Related Experiment Videos
Cost-benefit analysis of laparoscopic adnexectomy
1Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Thailand.
Summary
Laparoscopic adnexectomy (LA) in developing countries offers economic benefits primarily to higher-income patients due to higher initial costs. Future cost reductions in disposable instruments could expand LA
Area of Science:
- Reproductive medicine
- Minimally invasive surgery
- Health economics
Background:
- Laparoscopic adnexectomy (LA) is an advanced surgical technique.
- Assessing the economic feasibility of LA in developing nations is crucial for patient access.
- Open adnexectomy (OA) remains a common alternative.
Purpose of the Study:
- To evaluate the patient-borne economic feasibility of laparoscopic adnexectomy (LA) in a developing country context.
- To compare the costs and benefits of LA versus conventional open adnexectomy (OA).
Main Methods:
- A comparative study of 44 LA cases and 44 matched OA cases for benign ovarian cysts or tubal pregnancy.
- Analysis of postoperative hospital stay, recovery period, and total hospital charges.
- Incremental cost-benefit analysis from the patient's perspective.
Main Results:
- LA resulted in significantly shorter hospital stays (1.3 vs. 5.3 days) and recovery periods (5.8 vs. 27.2 days).
- LA incurred higher hospital charges (US$463.3 vs. US$229.8), primarily due to disposable laparoscopic instruments (89.2%).
- Cost-benefit analysis indicated potential savings for higher-income patients (US$9.2/day).
Conclusions:
- Laparoscopic adnexectomy (LA) in Thailand shows economic benefit mainly for higher-income patients.
- Broader economic advantages for patients in developing countries hinge on reduced disposable instrument costs or increased use of reusable instruments.
- Further economic evaluations are needed as surgical technology evolves.