Laparoscopic contralateral groin exploration: is it cost effective?

Abstract Background Transinguinal laparoscopy offers a safe and effective method for evaluating the contralateral groin during unilateral inguinal hernia repair (UIHR). The purpose of this study is to determine whether laparoscopic contralateral groin exploration (LCGE) is cost effective. Methods A...

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Bibliographic Details
Published in:Journal of pediatric surgery 2010-04, Vol.45 (4), p.793-795
Main Authors: Lee, Steven L, Sydorak, Roman M, Lau, Stanley T
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Contralateral groin exploration
Cost analysis
Cost-Benefit Analysis
Female
Health Care Costs
Hernia, Inguinal - diagnosis
Hernia, Inguinal - economics
Hernia, Inguinal - surgery
Humans
Infant
Laparoscopy
Laparoscopy - economics
Male
Pediatric inguinal hernia
Pediatrics
Retrospective Studies
Surgery
United States
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Summary:Abstract Background Transinguinal laparoscopy offers a safe and effective method for evaluating the contralateral groin during unilateral inguinal hernia repair (UIHR). The purpose of this study is to determine whether laparoscopic contralateral groin exploration (LCGE) is cost effective. Methods A retrospective review of all children who underwent UIHR and LCGE from 2006 to 2007 by a single surgeon was performed. Cost analysis comparing the time to perform the LCGE and time to repair the contralateral patent processus vaginalis (CPPV) to the cost saved by preventing future operation for a contralateral inguinal hernia repair was calculated based on Medicare reimbursement. Results Eighty-one patients underwent UIHR with planned LCGE; 78 (96.3%) had successful LCGE; 8 (10.3%) had a CPPV and underwent contralateral open repair. The total cost for the additional time to perform LCGE and repair of the 8 CPPV was $13 080. The total cost for returning for a second operation to repair the contralateral inguinal hernia was $20 440. Conclusion Laparoscopic contralateral groin exploration at the time of unilateral inguinal hernia repair was cost effective.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2009.06.021