THE MANAGEMENT OF HERNIA - CONSIDERATIONS IN COST-EFFECTIVENESS

Approximately 700,000 herniorrhaphies are performed annually in the Un ited States for primary, recurrent, and bilateral inguinal hernias. Th is article describes the components of cost regarding the approach and management of groin hernias. The trends toward outpatient procedures, regional anesthetic agents, and early return to work are analyzed. Th e common types of repair are compared with reference to recurrence and complication rates. The advances and results of laparoscopic hernia a re reviewed. In summary, a cost-effective approach for the management of inguinal hernias is presented that could reduce the yearly cost of hernia repair by hundreds of millions of dollars.