Open and Laparoscopic Inguinal Hernia Surgery: A Cost Analysis

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Francesco MongelliDavide La Regina

Abstract

In the treatment of inguinal hernias, there is little hard evidence concerning the economic reimbursement in the diagnosis-related group (DRG) era. Factors that affect whether a hospital may earn or lose financially depending on open or laparoscopic approach is still underexplored. The aim of this study was to provide a reliable analysis of in-hospital costs and reimbursements in inguinal hernia surgery. This retrospective study analyzed the 1-year experience in inguinal hernia repair in patients undergoing open Lichtenstein (OL), laparoscopic totally extraperitoneal unilateral (UTEP), or bilateral (BTEP) hernia repair. Demographics, results, costs, and DRG-based reimbursements were recorded and analyzed. During the study period, 39 patients underwent OL, 82 patients UTEP, and 16 patients BTEP. The average total cost amounted to 4126 EUR in OL, 5134 EUR in UTEP, and 7082 EUR in BTEP groups (P < .001). The hospital reimbursement amounted to 5486 EUR, 5252 EUR, and 6555 EUR in the OL, UTEP, and BTEP groups, respectively (P < .001). Finally, the mean hospital earnings were 1360 EUR, 118 EUR, and -527 EUR for each patient in OL, UTEP, and BTEP, respectively (P < .001). In-hospital costs were higher in UTEP and BTEP as compared with...Continue Reading

References

Jul 1, 1990·American Journal of Surgery
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Jul 8, 2000·The European Journal of Surgery. Supplement. : = Acta Chirurgica. Supplement·B Jönsson, N Zethraeus
Sep 10, 2003·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Benjamin E SchneiderDaniel B Jones
Oct 19, 2010·Health Research Policy and Systems·André Busato, Georg von Below
Sep 12, 2012·ANZ Journal of Surgery·Philip Smart, Lindsay Castles
Apr 12, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Wei-Jun WangZhi-Tao Li
Jun 12, 2013·BMJ : British Medical Journal·Reinhard BusseWilm Quentin
Mar 25, 2014·Journal of the American College of Surgeons·Grant V BochicchioKelly Bochicchio
Feb 15, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C TadakiM Goede
Sep 15, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Davide La ReginaFrancesco Mongelli

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Citations

Dec 2, 2020·Surgical Endoscopy·Francesco ProiettiFrancesco Mongelli
May 1, 2021·Brazilian Journal of Anesthesiology·Andrea SaporitoFrancesco Mongelli
Apr 27, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ramon PiniDavide La Regina

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BETA
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SAS
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