V Lippert

Publications (2)2.05 Total impact

• Article: [Diagnostic laparoscopy and laparoscopic appendectomy in the diagnosis and therapy concept of abdominal pain of unknown origin].

  V Lippert, J Zaage, F Pilz
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  ABSTRACT: The unclear lower abdominal pain can be problematic for the surgeon although modern diagnostics and technical equipment are applied. We present the experiences in a retrospective study carried out in our hospital since beginning of laparoscopy in unclear lower abdominal pain. The laparoscopic diagnostic provides valuable additional informations for the further treatment. We can get important informations about differential diagnosis of appendicitis, especially of young women and old patients. The laparoscopy as a minimal invasive diagnostics goes together with a high benefit for the patients and a low rate of complications.
  Zentralblatt für Chirurgie 02/1998; 123 Suppl 4:46-9. · 1.02 Impact Factor
• Article: [Appendectomy with respect to flat fee and special rate charges. Cost analysis of open and laparoscopic operation].

  J Zaage, F Pilz, V Lippert, K Peterson
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  ABSTRACT: The introduction of flat charges per case and special fees, first put into effect on Jan. 1, 1996, has lead medical and administrative personnel to rethink how fixed daily hospital rates, costs individually determined by each hospital, and prime costs for hospital and nursing charges will be reimbursed. The amount paid for flat charge cases and special fees (in German Marks) are currently the same nationwide. This applicable system of billing consists of a combination of diagnosis (ICD 9) and the type of therapy administered after each specific operation (ICPM). Between Jan. 1, 1996 and Dec. 31, 1996 we had 78 cases, where detailed personnel and relevant costs were recorded with the aid of three sheets of medical records and two reports for each patient. When comparing expenditures and compensation, there were deficits in 75 cases and surpluses in 3. This existing pressure to cut costs should not be allowed to lead to uncritical medical judgement. The major costs of an operation are for disposable materials, especially for the use of the endo-cutter. Laparoscopic appendectomies, on selected patients in our clinic, has created a deficit when covering costs for open appendectomies. The knowledge we have gained from this now enables us to balance out the deficit.
  Zentralblatt für Chirurgie 02/1998; 123 Suppl 4:104-7. · 1.02 Impact Factor