Outpatient Surgery Magazine

Post Your Prices Online - September 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/168873

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Page 127 of 154

OSE_1309_part2_Layout 1 9/6/13 12:24 PM Page 128 A B D O M I N A L S U R G E R Y cases, but we don't yet have the long-term clinical trials to draw definitive conclusions. An accessory for assistance The exhibit halls at recent general surgery conferences have seen the introduction of a handful of laparoscopic devices that offer assistance in the insertion and positioning of mesh. I consulted on the development of one of the earliest such devices. Vendors often distribute them as loss leaders, discounting their cost in order to get their mesh products (for which they're specifically designed) onto supply room shelves. The question is, do they really help surgeons place mesh faster and more accurately? Especially since mesh can be implanted without special tools, and since the purchase of single-use devices can add to case costs. Consider this, though: A hernia surgeon's study timed each step in a series of laparoscopic ventral hernia repair surgeries. On average, mesh deployment took the most time to accomplish, at about 20 minutes. OR time is priced at about $60 to $80 a minute. If you could shorten that 20 minutes, repeatedly, you'd probably save a lot in case costs. Plus, while these positioning devices were originally seen as aids to smooth out the learning curve, they even decrease the time it takes experienced hands to complete the task. Overall, they stand to play a useful role. Given this wide array of features, how are we to choose the right mesh for a particular patient and case? Herniologists like me study that subject in depth. For the community general surgeon, though, the decision is largely made through their training, technique and experience, but also through the advice of manufacturers' representatives. 1 2 8 O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | S E P T E M B E R 2013

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