{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T15:21:48Z","timestamp":1785338508115,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,3,21]],"date-time":"2000-03-21T00:00:00Z","timestamp":953596800000},"content-version":"vor","delay-in-days":1725,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[1995,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Objective: To determine the economic feasibility (from the patient's viewpoint) of laparoscopic adnexectomy (LA) in a developing country. Method: Forty\u2010four LA cases of benign ovarian cysts or tubal pregnancy were compared with 44 conventional open adnexectomy (OA) cases treated during the same period and matched by diagnosis, procedure and degree of difficulty. Result: The postoperative hospital stay was 1.3 \u00b1 0.6 days (mean \u00b1 S.D.) and 5.3 \u00b1 1.1 days (P &lt; 0.001) for the LA and OA groups, respectively. LA cases had a shorter recovery period (5.8 \u00b1 2.2 days vs. 27.2 \u00b1 6.6 days, P &lt; 0.001), but higher hospital charges (US$463.3 \u00b1 84.9 vs. US$229.8 \u00b1 92.2, P &lt; 0.001), caused mainly (89.2%) by disposable laparoscopic instruments. Incremental cost\u2010benefit analysis revealed a possible saving with LA for higher income patients (US$9.2 per day). Conclusions: LA in Thailand may have economic benefit only to the higher income patients. Benefits to other patients in developing countries will depend on future cost reductions of disposable instruments and\/or more effective use of reusable instruments.<\/jats:p><\/jats:sec>","DOI":"10.1016\/0020-7292(95)02393-q","type":"journal-article","created":{"date-parts":[[2002,7,25]],"date-time":"2002-07-25T15:52:29Z","timestamp":1027612349000},"page":"21-25","source":"Crossref","is-referenced-by-count":13,"title":["Cost\u2010benefit analysis of laparoscopic adnexectomy"],"prefix":"10.1002","volume":"50","author":[{"given":"H.","family":"Tintara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Leetanaporn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2000,3,21]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)49929-2"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0028-2243(91)90308-8"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1992.tb02853.x"},{"key":"e_1_2_1_5_2","first-page":"194","article-title":"Operative laparoscopy in benign cystic teratoma of ovary","volume":"50","author":"Chen J\u2010S","year":"1992","journal-title":"Chin Med J (Taipei)"},{"key":"e_1_2_1_6_2","first-page":"245","article-title":"Laparoscopic management of benign ovarian tumors","volume":"92","author":"Lee C\u2010L","year":"1993","journal-title":"J Formos Med Assoc"},{"key":"e_1_2_1_7_2","first-page":"655","article-title":"Economic impact of pelviscopic surgery","volume":"30","author":"Levine RL","year":"1985","journal-title":"J Reprod Med"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(80)90021-6"},{"key":"e_1_2_1_9_2","first-page":"233","article-title":"Laparoscopic oophorectomy and salpingoo\u2010ophorectomy in the treatment of benign tubo\u2010ovarian disease","volume":"32","author":"Reich H","year":"1987","journal-title":"Int J Fertil"},{"key":"e_1_2_1_10_2","doi-asserted-by":"crossref","first-page":"2879","DOI":"10.1001\/jama.1989.03430200123038","article-title":"Clinical economics: a guide to the economic analysis of clinical practices","volume":"262","author":"Eisenberg JM","year":"1989","journal-title":"J Am Med Assoc"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-2-147"},{"key":"e_1_2_1_12_2","first-page":"587","article-title":"American Association of Gynecologic Laparoscopists' 1988 membership survey on operative laparoscopy","volume":"35","author":"Peterson HB","year":"1990","journal-title":"J Reprod Med"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(11)90591-2"},{"key":"e_1_2_1_14_2","first-page":"205","article-title":"Laparoscopic surgical treatment of tubal pregnancy: a safe, effective alternative to laparotomy","volume":"37","author":"Zouves C","year":"1992","journal-title":"J Reprod Med"},{"key":"e_1_2_1_15_2","first-page":"599","article-title":"Management of ovarian masses: AAGL 1990 survey","volume":"37","author":"Hulka JF","year":"1992","journal-title":"J Reprod Med"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1993.3.315"}],"container-title":["International Journal of Gynecology &amp; 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