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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
RUIZ, Juan Pablo et al. Extraperitoneal technique compared to IPOM plus: Analysis of saved costs to optimize the management of ventral hernia by laparoscopy. rev. colomb. cir. [online]. 2020, vol.35, n.3, pp.422-428. Epub Feb 08, 2021. ISSN 2011-7582. https://doi.org/10.30944/20117582.778.
Introduction.
Costs in the extraperitoneal repair of ventral hernia by laparoscopy were analyzed from the perspective of the general health system of Colombia, in order to show the benefits of this approach and its economic impact, when compared with the most implemented technique, IPOM plus.
Methods.
A cost-benefit economic analysis was performed from the perspective of the General Social Security System in Health (SGSSS) of Colombia, comparing the costs of ventral hernia repair with the extraperitoneal technique, TAPP or TEP, against IPOM plus. The reference costs were taken as established in the rate manual of the Social Security Institute. Data were analyzed with Stata v.15.
Results.
Information from 109 procedures was collected and analyzed; 59 of the extraperitoneal group TAPP / TEP and 50 of IPOM plus group, carried out during the years 2015 to 2018, by the abdominal wall group of Clinica Colsanitas, identifying a saving of 69,8 % or cost-benefit results in favor of the extraperitoneal group.
Discussion.
The extraperitoneal approach in ventral hernia repair was considered a high cost-benefit strategy for the health system, validated by the experience of the abdominal wall group of Clínica Colsanitas, when compared with the usual approach. Given that the inputs used for dissection do not change, the prosthesis used for each of the techniques represents an important cost to consider, both for the system and health institutions.
Keywords : hernia, ventral; abdominal wall reconstruction; surgical procedures; surgical mesh; prostheses and implants; surgical wound infection.