ArticleBMC health services research2022
Cost-effectiveness analysis of mesh fixation techniques for laparoscopic and open inguinal hernia surgeries.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Comparison of mesh fixation and non-fixation in transabdominal preperitoneal (TAPP) inguinal hernia repair: a randomized control trial.Surgical endoscopy · 2023Trial
- Composition and influencing factors of hospitalization costs in adult patients undergoing incisional hernia repair surgery.Updates in surgery · 2026Article
- Hernia mesh repair in immunocompromised patients: a comprehensive review.Hernia : the journal of hernias and abdominal wall surgery · 2026Review
- Economic burden and determinants of hospitalization costs in patients undergoing parastomal hernia repair: a quantile regression analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- 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
- Comparison between sutures, cyanoacrylate and self-gripping mesh in Lichtenstein hernia repair: a multi arm randomized control trial.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Global access to technologies to support safe and effective inguinal hernia surgery: prospective, international cohort study.The British journal of surgery · 2024Article
- Article
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Authors and funding
6 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study reports economic evaluation of mesh fixation in open and laparoscopic hernia repair from a prospective real-world cohort study, using cost-effectiveness analysis (CEA) and cost-utility analysis (CUA).
methodsA prospective real-world cohort study was conducted in two university-based hospitals in Thailand from November 2018 to 2019. Patient data on hernia features, operative approaches, clinical outcomes, associated cost data, and quality of life were collected. Models were used to determine each group's treatment effect, potential outcome means, and average treatment effects. An incremental cost-effectiveness ratio was used to evaluate the incremental risk of hernia recurrences.
resultsThe 261 patients in this study were divided into six groups: laparoscopic with tack (LT, n = 47), glue (LG, n = 26), and self-gripping mesh (LSG, n = 30), and open with suture (OS, n = 117), glue (OG, n = 18), and self-gripping mesh (OSG, n = 23). Hernia recurrence was most common in LSG. The mean utility score was highest in OG and OSG (both 0.99). Treatment costs were generally higher for laparoscopic than open procedures. The cost-effectiveness plane for utility and hernia recurrence identified LSG as least cost effective. Cost-effectiveness acceptability curves identified OG as having the highest probability of being cost effective at willingness to pay levels between $0 and $3,300, followed by OSG.
conclusionGiven the similarity of hernia recurrence among all major procedures, the cost of surgery may impact the decision. According to our findings, open hernia repair with adhesive or self-gripping mesh appears most cost-effective.
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