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  1. A cost and outcome comparison between laparoscopic and Lichtenstein hernia operations in a day-case unit : A randomized prospective study.

    Article, Communication - En anglais

    Finnish Surgical Society. European Association for Endoscopy Surgery. Helsinki, FIN ; Trondheim, NOR, 1995/11 - 1996/06.


    Laparoscopic hernia repair has often been criticized for its high costs.


    To compare the costs of laparoscopic and open hernia repair, 40 patients were randomized for either transabdominal laparoscopic or Lichtenstein mesh repair (under local anesthesia) in a day-case surgery unit.


    Median operative times for the laparoscopic and open groups were 62 and 65 min, respectively.

    Postoperative pain was comparable for the two groups.

    The period before return to normal life was 14 days in the laparoscopic group and 21 days in the open group.

    The hospital costs were 2051 FIM ($1 US=4.6 FIM) higher in the laparoscopic group, but the total costs for employed patients (including expenses due to lost work days) were lower.


    Although the Lichtenstein operation is cheaper for the hospital, the total costs for working patients are lower with the laparoscopic technique, when the cost of lost work days is factored into overall expense.

    Mots-clés Pascal : Hernie, Inguinal, Traitement, Suture chirurgicale, Etude comparative, Voie abord, Laparoscopie, Coût, Evolution, Complication, Analyse avantage coût, Homme, Abdomen pathologie, Chirurgie, Endoscopie, Economie santé, Intervention Lichtenstein

    Mots-clés Pascal anglais : Hernia, Inguinal, Treatment, Suturation, Comparative study, Surgical approach, Laparoscopy, Costs, Evolution, Complication, Cost benefit analysis, Human, Abdominal disease, Surgery, Endoscopy, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0483482

    Code Inist : 002B25G04. Création : 19/02/1999.