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Innovation in Surgery: A Historical Perspective

Published on Nov 1, 2006in Annals of Surgery9.476
· DOI :10.1097/01.sla.0000242706.91771.ce
Daniel J. Riskin6
Estimated H-index: 6
,
Michael T. Longaker99
Estimated H-index: 99
+ 1 AuthorsThomas M. Krummel39
Estimated H-index: 39
Abstract
Objective:To describe the field of surgical innovation from a historical perspective, applying new findings from research in technology innovation.Background:While surgical innovation has a rich tradition, as a field of study it is embryonic. Only a handful of academic centers of surgical innovation
  • References (21)
  • Citations (136)
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References21
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#1Irvin M. ModlinH-Index: 61
#2Mark KiddH-Index: 46
Last. Kevin D. LyeH-Index: 8
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Throughout the ages, the issues that have defined the management of disease processes have been particularly exemplified in the gastrointestinal tract. The use of gas lamps and candles with reflectors by Bozzini, Segalas, Cruise, and Fisher (19th century) allowed for some ingress into both the upper and lower gastrointestinal tract. Von Mikulicz, Leiter, Nitze, Kelling, and Jacobaeus contributed to the development of rigid instruments that could be used endoscopically or laparoscopically. Endosc...
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#1James W. Jones (MU: University of Missouri)H-Index: 23
#2Laurence B. McCullough (MU: University of Missouri)H-Index: 47
Last. Bruce W. Richman (MU: University of Missouri)H-Index: 16
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A gynecologist has referred you a 50-year-old woman with extensive intravenous leiomyomatosis. A tissue diagnosis of invasive low-grade malignancy is available, and the tumor extends into the renal and hepatic veins. You propose removing the tumor by hysterectomy, to be combined if necessary with an extensive venectomy. The patient has had multiple vascular procedures which have exhausted all her available autologous graft material. You will try to excise the tumor through a venotomy, but it is ...
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Why are some less solidly supported health care innovations widely adopted while others with apparently stronger scientific support remain underused? Drawing on four case studies, the authors argue that the way in which the distribution of benefits and risks map onto the interests, values, and power
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#1Jyoti Shah (Imperial College London)H-Index: 11
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#1Dayalan Clarke (Cardiff University)H-Index: 4
#2Nader I. Khonji (Cardiff University)H-Index: 2
Last. Robert E. Mansel (Cardiff University)H-Index: 40
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Sentinel node biopsy of breast cancer is becoming an increasingly popular topic. The concept of the sentinel node being the first lymph node to contain metastatic cancer within a tumor’s lymphatic basin was introduced by Cabanas, a South American surgeon, following his work on carcinoma of the penis. Morton and his colleagues then applied this principle to malignant melanomas, and more recently this concept has gained popularity for carcinoma of the breast. In breast cancer patients, the fact th...
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Last. John W. KenagyH-Index: 2
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Nozzle assemblies for texturing one or several yarns consisting of a plurality of endless synthetic filaments are described wherein the yarn passes through a whirling chamber, fed laterally through at least one oblique bore with compressed air, into a nozzle with a spherical guide element located in the divergent part of the nozzle so as to define therewith an annular slot in which the spreading air stream from the whirling chamber is accelerated. The whirls and loops formed in the individual fi...
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#1Alana Mauluidy Soehartono (NTU: Nanyang Technological University)H-Index: 3
#2Khiam Aik Khor (NTU: Nanyang Technological University)H-Index: 62
Scientific discoveries and innovations have served as the backbone for technological advancements, which can impart societal benefits and address critical needs in areas such as public health. For example, the modern hip implant has proven to be an effective treatment for joint-related diseases like arthritis. In the procedure, artificial joints are used to replace damaged or worn joints which can restore mobility and relieve concomitant pains. Today, many materials and implant parameters such a...
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Abstract Background Surgeons have the responsibility to continuously enhance surgical practice. Standardized processes for institutions to validate and approve the introduction of innovative surgical techniques do not exist. The objective of this work was to develop a model for the introduction of innovative surgical techniques, which assists the innovating surgeons and institution with safe implementation. Method A staged model for the institutional introduction of innovative surgical technique...
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Apr 25, 2020 in CHI (Human Factors in Computing Systems)
#1Ignacio Avellino (University of Paris)H-Index: 3
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AbstractBackground: The Delphi method is a demonstrated way to gather structured expert opinions to forecast, plan, and prioritize around a given topic. It builds consensus through iterative rounds...
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#1Giles Birchley (UoB: University of Bristol)H-Index: 7
#2Jonathan Ives (UoB: University of Bristol)H-Index: 20
Last. Jane M BlazebyH-Index: 58
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Improving surgical interventions is key to improving outcomes. Ensuring the safe and transparent translation of such improvements is essential. Evaluation and governance initiatives, including the IDEAL framework and the Macquarie Surgical Innovation Identification Tool have begun to address this. Yet without a definition of innovation that allows non-surgeons to identify when it is occurring, these initiatives are of limited value. A definition seems elusive, so we undertook a conceptual study ...
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#1Ranee Thakar (Lond: University of London)
#2Geoffrey W. Cundiff (UBC: University of British Columbia)H-Index: 38
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#1M. SelvyH-Index: 2
#2B. Le RoyH-Index: 3
Last. Karem SlimH-Index: 36
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Summary Introduction Publications in the surgical field have usually to do with technical skills (TS). However, the field peripheral to surgical procedures, which brings to bear non-technical skills (NTS) has been achieving increasing prominence. The goal of this study is to objectively assess the evolution of the two fields in surgical literature. Methods The authors perused all the articles published over a decade in four large-scale surgical journals and assigned them to the following three c...
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#1Pierluigi Longatti (UNIPD: University of Padua)H-Index: 23
#2Alessandro Fiorindi (University of Brescia)H-Index: 17
Last. Paolo CappabiancaH-Index: 52
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Abstract Bibliometric analysis shows that Neuroendoscopy (NE) overcame its pioneering phase in the late 80s, and became a significant technological and clinical innovation in the early 90s. During those years the CCD (Charge-Coupled Device) digital videocameras were introduced and videoendoscopy had its decisive breakthrough, laying the foundation for NE take-off. NE can be considered an early product of Artificial Intelligence (AI), as much as Neuroimaging and Neuronavigation. In Italy cerebral...
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#1M. SelvyH-Index: 2
#2B. Le RoyH-Index: 1
Last. Karem SlimH-Index: 36
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Resume Introduction Les publications dans le domaine chirurgical portent conventionnellement sur les techniques liees a la chirurgie (CT). Cependant, le domaine entourant l’acte chirurgical appele competences non techniques (CNT) semble accroitre. Le but de cette etude etait d’evaluer de maniere objective l’evolution de ces deux domaines dans la litterature chirurgicale. Methodes Les auteurs ont passe en revue tous les articles publies durant une decennie dans quatre grands journaux chirurgicaux...
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