The cost effectiveness of inguinal herniorrhaphy by Local anesthesia in Pakthongchai Hospital .

Abstract

In the area of  Pakthongchai District , Nakhon Ratchasima Province , there are many  inguinal hernia patients  and majority of the patients are in old  age. That increased risk for herniorrhaphy by General  anesthesia and expensive than herniorrhaphy  by use Local anesthesia . Local anesthesia for herniorrhaphy is safety and cheaper than General  anesthesia.

OBJECTIVE: The cost effectiveness of inguinal herniorrhaphy by Local anesthesia.

METHOD:  The retrospective descriptive study by reviewed medical records of outpatient  and  inpatient who underwent inguinal herniorrhaphy in Pakthongchai hospital  , 42 cases in 2  year , between , July 1 , 2007 to  June 30 ,  2009  the cost of inguinal herniorrhaphy by local anesthesia and general anesthesia was  compared and cost effectiveness was also analysed .

RESULTS: Forty two patients of  inguinal hernia, ranging in age from12 -82 years average morethan 55 year and all were male. 36 patients were  operation by Local anesthesia  and 6 patients by general  anesthesia  .  The cost  of general  anesthesia operation is 4,934 baht and local anesthesia operation is 2,068 bath cost reduction is 2,866 baht per patient  and safe cost of hospital for 36 patients about 103,176 baht in two years.

CONCLUSION: The inguinal herniorrhaphy  by  Local anesthesia   is  feasible and safe for rural hospital which has no anesthesiologist and also reduce the cost of operation  .