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Laparoscopic ventral hernia repair is safe and cost effective

Beldi, G. ; Ipaktchi, R. ; Wagner, M. ; Gloor, B. ; Candinas, D.

In: Surgical Endoscopy And Other Interventional Techniques, 2006, vol. 20, no. 1, p. 92-95

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    Titre
    • Laparoscopic ventral hernia repair is safe and cost effective
    Auteur
    • Beldi, G.. Department of Visceral and Transplant Surgery, Inselspital University Bern, CH-3010, Bern, Switzerland
    • Ipaktchi, R.. Department of Visceral and Transplant Surgery, Inselspital University Bern, CH-3010, Bern, Switzerland
    • Wagner, M.. Department of Visceral and Transplant Surgery, Inselspital University Bern, CH-3010, Bern, Switzerland
    • Gloor, B.. Department of Visceral and Transplant Surgery, Inselspital University Bern, CH-3010, Bern, Switzerland
    • Candinas, D.. Department of Visceral and Transplant Surgery, Inselspital University Bern, CH-3010, Bern, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Surgical Endoscopy And Other Interventional Techniques, 2006, vol. 20, no. 1, p. 92-95. Springer-Verlag; www.springer-ny.com
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:322243
    Summary
    Background: Ventral hernia repair is increasingly performed by laparoscopic means since the introduction of dual-layer meshes. This study aimed to compare the early complications and cost effectiveness of open hernia repair with those associated with laparoscopic repair. Methods: Open ventral hernia repair was performed for 92 consecutive patients using a Vypro mesh, followed by laparoscopic repair for 49 consecutive patients using a Parietene composite mesh. Results: The rate of surgical-site infections was significantly higher with open ventral hernia repair (13 vs 1; p = 0.03). The median length of hospital stay was significantly shorter with laparoscopic surgery (7 vs 6 days; p = 0.02). For laparoscopic repair, the direct operative costs were higher (2,314 vs 2,853 euros; p = 0.03), and the overall hospital costs were lower (9,787 vs 7,654 euros; p = 0.02). Conclusions: Laparoscopic ventral hernia repair leads to fewer surgical-site infections and a shorter hospital stay than open repair. Despite increased operative costs, overall hospital costs are lowered by laparoscopic ventral hernia repair