title: [Cost-effectiveness of hernia repair : IPOM versus open sublay mesh technique].
abstract: In comparison to the conventional technique of incisional or umbilical hernia repair with sublay mesh augmentation, incisional hernias in obese patients can be surgically treated with minor surgical trauma by laparoscopic intraperitoneal onlay mesh (IPOM) repair. However, although shortened operation time, hospital stay and faster postoperative reconvalescence might be possible with IPOM repair, the economic calculation including mesh costs is significantly higher. In this study the two operation techniques were compared and the perioperative advantages and disadvantages of both methods were analyzed based on the German diagnosis-related groups (DRG) system.
authors.affiliation: Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie, Universitätsklinik Bonn, Deutschland. marcus.overhaus@ukb.uni-bonn.de
authors.forename: M
authors.initials: M
authors.lastname: Overhaus
authors.forename: C B
authors.initials: CB
authors.lastname: Schaudienst
authors.forename: Y
authors.initials: Y
authors.lastname: Nohl
authors.forename: T O
authors.initials: TO
authors.lastname: Vilz
authors.forename: A
authors.initials: A
authors.lastname: Hirner
authors.forename: J
authors.initials: J
authors.lastname: Standop
authors.forename: A
authors.initials: A
authors.lastname: Türler
authors.forename: J C
authors.initials: JC
authors.lastname: Kalff
authors.forename: N
authors.initials: N
authors.lastname: Schäfer
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002921:Cicatrix / Q000191:economics / Q000601:surgery; D003362:Cost-Benefit Analysis / Q000191:economics; D003953:Diagnosis-Related Groups / Q000191:economics; D005260:Female; D005858:Germany; D046449:Hernia, Abdominal / Q000191:economics* / Q000601:surgery*; D006554:Hernia, Umbilical / Q000191:economics* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000191:economics*; D007902:Length of Stay / Q000191:economics; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics*; D011183:Postoperative Complications / Q000191:economics / Q000601:surgery; D011446:Prospective Studies; D012307:Risk Factors; D013526:Surgical Mesh / Q000191:economics*