Cost–Benefit Analysis Comparing Laparoscopic and Open Ventral Hernia Repair

Abstract Objective Laparoscopic surgery is a successful treatment option offering significant advantages to patients compared with open ventral hernia repair. A cost–benefit analysis was performed to compare the clinical results and economic costs of the open and laparoscopic techniques for anterior abdominal wall hernia repair, in order to determine the more efficient procedure. Materials and methods We performed a prospective study of 140 patients with primary and incisional hernia, and analyzed clinical data, morbidity, costs of surgery and hospital stay costs. Results The cost of disposable surgical supplies was higher with laparoscopic repair but reduced the average length of stay ( P P Conclusions Laparoscopic ventral hernia repair is associated with a reduced complication rate, a lower average length of stay and with lower total costs. Laparoscopic repair can save 1260€ for each patient, and so this procedure should be considered a cost-effective approach.