Modification of standard laparoscopic total extra peritoneal hernia repair technique: Methods to improve feasibility in the UK health service. (2017) - Hanif, Zulfiqar
Abstract: Laparoscopic Hernia repair is a commonly performed procedure with inguinal hernias affecting 27% of males and 3% of females during their lifetime. Hernia repairs have a significant implication for the health service in the UK. Current guidance advocates bilateral or recurrent hernias should be treated where possible laparoscopically and offered also offered to patients with primary unilateral hernias. With the technique being more expensive than open repair, we promote the utilization of a modified technique which significantly reduces equipment costs making it more attractive and viable. The aim of this study was to compare the true costs for day case laparoscopic total extraperitoneal (TEP) hernia repair using a technique which minimizes the utilization of disposable equipment and relatively expensive materials with that in which the use of such equipment and material was routine. We quantify the savings that can be made to hospitals by implementing this modification. Highlights: We compared the costs for day case laparoscopic TEP hernia repair with a modified cost saving technique. We showed significant savings can be made using a modified technique. This technique is safe and cost effective.