Title

Outcomes and Charges Associated with Outpatient Inguinal Hernia Repair According to Method of Anesthesia and Surgical Approach

Document Type

Article

Publication Date

3-2015

Abstract

Background

We conducted this study to compare short-term outcomes and charges between methods of hernia repair and anesthesia in the outpatient setting.

Methods

Using 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.

Results

Locoregional 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).

Conclusion

Open inguinal hernia repair under local anesthesia reduces healthcare charges.

DOI

10.1016/j.amjsurg.2014.09.021