology assessments specifically tailored towards new surgical techniques and technologies. It was and remains the only organisation in the world to focus on this area of research. Most funding has been provided by the Australian Government Department of Health, and assessments have helped inform the introduction of new surgical techniques into Australia. ASERNIP-S is a project of the Royal Australasian College of Surgeons. The ASERNIP-S program employs a diverse range of methods including systematic reviews, technology overviews, assessments of new and emerging surgical technologies identified by horizon scanning, and audit. Support and guidance for the program is provided by Fellows of the Royal Australasian College of Surgeons. ASERNIP-S works closely with consumers to produce health technology assessments and audits, as well as consumer information to keep patients fully informed of research. Since its inception, the ASERNIP-S program has developed a strong international profile through the production of over 60 reports on evidence-based surgery, surgical technologies and audit. The work undertaken by ASERNIP-S has evolved from assessments of the safety and efficacy of procedures to include guidance on policies and surgical training programs. ASERNIP-S needs to secure funding so that it can continue to play an integral role in the improvement of quality of care both in Australia and internationally. [source]

Gynaecological surgery from art and craft to science?

AUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 2 2009
Neil Philip JOHNSON
Randomised controlled trials are applied more readily to medical than surgical interventions. There are even more barriers to randomised trials of surgical interventions than to other randomised trials. These include reluctance among surgeons to undertake trials (owing to concern over expressing equipoise, surgical training and surgical learning curve issues, restrictions of funding and time for research, even financial conflict of interest), reluctance of patients to participate in surgical trials owing to fears over ,experimental surgery', failure of randomised trials to detect rare surgical complications and the almost universal failure of those conducting surgical trials to examine important long-term outcomes. Rapid advances in surgical fields mean that new surgical techniques are rapidly superseded and clinical questions surrounding new techniques may linger only until the next new technique becomes available. Nonetheless randomised controlled trials remain the cornerstone of evaluating the effectiveness of surgical interventions. Genuine progress has been made in this field. However, large multicentre collaborative randomised trials that have been prospectively defined in trial registries will be required in the future to answer the important clinical questions regarding gynaecological surgical interventions. [source]