Outpatient Surgery Magazine

Unsung Heroes - November 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1183510

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Page 89 of 146

To help you make sense of the options, we asked some of the coun- try's leading hernia experts about the different types and features of mesh, and what you should consider when deciding which type to stock in your facility. • Mesh type. There are 3 basic types available: permanent synthetic, biologic and hybrid. Permanent synthetic is the most commonly used. It's been around the longest and is the least costly option, ranging from $40 to $100 depending on your contract with the vendor. Dr. Blatnik says it's espe- cially useful in outpatient facilities, "which are more commonly repair- ing smaller inguinal and umbilical hernias, in comparison to much more complex procedures done in a hospital setting." As its name implies, permanent synthetic mesh doesn't absorb into the tissue. It's there for life. At the other cost extreme is biologic mesh, typically made of porcine or bovine materials. This mesh completely absorbs into the body over time. Dr. Blatnik says biologic mesh was once commonly used to repair large incisional hernias, but it can cost thousands of dollars just for a single piece. "It's fallen out of favor to a certain extent due to cost constraints," he adds. "It's not the holy grail of meshes that people initially thought it was going to be." Hybrid mesh falls in between on the cost spectrum. Dr. Blatnik calls these biosynthetic meshes, or absorbable synthetic meshes. He says that while permanent synthetic is like a window screen, and biologic like a solid sheet, hybrid is typically made from chemical polymers and designed with a more mesh-like characteristic reminiscent of the permanent synthetic surgeons know well. Like biologic mesh, hybrid absorbs over time. "Biosynthetic is the new, up-and-coming mesh because it alleviates the need for perma- nent synthetic mesh," says Dr. Blatnik. "There's a lot of interest 9 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • N O V E M B E R 2 0 1 9

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