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Review for cost-effectiveness analysis of laparoscopic Intra-peritoneal Onlay Mesh for ventral hernia repair in Indian settings
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Review for cost-effectiveness analysis of laparoscopic Intra-peritoneal Onlay Mesh for ventral hernia repair in Indian settings
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Review for cost-effectiveness analysis of laparoscopic Intra-peritoneal Onlay Mesh for ventral hernia repair in Indian settings
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Journal Article
Review for cost-effectiveness analysis of laparoscopic Intra-peritoneal Onlay Mesh for ventral hernia repair in Indian settings
2025
Overview
Background
Health Technology Assessment in India (HTAIn) carries evidence-based decision making in improving health care. This study was done to assess cost-effectiveness of the laparoscopic IPOM technique compared to open VHR from health system perspective of India.
Methods
A Meta-analysis of outcomes of both procedures was carried out whereas cost estimates were obtained from national health system costing database.
Results
A meta-analysis of Randomized Control Trials (RCTs) showed similar risk in hernia recurrence rates between laparoscopic IPOM and open technique (RR: 1.28 95% C.I: 0.81, 2.04) but with significantly less risk for wound infections (RR: 0.31 95% C.I: 0.18, 0.54). Estimated cost from National Health System Costing Database (NHSCD) per VHR was high for laparoscopic IPOM (INR 58,872) compared to open hernioplasty (INR 36,166) with estimated Incremental Cost-Effective Ratio of INR 5,023 per wound infection averted.
Conclusions
Laparoscopic IPOM was not clinically effective in hernia recurrence and less likely to be cost-effective
Key points
• Laparoscopic IPOM as compared to open surgery for ventral hernia significantly reduces risk for wound infection but not hernia recurrence.
• Simulated analysis suggested that laparoscopic IPOM is less likely to be cost-effective as compared to open surgery for ventral hernia.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
