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Chirurg ; 82(9): 813-9, 2011 Sep.
Article in German | MEDLINE | ID: mdl-21424287

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.


Subject(s)
Hernia, Abdominal/economics , Hernia, Abdominal/surgery , Hernia, Umbilical/economics , Hernia, Umbilical/surgery , Laparoscopy/economics , National Health Programs/economics , Surgical Mesh/economics , Adult , Aged , Aged, 80 and over , Cicatrix/economics , Cicatrix/surgery , Cost-Benefit Analysis/economics , Diagnosis-Related Groups/economics , Female , Germany , Humans , Length of Stay/economics , Male , Middle Aged , Postoperative Complications/economics , Postoperative Complications/surgery , Prospective Studies , Risk Factors
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