The subtle and not-so-subtle influence of industry on physicians has lately become a front-burner issue. Device makers and surgeons are coming under ever greater scrutiny. Although ventral, incisional, or inguinal hernia repair, with or without prosthetic material, is a fairly routine procedure, it is in fact one of the areas in need of greatest reassessment, in substantial part because of the massive associated hospital cost. For example, a 16 × 20–cm biologic product can cost up to $10 099! The cost of such a product alone, in this instance, is more than 5 times what the most highly reimbursed surgeon receives for all of his or her care including preoperative assessment, surgery, postoperative care, and office follow-up; further, it is 10 times what America's average surgeon receives for the same effort!
Composite consisting of multiple different products at least 20 cm in largest dimension on removal secondary to infection 18 months after the patient's first operation for incisional hernia repair.
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