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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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9 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 • N O V E M B E R 2 0 1 7 Getting a Grip on Hernia Mesh Fixation S urgical mesh is a tried-and-true solution for repairing the defects associated with inguinal, umbilical and ven- tral hernias, but only if the mesh remains firmly in place. Thankfully, whether a surgeon chooses to repair the defect through open surgery, laparoscopy or with robotic assistance, he has a near-infinite list of options for fixating the mesh — and new tools and devices are continually joining the fold. The surplus of options begs the natural, yet controversial, question: "Which one is the safest and most reliable?" That's akin to asking a mother of 3 to choose her favorite child. The truth is that there's no such thing as "one size fits all." Many factors will influence which fixa- tion method you choose, from the size and type of the hernia, to the surgical approach, to surgeon preference. Let's take a look at the 5 most common means of fixation and see how they stack up in terms of their ability to reduce post-operative complications, prevent recurrence and control costs, which is espe- cially vital in an era of declining reimbursements. Reliable options abound for keeping mesh in its proper place after hernia repair. Mark A. Reiner, MD | New York, N.Y.

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