The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Cost-effectiveness of randomized study of laparoscopic versus open bilateral inguinal hernia repair. Ann Surg 2018; 268: 725-730.

Published: 6th February 2019

Authors: Ielpo B, Nuñez-Alfonsel J, Hipolito D, Diaz E, Fabra I, Caruso R et al.


This study included 165 patients. Laparoscopic surgery was more expensive (1683 versus 1192 euros, P=0.027), but improvements in quality of life meant that at the willingness to pay threshold of 20,000 euros, there was a 95.4 per cent chance that the laparoscopic surgery was more cost-effective.

Pubmed Link