The next generation of surgical robotics is poised to disrupt healthcare systems worldwide,
requiring new frameworks for evaluation. However, evaluation during a surgical robot's …

Importance Glaucoma affects more than 75 million people worldwide. Intraocular pressure
(IOP)–lowering surgery is an important treatment for this disease. Interest in reducing …

Guideline Summary Chronic limb-threatening ischemia (CLTI) is associated with mortality,
amputation, and impaired quality of life. These Global Vascular Guidelines (GVG) are …

Objective: This trial followed a structured nationwide training program in minimally invasive
distal pancreatectomy (MIDP), according to the IDEAL framework for surgical innovation …

Objective: To update, clarify, and extend IDEAL concepts and recommendations.
Background: New surgical procedures, devices, and other complex interventions need …

Objective Substantial controversy surrounds the choice between a mechanical versus
bioprosthetic prosthesis for aortic valve replacement (AVR), based on age. This study aims …

Background Two commonly performed surgical interventions are available for severe (grade
II–IV) haemorrhoids; traditional excisional surgery and stapled haemorrhoidopexy …

IDEAL-D: a rational framework for evaluating and regulating the use of medical devices Page 1
IDEAL-D: a rational framework for evaluating and regulating the use of medical devices High …

Objective: The aim of the study was to assess feasibility and outcomes of a multicenter
training program in laparoscopic pancreatoduodenectomy (LPD). Background: Whereas …

The IDEAL framework describes the stages of evaluation for surgical innovations. This paper
considers the role of observational studies in the exploration and assessment stages. At the …