Home – Home – Jornals – Siberian Scientific Medical Journal 2018 number 2

Taking into account new technologies practical application, the evaluation of correlation between the expired costs and obtained utility for health is important today in the context of choice between open-cut and laparoscopic inguinal hernia treatment methods. Purpose of the study. The «cost-utility» analysis of the inguinal hernia treatment with the use of the Lichtenstein tension-free method and the laparoscopic transabdominal preperitoneal hernia repair method. Material and methods. The retrospective comparative analysis of 52 men underwent the laparoscopic transabdominal preperitoneal hernia repair (TAPP, n = 25) and the Lichtenstein tension-free method ( n = 27) has been carried out. The indicators of life quality were estimated by the scale «thermometer-health» before, after and in 6 months after surgery and than the indicators were used for QALY calculation. The intensity of pain after surgery was registered with visual-analog scale. The «cost-utility» analysis was carried out with direct expenses use. Results and discussion. The QALY increment was 0,10 in the patients underwent Lichtenstein tension-free method and 0,17 in the patients underwent TAPP. The postoperative pain syndrome intensity was less expressed after TAPP. The «cost-utility»coefficient was 644848,0 rub/QALY in case of Lichtenstein method, and 550796,5 rub/QALY for TAPP. Thus, the hernioplasty by TAPP method is dominant from the point of view of the carried-out clinical and economic analysis.