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Am J Surg ; 209(3): 468-72, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25547092

RESUMEN

BACKGROUND: We conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting. METHODS: Using New York's state ambulatory surgery databases, we identified discharges for patients who underwent inguinal hernia repair. Patients were grouped by method of hernia repair. We compared hospital-based acute care encounters and total charges across groups. RESULTS: Locoregional anesthesia (5.2%) experienced a similar frequency of hospital-based acute care encounters within 30 days of discharge when compared with patients receiving general (6.0%) or having a laparoscopic procedure (6.0%). Risk-adjusted charges increased across groups (locoregional = $6,845 vs general = $7,839 vs laparoscopic = $11,340, P < .01). CONCLUSION: Open inguinal hernia repair under local anesthesia reduces healthcare charges.


Asunto(s)
Procedimientos Quirúrgicos Ambulatorios/métodos , Anestesia Local/métodos , Hernia Inguinal/cirugía , Herniorrafia/métodos , Laparoscopía/métodos , Pacientes Ambulatorios , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos
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