Outpatient Surgery Magazine

OR Excellence Awards 2016 - September 2016 - 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/726435

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Page 125 of 146

best choice," says Dr. Jones. "But for those who want to lose some weight but aren't qualified for normal gastric bypass or the sleeve, the technology may work nicely." The ReShape Dual Balloon is endoscopically inserted into the stom- ach and filled with saline. The balloon remains in the stomach for 6 months and helps reduce hunger. 4 Modern hernia mesh There is no one perfect hernia mesh, but manufacturers are try- ing to expand your options and offer more meshes to fit a larger variety of cases and budgets. While surgeons often want to use pricey biologics in cases where there's a high risk of infection, several new synthetic alternatives are designed to help the fixed hernia heal while minimizing complica- tions. Bio-absorbable meshes, traditionally used in trauma surgery, are now designed to be lighter and work in cases where there's a greater risk of infection. The body gradually absorbs these meshes over sever- al months, and some preliminary research shows that they can treat high-risk hernias just as well as biologic mesh, at a much lower cost. (osmag.net/TNn6Vh). Taking that a step further are hybrid meshes, says Dr. Pryor. These meshes combine the stability of a permanent, polypropylene mesh with the biologic/bio-absorbable's promotion of tissue growth. In these designs, a permanent synthetic mesh is coated with either a bio- logic or bio-absorbable coating. They tend to work best in contaminat- ed and some clean-contaminated cases, she says, though initial research hasn't yet proven their advantages over standard mesh. "We're still trying to figure out exactly how to use it and what it works best for," says Dr. Pryor, "but I am interested in seeing its potential." 1 2 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 6

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