Surgical Products: How long have
you specialized in hernia repair?
What led you into the field?
Dr. Bruce Ramshaw: I have focused on
hernia repair in my practice for over 20
years. But, it has been only in the last 10
years that my clinical practice has been
exclusively hernia and hernia related complications.
It was just chance that led me to be a
hernia surgeon. The model for adopting
new laparoscopic techniques in my residency program
(Georgia Baptist Medical Center, now Atlanta Medical
Center, 1989-1994) was to send a PGY IV resident out
to learn the new technique, then they could teach every-
one else during their PGY V year. During my PGY IV
year, the new procedure was the Total Extraperitoneal
(TEP) laparoscopic inguinal hernia repair. So, I went
to learn the technique from Barry McKernan, and then
taught all the surgeons over the next year. Toward the
end of my residency, laparoscopic ventral hernia repair
was getting started. Guy Voeller put on one of the first,
if not the first, courses to teach it in Memphis. He came
down to Atlanta and helped me get started
and I started teaching courses soon after
that. Then at a course we were teaching for
WL Gore, Guy, myself, Todd Heniford and
Adrian Park got together and talked about
combining our experience. With Todd tak-
ing the lead, we published our first 407 cases
and then 850 cases. From that point on, I
was a hernia surgeon.
SP: How have hernia surgeries
advanced in the past few decades?
In what ways has it improved the
overall process for the patient?
How about for the surgeon?
Ramshaw: There have been advances in
the varieties of techniques, including minimally invasive and now robotic techniques
and there has been an explosion in choices
of mesh products and fixation techniques
for mesh placement. Clearly, this evolution
can benefit patients. Laparoscopic ventral
Several Factors Will Affect Future Of
Dr. Bruce Ramshaw has become one of the nation’s leading innovators in hernia repair surgery. In
this exclusive interview with Surgical Products, Dr. Ramshaw looks at the current state of hernia
repair, how it can improve and what lies ahead for the future of a popular procedure that affects
millions of lives every year.
Dr. Bruce Ramshaw, the Chairman and Chief Medical
Officer of Surgical Momentum in Daytona Beach,
Florida, performs a hernia procedure on a patient.
Ramshaw has specialized in hernia repair for more
than 20 years.