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.

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among surgeons to see how this will fill that void with patients who aren't great candidates for per- manent synthetic mesh, either because of their comorbidities or other characteristics that put them at high risk for infec- tion, or for patients who desire not to have perma- nent mesh implanted." Dr. Towfigh has increas- ingly turned to hybrid mesh. "In my opinion, syn- thetic mesh seems to have evolved into a lower-quality product than it used to be," she says. "What used to be a higher-quality resin to make mesh may have been switched off to lower-quality resin, so now we're seeing much more inflammation, chronic pain and mesh reaction in patients that undergo synthetic mesh repairs than we used to." Although rare, patients who do experience mesh reactions suffer from chronic fatigue, joint pain, swelling, hair loss, ringing of the ear, visual changes, brain fog, memory problems and rashes on different parts of their body. "I see the same thing over and over again," says Dr. Towfigh. "They get better after the mesh is removed." The risks associated with synthetic meshes has led her to use hybrid mesh more frequently. "Hybrid meshes work really well in my prac- tice," she says, "and I think over time you'll see more and more usage 9 2 • 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 • COMBO PACK The synthetic and biologic materials found in hybrid mesh absorb into the body over time and eliminate some of the risks associated with synthetic meshes. Beverly Hills (Calif.) Hernia Center

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