Hospital Costs Associated With Laparoscopic and Open Inguinal Herniorrhaphy
| Autor: | Allan Okrainec, Todd Penner, Bruna G. Camilotti, Timothy A Jackson, Josephine Kwong, Fernando Antônio Campelo Spencer Netto, Kristen B. Pitzul, Fayez A. Quereshy |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Open inguinal herniorrhaphy medicine.medical_specialty Statistical difference Hernia Inguinal Scientific Papers Humans Medicine Unilateral inguinal hernia Prospective Studies Hospital Costs Laparoscopy Herniorrhaphy health care economics and organizations Aged Laparotomy Retrospective review medicine.diagnostic_test business.industry Inguinal herniorrhaphy Open surgery Optimal treatment Perioperative Middle Aged Surgery Elective Surgical Procedures Costs and Cost Analysis Female Laparoscopic inguinal herniorrhaphy business |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| DOI: | 10.4293/jsls.2014.00217 |
| Popis: | Purpose: The purpose of this study was to compare the total hospital costs associated with elective laparoscopic and open inguinal herniorrhaphy. Methods: A prospectively maintained database was used to identify patients who underwent elective inguinal herniorrhaphy from April 2009 to March 2011. A retrospective review of electronic patient records was performed along with a standardized case-costing analysis using data from the Ontario Case Costing Initiative. The main outcomes were operating room (OR) and total hospital costs. Results: Two hundred eleven patients underwent elective unilateral inguinal herniorrhaphy (117 open and 94 laparoscopic), and 33 patients underwent elective bilateral inguinal herniorrhaphy (9 open and 24 laparoscopic). OR and total hospital costs for open unilateral inguinal hernia repair were significantly lower than for the laparoscopic approach (median total cost, $3207.15 vs $3723.66; P < .001). OR and total hospital costs for repair of elective bilateral inguinal hernias were similar between the open and laparoscopic approaches (median total cost, $4574.02 vs $4662.89; P = .827). Conclusions: In the setting of a Canadian academic hospital, when considering the repair of an elective unilateral inguinal hernia, the OR and total hospital costs of open surgery were significantly lower than for the laparoscopic techniques. There was no statistical difference between OR and total hospital costs when comparing open surgery and laparoscopic techniques for the repair of bilateral inguinal hernias. Given the perioperative benefits of laparoscopy, further studies incorporating hernia-specific outcomes are necessary to determine the cost-effectiveness of each approach and to define the optimal treatment strategy. |
| Databáze: | OpenAIRE |
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