[Health Technology Assessment of laparoscopic compared to conventional surgery with and without mesh for incisional hernia repair regarding safety, efficacy and cost-effectiveness]
Friedrich M, Mueller-Riemenschneider F, Roll S, Kulp W, Vauth C, Greiner W, Willich SN, Graf von der Schulenburg JM
Record ID 32008100216
German
Authors' recommendations:
When deciding on the choice of operative technique for incisional hernia repair, surgeons take various considerations into account, including patient characteristics, hernia characteristics and their own experience. The studies included in this HTA did not provide conclusive evidence to answer the research questions. Nonetheless, laparoscopic surgery demonstrated a trend towards similar or slightly improved outcome following incisional hernia repair. However, for more conclusive recommenddations on the choice of operative technique, high quality trials are required
From the economic perspective, alternative methods are not yet assessed. Only five of the studies involve a cost analysis, though in an insufficient manner. None of the studies identified were laid out as a health economic
evaluation. Hence, further research is strongly recommended.
Details
Project Status:
Completed
Year Published:
2008
URL for published report:
http://portal.dimdi.de/de/hta/hta_berichte/hta143_bericht_de.pdf
URL for additional information:
http://portal.dimdi.de/de/hta/hta_berichte/hta143_summary_en.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Germany
MeSH Terms
- Cost-Benefit Analysis
- Laparoscopy
- Laparotomy
- Surgical Mesh
- Treatment Outcome
Contact
Organisation Name:
German Agency for HTA at the German Institute for Medical Documentation and Information
Contact Address:
German Agency for Health Technology Assessment at the German Institute for Medical Documentation and Information, Waisenhausgasse 36-38a, D-50676 Cologne Germany
Contact Name:
dahta@dimdi.de
Contact Email:
dahta@dimdi.de
Copyright:
<p>German Agency for Health Technology Assessment at the German Institute for Medical Documentation and Information (<a>DAHTA@DIMDI</a>)</p>
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.