Skip to main content
SpringerLink
Log in

Expenses and Profits: Economical Aspects of Hernia Surgery

  • Conference paper
Meshes: Benefits and Risks

  • 287 Accesses

Abstract

Inguinal herniorrhaphy will be discussed because there is more substantial literature covering this area compared with incisional hernia repair, where cost analysis is virtually absent. Inguinal hernia repair consumes considerable healthcare resources worldwide because the lifetime risk for hernia is 27% for men and 3% for women [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1.  Primatesta P, Goldacre MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol 1996; 25: 835-9

    Article  PubMed  CAS  Google Scholar 

  2.  Stevens A, Colin-Jones D, Jones J, Gabbay W. Quick and clean: authoritative health technology assessment for local health care contracting. Health Trends 1995; 27: 37-42

    PubMed  CAS  Google Scholar 

  3.  Williams MH, Blazeby JM, Eachus JI. Current challenges for outcome measurement in surgical practice. Ann R Coll Surg Engl 1995; 77:401-3

    PubMed  CAS  Google Scholar 

  4.  Millikan KW, Deziel DJ. The management of hernia: considerations in cost effectiveness. Surg Clin N Amer 1996; 76:105-116

    Article  PubMed  CAS  Google Scholar 

  5.  Rutkow IM. The recurrence rate in hernia surgery: how important is it? Arch Surg 1995; 130: 575-7

    PubMed  CAS  Google Scholar 

  6.  Johnston M, Vogele C. Benefits of psychological preparation for surgery: a meta-analysis. Ann Behav Med 1993; 15:245-56

    Google Scholar 

  7.  Kingsnorth AN, Porter C. Unpublished observations

    Google Scholar 

  8.  Editorial preoperative assessment: from tribalism to cooperation. Lancet 2001; 358: 1747-8

    Google Scholar 

  9.  Royal College of Surgeons of England, 1992. Guidelines for day-case surgery, RCS, London

    Google Scholar 

  10.  Cheek CM, Black NA, Devlin HB, Kingsnorth A, Taylor RS, Watkin DFL. Groin hernia surgery: a systematic review. Ann R Coll Surg Engl 1998; 80 (Suppl 1): S1-S80

    PubMed  Google Scholar 

  11.  Callesen T, Bech K, Kehlet H and the Hvidovre Hospital Hernia Group. The feasibility, safety and cost of infiltration anaesthesia for hernia repair. Anaesthesia 1998; 53: 31-5

    Article  Google Scholar 

  12.  Franks PJ, Moffatt CJ. Effectiveness and cost effectiveness of compression bandages should be shown. Br Med J 1998; 316: 860

    CAS  Google Scholar 

  13.  Kehlet H, White PF. Optimizing anesthesia for inguinal herniorrhaphy: General, regional, or local anesthesia? Anesth Analg 2001; 93:1367-9

    Article  PubMed  CAS  Google Scholar 

  14.  Song D, Greilich NB, White PF, Watcha MF, Tongier WK. Recovery profiles and costs of anesthesia for outpatient unilateral inguinal herniorrhaphy. Anesth Analg 2000; 91: 876-81

    Article  PubMed  CAS  Google Scholar 

  15.  Lawrence K, McWhinnie D, Goodwin A, Gray A, Gordon J, Storie J, Britton J, Collin J. An economic evaluation of laparoscopic versus open inguinal hernia repair. J Publ Health Med 1996;18:41-8

    CAS  Google Scholar 

  16.  MRC Laparoscopic Groin Hernia Trial Group. Cost-utility analysis of open versus laparoscopic groin hernia repair: results from a multicentre randomised clinical trial. Br J Surg 2001; 88: 653-661

    Article  Google Scholar 

  17.  Wantz GE. Laparoscopic herniorrhaphy. J Am Coll Surg 1997; 184: 521-2

    PubMed  CAS  Google Scholar 

  18.  Heikkinen T, Haukipuro K, Leppala J, Hulkko A. Total costs of laparoscopic and Lichtenstein inguinal hernia repairs: a randomised prospective study. Surg Laparosc Endosc 1997; 7:1-5

    Article  PubMed  CAS  Google Scholar 

  19.  Heikkinen T, Haukipuro K, Koivukanga P, Hulkko A. A prospective randomised outcome and cost comparison of totally extraperitoneal endoscopic hernioplasty versus Lichtenstein hernia operation among employed patients. Surg Laparosc Endosc 1998; 8: 338-44

    Article  PubMed  CAS  Google Scholar 

  20.  Sayad P, Hallak A, Ferzli G. Laparoscopic herniorrhaphy: review of complications and recurrence. J Laparoendo Adv Surg Tech 1998; 8: 3-10

    Article  CAS  Google Scholar 

  21.  Voitk AJ. The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg 1998; 41:446-50

    PubMed  CAS  Google Scholar 

  22.  DeTurris SV, Cacchione RN, Mungara A, Pecorara A, Ferzli GS. Laparoscopic herniorrhaphy: Beyond the learning curve. J Am Coll Surg 2002; 194: 65-73

    Article  PubMed  Google Scholar 

  23.  EU Hernia Trialists Collaboration. Laparoscopic compared with open methods of groin hernia repair: systematic review of randomised controlled trials. Br J Surg 2000; 87: 860-867

    Article  Google Scholar 

  24.  EU Hernia Trialists Collaboration. Mesh compared with non-mesh methods of open groin hernia repair: systematic review of randomised controlled trials. Br J Surg 2000; 87:854-9

    Article  Google Scholar 

  25.  Salcedo-Wasicek CM, Thirlby RC. Postoperative course after inguinal herniorrhaphy: a case-controlled comparison of patients receiving worker's compensation vs. patients with commercial insurance. Arch Surg 1995; 130:29-32

    PubMed  CAS  Google Scholar 

  26.  Caplan G, Board M, Pateu A, Tazelaar-Molinia J, Crowe P, Yap SJ, Brown A. Decreasing lengths of stay: The cost to the community. Aust NZ J Surg 1998; 68:433-7

    Google Scholar 

  27.  Callesen T, Klarskov B, Bech K, Kehlet H. Short convalescence after inguinal herniorrhaphy with standardised recommendations: Durations and reasons for delayed return to work. Eur J Surg 1999; 165: 236-241

    Article  PubMed  CAS  Google Scholar 

  28.  Sculpher M, Drummond M, O'Brien В Effectiveness, efficiency, and NICE. Br Med J 2001; 322:943-4

    Article  CAS  Google Scholar 

  29.  NICE Technology Appraisal Guidance No. 18, January 2001

    Google Scholar 

  30.  Kingsnorth AN, Porter C, Bennett DH. The benefits of a hernia service in a public hospital. Hernia 2000; 4:1-5

    Article  Google Scholar 

Download references

Authors
  1. A. Kingsnorth
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. RWTH Aachen Klinikum, Chirurgische Universitätsklinik, Pauwelstraße 30, 52074, Aachen, Germany

    Volker Schumpelick

  2. Dept. Surgery (M/C 958), University of Illinois, South Wood Street 840, 60612-7322, Chicago, IL, USA

    Lloyd M. Nyhus

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag Berlin Heidelberg New York

About this paper

Cite this paper

Kingsnorth, A. (2004). Expenses and Profits: Economical Aspects of Hernia Surgery. In: Schumpelick, V., Nyhus, L.M. (eds) Meshes: Benefits and Risks. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18720-9_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-18720-9_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-40757-7

  • Online ISBN: 978-3-642-18720-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation