PMID- 12152642
OWN - NLM
STAT- MEDLINE
DCOM- 20030206
LR  - 20191106
IS  - 1265-4906 (Print)
IS  - 1248-9204 (Linking)
VI  - 6
IP  - 2
DP  - 2002 Jul
TI  - Surgical outcome and hospital cost analyses of laparoscopic and open tension-free 
      hernia repair.
PG  - 68-72
AB  - Surgeons who favor the laparoscopic repair of groin hernias must limit the 
      additional costs associated with this technique, which is not universally 
      acknowledged to be superior to other less expensive open tension-free repairs. 
      This retrospective study compared outcome and costs between laparoscopic and open 
      tension-free hernia repair in 320 patients with inguinal hernias. Patients 
      underwent either (a) transabdominal preperitoneal procedure (TAPP; 60 patients, 
      72 procedures), (b) totally extraperitoneal procedure (TEP; 174 patients, 202 
      procedures), or (c) open tension-free procedure (86 patients, 105 procedures). 
      Regarding important postoperative complications there were two (3.3%) recurrences 
      in the TAPP group and one (0.6%) in the TEP group, and six (9.9%) transient 
      neuralgias in the TAPP group and one (1.2%) in the tension-free group. There were 
      no deaths, no testicular atrophies, and no wound or mesh infections. The mean 
      hospital postoperative stay was the same in the three groups (1 day). Mean 
      operating time was shorter in the tension-free group concerning the unilateral 
      cases and shorter in the TEP group concerning the bilateral cases. Fewer patients 
      required analgesia during the first 6 h after the operative procedure in the TEP 
      group than in the other two groups. The mean total costs were 483.90 euros in the 
      open tension-free repair, 763.20 euros in the TAPP repair, and 572.50 euros in 
      the TEP repair. The open procedure was the cheaper for the hospital. Laparoscopic 
      hernia repair and tension-free repair as described by Gilbert are comparable in 
      postoperative complications. TEP hernia repair is associated with less 
      postoperative pain and earlier return to normal activities, but it is more 
      expensive and continues to be a difficult procedure. Open tension-free repair is 
      the least expensive method and is easier to learn than the other two procedures.
FAU - Papachristou, E A
AU  - Papachristou EA
AD  - eurip@otenet.gr
FAU - Mitselou, M F
AU  - Mitselou MF
FAU - Finokaliotis, N D
AU  - Finokaliotis ND
LA  - eng
PT  - Journal Article
PL  - France
TA  - Hernia
JT  - Hernia : the journal of hernias and abdominal wall surgery
JID - 9715168
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Chi-Square Distribution
MH  - Female
MH  - Hernia, Inguinal/economics/*surgery
MH  - *Hospital Costs
MH  - Humans
MH  - *Laparoscopy/economics
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications
MH  - Retrospective Studies
MH  - Surgical Mesh
MH  - Treatment Outcome
EDAT- 2002/08/03 10:00
MHDA- 2003/02/07 04:00
CRDT- 2002/08/03 10:00
PHST- 2002/08/03 10:00 [pubmed]
PHST- 2003/02/07 04:00 [medline]
PHST- 2002/08/03 10:00 [entrez]
AID - 10.1007/s10029-002-0062-4 [doi]
PST - ppublish
SO  - Hernia. 2002 Jul;6(2):68-72. doi: 10.1007/s10029-002-0062-4.