caa a22 4500 47577874X CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004649900007 doi (NATIONALLICENCE)springer-10.1007/s004649900007 Cost containment and totally extraperitoneal laparoscopic herniorrhaphy [Elektronische Daten] [L. Farinas, F. Griffen] Background: Surgeons who favor the laparoscopic repair of groin hernias are under pressure to contain the additional hospital costs associated with this technique, which is not universally acknowledged to be superior to less expensive open repairs. The purpose of this study was to compare costs and quality for TEP (total extraperitoneal) herniorrhaphy performed with and without balloon dissection and disposable cannulas. Methods: We studied 92 TEP patients. The first 36 patients (group 1) were repaired using balloon dissection and disposable cannulas. The next 37 patients (group 2) were repaired with nondisposable access cannulas, without balloon dissection and with disposable working ports. The final 19 patients (group 3) were repaired just as in group 2 except that all cannulas were nondisposable. Results: The demographic data and complications were comparable for all three groups. The average hospital cost per case for group 1 procedures was $2,099; for group 2, it was $1,920; and for group 3, it was $1,607. Costs for patients decreased comparably but for different reasons. Also reviewed were 20 patients who underwent Lichtenstein repairs during the study period. The average hospital cost for these repairs was $1,556. This group was not randomized with TEP groups, and the selection criteria were different; hence, data comparing the Lichtenstein and TEP procedures were not analyzed statistically. Conclusion: Costs can be significantly reduced and quality maintained when performing TEP herniorrhaphy without balloon dissection using nondisposable cannulas. Springer-Verlag, 2000 Laparoscopic herniorrhaphy nationallicence Inguinal hernia nationallicence Hernia nationallicence Total extraperitoneal approach nationallicence Cost savings nationallicence Cost:benefit analysis nationallicence Farinas L. Department of Surgery, Louisiana State University Medical Center, 1501 Kings Highway, 71130, Shreveport, LA, USA aut Griffen F. Department of Surgery, Highland Clinic, 1455 East Bert Kouns, 71105, Shreveport, LA, USA aut Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 37-40 0930-2794 14:1<37 2000 14 464 https://doi.org/10.1007/s004649900007 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900007 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Farinas L. Department of Surgery, Louisiana State University Medical Center, 1501 Kings Highway, 71130, Shreveport, LA, USA aut NATIONALLICENCE 700 1- Griffen F. Department of Surgery, Highland Clinic, 1455 East Bert Kouns, 71105, Shreveport, LA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 37-40 0930-2794 14:1<37 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer