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Comparative Study
Outcomes and charges associated with outpatient inguinal hernia repair according to method of anesthesia and surgical approach.
- Adam L Bourgon, Justin P Fox, Jonathan M Saxe, and Randy J Woods.
- Department of Surgery, Boonshoft School of Medicine, Wright State University, Dayton, OH, USA. Electronic address: adambourgon@gmail.com.
- Am. J. Surg. 2015 Mar 1; 209 (3): 468-72.
BackgroundWe conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting.MethodsUsing New York's state ambulatory surgery databases, we identified discharges for patients who underwent inguinal hernia repair. Patients were grouped by method of hernia repair. We compared hospital-based acute care encounters and total charges across groups.ResultsLocoregional anesthesia (5.2%) experienced a similar frequency of hospital-based acute care encounters within 30 days of discharge when compared with patients receiving general (6.0%) or having a laparoscopic procedure (6.0%). Risk-adjusted charges increased across groups (locoregional = $6,845 vs general = $7,839 vs laparoscopic = $11,340, P < .01).ConclusionOpen inguinal hernia repair under local anesthesia reduces healthcare charges.Published by Elsevier Inc.
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