Outpatient Surgery Magazine

Wake Up to the Dangers of Sleep Apnea - October 2018 - 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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1 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 • O C T O B E R 2 0 1 8 Ideas Work That B otox is not just for smoothing out wrinkles. Believe it or not, it can help with giant hernias. By giant, I mean at least 20-cm-wide defects with retracted mus- cles that would other- wise be impossible to close. For these chal- lenging cases, I inject Botox into the abdominal wall around 4 weeks before surgery. This paralyzes and relaxes the muscle, letting it stretch out and elongate, giving me a longer stretch of muscle to work with so I can reconstruct and close the abdominal wall. I do maybe 4 Botox hernia repairs a year. Insurance doesn't cover the Botox. The out-of-pocket charge to the patient is $2,000. Shirin Towfigh, MD, FACS Beverly Hills (Calif.) Hernia Center drtowfigh@beverlyhillsherniacenter.com OFF-LABEL USE Botox for Hernias? Yup! • BOTOX FOR HERNIAS? Botox isn't just for wrinkles. One off-label use you might not have heard of: treating large hernias. Shirin Towfigh, MD, FACS

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