Costs of inguinal hernia repair associated with using different medical devices in the Czech Republic

Figures & data

Table 1 Number of patients with hernia repair in the period from 2010 to 2014

Year	Number of patients
2010	157
2011	160
2012	197
2013	119
2014	113
Total	746

Table 2 Cost of repair for individual patients (EUR)

Patient identification	Hospitalization	Length of stay (days)	Costs of repair	Total costs	Difference (reimbursement – costs)
Patient 1	March 23, 2010 to March 25, 2010	3	699.0	2,158.2	−1,261.3
Patient 2	April 26, 2010 to April 28, 2010	3	714.7	1,542.2	−645.3
Patient 3	October 31, 2012 to November 2, 2012	3	786.0	1,653.5	−476.3
Patient 4	September 5, 2013 to September 9, 2013	5	853.7	1,328.9	−112.7

Table 3 Details converted to values of costs and reimbursement under conditions of year 2015 (EUR)

Patient identification	Costs of repair	Total costs	Difference (reimbursement – costs)
Patient 1	655.2	2,156.3	−808.8
Patient 2	668.3	1,512.4	−127.8
Patient 3	831.7	1,699.2	−291.8
Patient 4	851.6	1,326.8	57.7

Table 4 Breakdown of interventions and medical devices in case of patient 1 (based on the current prices of 2015 in EUR)

Items	Medical procedures and medical devices	Quantity	Cost, EUR
00602	Hospitalization	2	125.8
51021	Complex examination by surgeon	1	28.1
51022	Targeted examination by surgeon	1	15.5
51711	Laparoscopic and thoracoscopic operation	2	273.3
78023	Control examination by anesthetist	1	10.0
78116	Anesthesia with controlled ventilation in 20-minute intervals	5	133.6
78121	Capnometry during anesthesia in 20-minute intervals	5	42.8
78820	Airways securing during anesthesia	1	7.8
KAT-3	Patient with close supervision required	1	7.0
KAT-4	Immobile patient	1	11.2
Total		20	655.2
Hernia™ stapler
0030645	Reservoir for linear Stapler MF Endo Hernia	1	105.6
0053503	Point for Trokar Versaport RT 10 mm N.SH	1	150.3
0053531	Stapler Endo Universal 65° 12 mm	1	377.8
0058162	Scissors curved 5DCS	1	200.6
0058163	Dissector curved 5DCD	1	200.6
0058363	Hernioplasty on one side DRG 90796	1	457.4
Total		6	1,492.2

Table 5 Variable costs of various medical devices used

Patient 2	Type of medical devices	Quantity	Cost, EUR
Medical device, ProTac™
	Stapler Endo Universal 65° 12 mm	1	377.8
Patient 3
Medical device, adhesive fixation
	Scissors curved 5DCS	1	200.6
	Dissector curved 5DCD	1	200.6
Total costs of adhesive fixation			401.2
Patient 4
Medical device, self-fixating mesh
	ProGrip™ mesh	1	111–181