geon comfort, the mesh's weight, cost and patient outcomes.
Here are thumbnail sketches of 3 newer, pricier technologies that
tend to be used in complex abdominal cases. You likely won't find
these on the shelves of smaller outpatient surgery centers performing
routine cases. However, some surgeons use biologics primarily for
outpatient inguinal hernia repairs. If that's the case in your center, I'd
recommend asking them to track patient outcomes to see if the high-
er-priced mesh results in better care.
• Hybrid biosynthetic. Hybrid biosynthetic and long-term
absorbable synthetic options are now being marketed as incorporat-
ing the best properties of synthetic and biologic options into a single
style. The hybrid biosynthetic meshes on the market are made up of
a permanent, synthetic mesh (polypropylene or PTFE) covered in a
biologic or resorbable
synthetic coating to
help promote tissue
ingrowth. There are
also long-term syn-
thetic absorbable
meshes on the mar-
ket that are complete-
ly resorbed over time.
Since these are so
new to the market,
research on their
effects is still limited,
but they could be a
promising option for
cases where you're
especially concerned
7 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 • D E C E M B E R 2 0 1 6
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