Long-term cost-minimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair
| Autor: | A, Eklund, P, Carlsson, A, Rosenblad, A, Montgomery, L, Bergkvist, C, Rudberg, G, Agren |
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| Rok vydání: | 2010 |
| Předmět: |
Laparoscopic surgery
Adult Male medicine.medical_specialty medicine.medical_treatment Hernia Inguinal law.invention Randomized controlled trial law Recurrence medicine Humans Hernia Hospital Costs Laparoscopy Aged medicine.diagnostic_test business.industry Middle Aged Surgical Mesh medicine.disease Surgery Endoscopy Inguinal hernia Surgical mesh Cost-minimization analysis Female business |
| Zdroj: | BASE-Bielefeld Academic Search Engine |
| ISSN: | 1365-2168 |
| Popis: | Background Laparoscopic surgery has emerged as a new treatment modality for inguinal hernia repair. The aim of the present study was to analyse its long-term costs in relation to those of open repair. Methods A randomized multicentre study comparing totally extraperitoneal laparoscopic repair (TEP) with open repair by the Lichtenstein procedure was performed on men with a primary inguinal hernia. Long-term data on recurrences and complications up to 5 years after operation were collected. Taking treatment costs into consideration, a cost-minimization analysis was conducted. Results A total of 1370 patients had an inguinal hernia repair, 665 in the TEP and 705 in the Lichtenstein group. The total hospital cost for the index operation was €710·6 higher for TEP repair (P < 0·001). Including costs associated with recurrences and complications, this difference increased to €795·1 (P < 0·001). Taking community costs into account, the difference decreased by €503·1 to €292·0 (P = 0·024). Conclusion This cost-minimization analysis, including complications, reoperations and community costs during follow-up of 5 years, showed that laparoscopic inguinal hernia repair had a small but significant increase in overall costs compared with open repair. |
| Databáze: | OpenAIRE |
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