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Background <p>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.</p> Methods <p>A Meta-analysis of outcomes of both procedures was carried out whereas cost estimates were obtained from national health system costing database.</p> Results <p>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.</p> Conclusions <p>Laparoscopic IPOM was not clinically effective in hernia recurrence and less likely to be cost-effective</p>

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Review for cost-effectiveness analysis of laparoscopic Intra-peritoneal Onlay Mesh for ventral hernia repair in Indian settings

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月10日

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  • Charu Guleria,
  • Dinesh Kumar,
  • Krushna Chandra Sahoo

摘要

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