Abstract Background. Inguinal hernioplasty represents one of the most frequently performed surgical operation. The recent introduction of prosthetic mesh made Bassini operation obsolete, with more space gained by the newly developed 'tension free' and 'sutureless' surgical techniques. This new approach, however, results in increased initial costs for the Hospital, due to the purchase of mesh materials. On the other hand a reduction of overall expenses for a single hernia repair should be expected. In this work an attempt is made to verify this, by calculating the cost-benefit ratio of different techniques for hernia repair. Methods. The type and amount of materials used in a standard Bassini hernia repair, Lichtenstein and Trabucco have been examined. The amount of anesthetic drugs required, the average hospital stay and time away from work were recorded too. The costs of the three operations considered, not including routine expenses (operating room, bedshee, etc) have been estimated. Results. Lichtenstein and Trabucco repair performed in local anesthesia (L. 1.354.120, L. 1.567.120) were cheaper than Bassini CL. 2.820.950). Conclusions. Since the system of Diagnosis Related Group offers a fixed amount of rimbursement for hernia repair (L. 3.247.000), the extensive use of tension free and sutureless methods, offers better profit for the Hospital. Last but not least, tension free hernia repair ensures short hospital stay, less post operative pain, good compliance and better quality of life for the patient.

Mesh prosthesis in the surgical treatment of inguinal hernia: Costs and profits for the hospital [Utilizzazione delle reti protesiche nel trattamento chirurgico dell'ernia inguinale: costi e guadagni per la ULSS]

PIETROLETTI, Renato;
1998-01-01

Abstract

Abstract Background. Inguinal hernioplasty represents one of the most frequently performed surgical operation. The recent introduction of prosthetic mesh made Bassini operation obsolete, with more space gained by the newly developed 'tension free' and 'sutureless' surgical techniques. This new approach, however, results in increased initial costs for the Hospital, due to the purchase of mesh materials. On the other hand a reduction of overall expenses for a single hernia repair should be expected. In this work an attempt is made to verify this, by calculating the cost-benefit ratio of different techniques for hernia repair. Methods. The type and amount of materials used in a standard Bassini hernia repair, Lichtenstein and Trabucco have been examined. The amount of anesthetic drugs required, the average hospital stay and time away from work were recorded too. The costs of the three operations considered, not including routine expenses (operating room, bedshee, etc) have been estimated. Results. Lichtenstein and Trabucco repair performed in local anesthesia (L. 1.354.120, L. 1.567.120) were cheaper than Bassini CL. 2.820.950). Conclusions. Since the system of Diagnosis Related Group offers a fixed amount of rimbursement for hernia repair (L. 3.247.000), the extensive use of tension free and sutureless methods, offers better profit for the Hospital. Last but not least, tension free hernia repair ensures short hospital stay, less post operative pain, good compliance and better quality of life for the patient.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11697/386
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