Letters

# Hernia repair should be individualised to the patient

BMJ 1996; 312 (Published 03 February 1996) Cite this as: BMJ 1996;312:310
1. A N Kingsnorth
1. Reader in surgery Department of Surgery, Faculty of Medicine, University of Liverpool, Liverpool L69 3BX

EDITOR,—The value of Kate Lawrence and colleagues' study comparing laparoscopic with open repair of inguinal hernia lies in the outcome measures chosen and the analysis of cost effectiveness.1 The results and conclusions drawn are far more meaningful than those drawn from any other comparison between open and laparoscopic hernia repair. Although in their randomised trials of laparoscopic versus open repair Payne et al and Millikan et al showed an increased cost for laparoscopic repair of $500 (pounds sterling330) and$4500 (pounds sterling3000) …

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