To Compare the Cost Effectiveness of Stoppa’s Preperitoneal Hernioplasty and Laparoscopic TAPP for Inguinal Hernia Surgeries in Rural Tertiary Care Hospital in India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: The subject of repair of inguinal hernia has been full of controversy ever since Eduardo Bassini of Padua University described his method of repair in the manuscript ‘Radical Cure of Inguinal Hernias’ way back in 1887. In 1984, Lichtenstein et al coined the term “Tension-Free Hernioplasty” and broke the convention by advocating routine use of mesh for hernia repair, thereby making tissue repair a thing of the past. Real controversy started in 1990, when laparoscopic Tension-Free repair came in to vogue and was routinely advocated and aggressively marketed by promising less pain and shorter recovery period, but the things in the small prints were completely ignored. Prospective type of study was carried out in Surgery department on 47 cases, among which 28 undergone Stoppas surgery and 19 undergone laparoscopic TAPP. Both types of surgeries were compared and cost effectives procedure was identified. Bleeding time, complications etc were compared. SPSS Software was used for statistical analysis. Mean days of hospital stay among Stoppas cases was 4 days and among lap TAAP was 3 days. Time required for Stoppas was less than TAAP. Stoppas was cost effective as compared to TAPP. Laparoscopic hernia repair is more costly; difficult to learn with a steep learning curve, carries the risk of serious visceral and or vascular injuries and blood loss. Surgery time is also more for laparoscopic repair as compared to Stoppa’s repair.
Authors and Affiliations
Dr. Nitin Baste, Dr. Vinayak Shenage, Dr. Dandekar KN, Dr. Rutuja Pundkar
Keywords
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