Outpatient Surgery Magazine

Obamacare, You're Fired - December 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.

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Page 74 of 132

a heavy- or lightweight option depending on the patient and the her- nia. Though lightweight options are thought to help reduce chronic pain and inflammation, they may lack the tensile strength for some cases. For example, a lightweight mesh may work fine in inguinal her- nia repairs, but it may not always be the best option for ventral hernia repair. Should you stock conventional, synthetic mesh, or are biologic options better? Are the new bio-synthetic technologies worth the cost? And will your surgeons ever agree to using one type of mesh? Answering these questions is hard. There's no research that supports using one type of mesh over another. With new innovations promising better outcomes — as well as sky-high prices — how can you manage your mesh without breaking the bank? First things first: You need to understand your mesh options and why your surgeons prefer a particular type of mesh before you can discuss paring down your inventory. There's a lot that's new. New choices for complex cases Biologic mesh options are receiving lots of recent attention. Biologics, made of human or animal tissue, are meant to facilitate growth of the patient's own healthy tissue into the biologic scaffold. The mesh helps reinforce the hernia repair, but is often designed to dissipate in time as the patient's own cells grow into the mesh. Because of these prop- erties, biologic mesh is typically saved for cases where there's a high likelihood of infection. It costs a lot more — while standard synthetic options can be a few hundred dollars to up to $2,000, biologics range from $8,000 to $20,000. Are these new technologies worth the price? That's hard to say. Because there's a lack of research demonstrating the value of any bio- logic mesh, there are other factors that determine mesh selection: sur- D E C E M B E R 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 7 5

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