CLINICAL STUDY OF INGUINAL HERNIA WITH SPECIAL REFERENCE TO COST OF TREATMENT

Dr.Tarun kumar Sainia; Dr. Shrikant Sharma; Dr  Swagata Brahamchari; Dr Mahesh Ram

Volume : VI, Issue : V, May - 2017

CLINICAL STUDY OF INGUINAL HERNIA WITH SPECIAL REFERENCE TO COST OF TREATMENT

Dr. Tarun Kumar Sainia, Dr. Shrikant Sharma, Dr Swagata Brahamchari, Dr Mahesh Ram

Abstract :

Aim: 1.To evaluate pre-operative, operative and postoperative cost in inguinal hernia, and to see the total cost of different operative procedures for management of inguinal hernia. 2. To evaluate the economic impact in relation to pre & post operative hospital stay.

Material and Methods : This study is a cost effectiveness analysis within a randomized controlled trial comp� open (OPEN) versus laparoscopic (LAP) hernia repair using mesh in Department of surgery with 6 months followup for each patient. Between January 2015 and September 2016. men with inguinal hernia were randomized and had an operation; patients (-75- OPEN and -25-LAP) with outpatient hernia operations were included in the cost effectiveness analysis. Outcomes included preoperative ,surgical and postoperative costs.

Results : Cost effectiveness analysis within a randomized controlled trial comp� open (OPEN) versus laparoscopic (LAP) hernia repair using mesh was done and it was seen that total cost in open hernia repair is 25958 [around 26000] whereas in laparoscopic it is 66478 .Significant difference was found in the intraoperative cost in open as compared to laparoscopic ,and there was also significant difference in the post op stay which wasmore in open repairs.

Conclusion : Laparoscopic repair although costly but has many advantages like small incision ,less hospital stay ,more patient satisfaction and early recovery. Open hernia repair though cost effective has limitations of large incision ,more hospital stay ,greater no of I.V. antibiotics and late recovery. But still in a poor ,developing country like India open method is still the method of preference as it involves significantly lower costs .