Das Aus für die minimal-invasive Leistenhernienversorgung durch § 115 b SGB V

Abstract

For a carefully selected group, outpatient TEP is patient-friendly and safe. Despite these advantages, it still remains economically unattractive to hospital management because of the 20% cover shortage. Improvements in the current legislation are urgently desired.

Elective “True Day Case” Laparoscopic Inguinal Hernia Repair in a District General Hospital: Lessons Learned from 1000 Consecutive Cases

“…In a large American cohort study, the costs of an inguinal hernia repair in a clinical setting were found to be 56% higher than those for day surgery [ 14 ]. Also, in Germany, day case surgery has been reported to generate lower costs [ 15 ]. It is therefore evident, in an era where healthcare resources are not unlimited, that accurate preoperative assessment is essential in order to keep expenses as low as possible.…”

Minimalinvasive Leistenhernienchirurgie – TEP ambulant

“…Selbst wenn die Verbrauchskosten durch Vermeidung der Netzfixation und Verwendung von Mehrfachinstrumenten wie z. B. einem 10-mm-Metalltrokar anstelle eines Einmal-Ballontrokares klein gehalten werden, so konnte bereits durch Weyhe et al 2006 eine kostendeckende Bilanz beim ambulanten Vorgehen klar widerlegt werden [7]. Auch die im AOP-Vertrag mögliche gesonderte Implantat-bzw.…”

Is day surgery safe in district general hospital? Audit of general surgical procedures in district general hospital

“…In two of the three studies, patients were at least as content with day surgery [26,27]. In a large American cohort study, the costs of an inguinal hernia repair in a clinical setting were found to be 56% higher than those for day surgery [28]. Also in Germany, this procedure is generating less costs [29].…”