ReviewHernia : the journal of hernias and abdominal wall surgery2021
Cost analysis of inguinal hernia repair: the influence of clinical and hernia-specific factors.
Review in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- The impact of smoking on inguinal hernia repair outcomes: a meta-analysis of multivariable-adjusted studies.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Mapping the scientific landscape of robotic hernia repair: a bibliometric and topic modeling analysis of thematic transitions.Journal of robotic surgery · 2026Article
- Article
- Comparative Analysis of Early Complications and Length of Hospital Stay After Laparoscopic and Open Inguinal Hernia Repair.Life (Basel, Switzerland) · 2026Article
- Trends and determinants of hospitalization costs for umbilical hernia: a 13-year retrospective analysis from 2012 to 2024.Frontiers in surgery · 2026Article
- Modern Perspectives on Inguinal Hernia Repair: A Narrative Review on Surgical Techniques, Mesh Selection and Fixation Strategies.Journal of clinical medicine · 2025Review
- System dynamics modeling to predict hospitalization costs in adults with inguinal hernia: a single-centre study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Laparoscopic vs. Open-Groin Hernia Repair in Romania-A Populational Study.Journal of clinical medicine · 2025Article
- Retrospective comparative cohort analysis of Darn and Lichtenstein repair methods for bilateral inguinal hernias in adult males in a low-resource setting: a single-centre study in Sudan.Annals of medicine and surgery (2012) · 2025Article
- Prospective comparison of two surgical approaches for incarcerated and strangulated inguinal hernia: preperitoneal hernioplasty through the lower abdominal median incision and laparoscope (TAPP).Updates in surgery · 2024Article
- New materials and complications of prostheses in humans: situation in Spain.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024Review
- Comparison of Externally Transferred and Self-Recruited Patients with Hip and Knee Revision Arthroplasty at a Certified Maximum-Care Arthroplasty Center (ACmax).Healthcare (Basel, Switzerland) · 2024Article
- Trans rectus sheath extra-peritoneal procedure (TREPP) for inguinal hernia repair under local anesthesia with sedation in the outpatient clinic: a feasibility study.Langenbeck's archives of surgery · 2024Article
- Comparative Analysis of Bilateral Open Inguinal Hernia Repair and Rives-Stoppa Repair: A Comprehensive Review.Cureus · 2024Review
- Analysis of surgical quality indicators after certification as a Hernia Center.Updates in surgery · 2024Article
- What factors impact surgical operative time when teaching a resident in the operating room.Heliyon · 2023Article
- Cost and Quality Comparison of Hernia Surgery in Stationary, Day-Patient and Outpatient Care.International journal of environmental research and public health · 2022Article
- Article
- Short-Term Outcomes of Inguinal Hernia Repair in Older Patients: A Retrospective Review at a Tertiary Center.Cureus · 2021Article
- Analysis of Factors Relevant to Revenue Enhancement in Hernia Interventions (SwissDRG G09).Healthcare (Basel, Switzerland) · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAs in the rest of the world, in Germany, inguinal hernia operations are among the most common operations. From an economic standpoint, very little is known about the influence of demographic, clinical or hernia-related parameters on the cost of inguinal hernia repair. We, therefore, evaluated individual patient parameters associated with higher costs with a special focus on multimorbidity.
methodsA total of 916 patients underwent hernia repair for primary or recurrent inguinal hernia between 2014 and 2017 at a single university center and were included in the analysis. The clinical and financial data of these patients were analyzed to identify cost-increasing parameters.
resultsA majority of patients were male (90.7%), with a mean age of 55 years. The surgical methods utilized were mainly the TAPP (57.2%) and Lichtenstein (41.7%) procedures, with an average duration of surgery of 85 min and an average duration of anesthesia of 155 min. The mean cost of all procedures was 3338.3 € (± 1608.1 €). Older age, multimorbidity, emergency operations with signs of incarceration, longer hospital stays and postoperative complications were significant cost-driving factors. On the other hand, sex, the side of the hernia (left vs. right) and the presence of recurrent hernias had no influence on the overall direct costs.
conclusionFrom a purely economic point of view, older age and multimorbidity are demographic cost-driving factors that cannot be influenced. The national hospital reimbursement system needs to consider and compensate for these factors. Emergency operations need to be prevented by early elective treatment. Long postoperative stays and postoperative complications need to be prevented by proper preoperative check-ups and accurate treatment.
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