© 2019

Abdominal Wall Surgery

How Reimbursement Systems Can Change Surgical Evolution

  • Dalila Patrizia Greco
  • Elio Borgonovi

Table of contents

  1. Front Matter
    Pages i-xii
  2. Elio Borgonovi, Dalila Patrizia Greco
    Pages 1-6
  3. Abdominal Wall

    1. Front Matter
      Pages 7-7
    2. Cesare Stabilini, Ezio Gianetta
      Pages 9-20
    3. Pier Luigi Ipponi, Diego Cuccurullo
      Pages 21-35
    4. Francesco Gossetti, Linda D’Amore, Francesca Ceci, Lucia Bambi, Elena Annesi, Paolo Negro
      Pages 37-41
    5. Dalila Patrizia Greco, Claudia Abbati
      Pages 51-61
    6. Dalila Patrizia Greco, Claudia Abbati
      Pages 63-69
    7. Cesare Stabilini, Linda D’Amore, Elena Annesi, Lucia Bambi, Paolo Negro, Francesco Gossetti
      Pages 71-83
  4. Economics

    1. Front Matter
      Pages 85-85
    2. Cristiano Sgrazzutti, Ilaria Vicentin, Alessandra Coppola, Angelo Vanzulli
      Pages 105-116
    3. Paolo Notaro, Paolo Bocchi, Nicola Ladiana, Claudia Abbati
      Pages 117-126
    4. Massimo Puoti, Dalila Patrizia Greco, Marco Merli, Claudia Abbati
      Pages 127-139
  5. Outcomes

    1. Front Matter
      Pages 167-167
    2. Graziano Pernazza, Enrico Pernazza
      Pages 169-182
    3. Umberto Bracale, Giovanni Merola, Cesare Stabilini, Maurizio Sodo, Giuseppe Cavallaro
      Pages 183-190

About this book


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.


Surgery Health economics Cost benefit analysis Health policies Hernia Big data Reimbursement system

Editors and affiliations

  • Dalila Patrizia Greco
    • 1
  • Elio Borgonovi
    • 2
  1. 1.Day&Week Surgery UnitOspedale Niguarda Ca’ GrandaMilanoItaly
  2. 2.Department of Social and Political SciencesBocconi UniversityMilanoItaly

About the editors

Dalila Patrizia Greco obtained a degree in Medicine and Surgery with honors, specializations in General Surgery and in Plastic and Reconstructive Surgery and her master's degree in health management at SDA (School of Management) Bocconi in 1995. She is a member of several national and international scientific societies, fellow of the American College of Surgeons, the G.R.E.P.A (The historical Groupe de Recherche et d'Étude de la Paroi Abdominale) and the EHS (European Hernia Society). Since 2015 she has been a member of the quality group of EHS. She has an interest in the field of abdominal wall surgery (inguinal, femoral, and umbilical hernia, eventration), and has developed day surgery for these conditions. Her research focuses on topics in the fields of biomaterials and healthcare management. Since 2006 she has been the director of the Day Surgery Centralized Departmental Unit and from 2015 also of the centralized structure of week surgery of ASST Ospedale Niguarda Milano.

Elio Borgonovi is Senior professor of Public Administration and Healthcare Management, Department of Social and Political Sciences at Bocconi University, Milan. He was full professor at the State Universities of Parma and Trento. Since the early 70s he has developed the field of management applied to public administration, healthcare and social services sector, for not-for-profit organizations and social enterprises. In 1978 he founded and was a director of CeRGAS (Centre for Research on Health and Social Care Management) to promote research and management education in order to support the implementation of the Italian national health system. Since 2004 he has been President there. He also founded the Public and Not-for-Profit Division at SDA (Bocconi School of Management). He is member of a number of scientific committees and advisory boards and he is an official reviewer for many journals both in Italy and abroad. He is a member of several national and international networks, including ASFOR (Italian Association of Schools of Management), EHMA (European Healthcare Management Association), AOM (Academy of Management – Public and Not for Profit, Healthcare Divisions), IRSPM, and EGPA.

Bibliographic information

  • Book Title Abdominal Wall Surgery
  • Book Subtitle How Reimbursement Systems Can Change Surgical Evolution
  • Editors Dalila Patrizia Greco
    Elio Borgonovi
  • DOI
  • Copyright Information Springer Nature Switzerland AG 2019
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-030-02425-3
  • eBook ISBN 978-3-030-02426-0
  • Edition Number 1
  • Number of Pages XII, 235
  • Number of Illustrations 12 b/w illustrations, 34 illustrations in colour
  • Topics Surgery
    Health Care Management
    Health Economics
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Surgery & Anesthesiology