These devices could reduce hernia repair's costs. While tackers
typically come as single-use devices preloaded with a set number
of tacks, one innovative design now lets the surgeon also insert
additional tacks, if needed, with 5- to 10-tack reloadable cartridges.
This could save money, since you don't have to open up a new
device in the rare occurrence that you discover you need addition-
al fixation during a procedure, says Dr. Ramshaw.
Is there a solution in sight?
While the search for the perfect hernia repair continues, so, too does
the debate among surgeons about the best way to increase long-term
results and functionality. "Honestly, no one is doing it 100% right,"
says Dr. Ramshaw. "Right now, cost and surgeon preference primarily
dictate the decision. There are so many choices, and hernia repair is
so complex, that there's no way to have a uniform answer. Ultimately,
we will all need to measure the value of care we provide and use that
data to drive what products we use for different techniques and differ-
ent patient sub-populations."
OSM
M A Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 2 7
