about infection or contamina-
tion. Another bonus: These
types of mesh are at a price
point above conventional
mesh, but much lower than
traditional biologics, typically
around $2,000 to $4,000.
• Coated. These meshes are
coated with various substances
to try to prevent complica-
tions. For example, several
meshes are coated with
omega-3 fatty acids or other
non-stick coatings to prevent
visceral ingrowth and minimize
adhesions. More recently,
some manufacturers are creat-
ing antibiotic or drug-eluting meshes, with the hope that the mesh will
reduce the risk of infection. Again, there is limited evidence supporting
or discouraging their use.
• Self-fixating. Self-fixating mesh avoids the need for fixation
devices. This mesh requires no tacking or glue to fixate it to the
abdominal wall. Instead, small Velcro-like hooks keep it in place.
While it's a great idea, it can be difficult to manipulate and you run the
risk of harming tissue if you need to rip it off and re-attach it during
surgery.
Paring down your inventory
As you can see, harnessing your mesh supply isn't as easy as getting
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 7
• SURGEONS' CHOICE Since research hasn't pointed to a single mesh's
superiority, facilities largely base stock decisions on surgeon preferences.
