III.-‐ PRE-‐SHAPED MESHES FOR VENTRAL HERNIAS

III.-‐ PRE-‐SHAPED MESHES

FOR VENTRAL HERNIAS

PICTURES

NAME of the products

KUGEL™ Hernia Patch

MANUFACTURER

Bard, Davol

DESCRIPTION

Self-‐expanding polypropylene patch

Self-‐expanding polypropylene patch for open posterior approach to preperitoneal repair covering entire inguinal region.

ADVANTAGES

• Small 3-‐4 cm incision. • Covers the entire groin region, reducing risk of

recurrence or missed hernias.† • Memory recoil ring helps patch spring open and

maintain shape • •

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/inguinal-‐hernia-‐repair/kugel-‐hernia-‐patch/

PICTURES


MK™† Patch with Posiflex™ Memory Technology

MANUFACTURER

Bard, Davol

DESCRIPTION

Self-‐expanding polypropylene patch Anterior approach to a preperitoneal inguinal repair.

ADVANTAGES

• Each of the three larger sizes covers all three spaces in the groin region: direct, indirect and femoral, and therefore, the onlay patch is not required.

• The Posiflex™ Memory Technology helps to avoid buckling and folding of the mesh and helps to ensure the patch lays flat in the preperitoneal space.

• Biomechanics of intraabdominal pressure helps secure the patch in place.††

• Minimally-‐invasive technique can be completed through a small 4-‐6 cm incision.

• Minimal fixation may reduce post-‐operative pain and the risk of neuralgia.†††

• A positioning strap and pocket facilitates placement, positioning and fixation of the device.

• •

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/inguinal-‐hernia-‐repair/modified-‐kugel-‐hernia-‐patch/

PICTURES


VENTRIO™ Hernia Patch

MANUFACTURER

Bard, Davol

DESCRIPTION

The VENTRIO™ Hernia Patch’s unique design and technique offer patients the benefits of an intraabdominal repair, while offering surgeons the ease of an open anterior approach with the added ability to use mechanical fixation. The parietal side is constructed of two layers of monofilament polypropylene mesh, providing rapid tissue ingrowth and strong incorporation into the abdominal wall. The visceral side is made of submicronic ePTFE, which provides a permanent barrier minimizing tissue attachment. These layers combine to form a positioning pocket and contains the unique SORBAFLEX™ Memory Technology. Together, they facilitate easy patch placement and positioning. The SORBAFLEX™ Memory Technology allows the patch to spring open and lie flat during placement. Then the positioning pocket allows for the use of mechanical fixation. SORBAFLEX™ Memory Technology is comprised of an extruded polydioxanone PDO monofilament. Absorption of the PDO monofilament occurs in vivo by means of hydrolysis and is essentially complete in 6-‐ 8 months, leaving less implant material behind.

ADVANTAGES

• The SORBAFLEX™Memory Technology springs

open, lays flat and maintains shape during placement, facilitating easy placement and positioning throughout the ventral repair.

• Absorption of the PDO monofilament occurs in vivo by means of hydrolysis and is essentially complete in 6-‐8 months, leaving less implant material behind.†

• The special pocket design was created for easy handling and positioning, allowing the use of mechanical fixation for increased efficiency.

• Submicronic ePTFE side minimizes tissue attachment to the patch.

• With complementing monofilament polypropylene and polydioxanone, VENTRIO™ combines three trusted materials used in general surgery for many years with success demonstrated by clinical outcomes.

• •

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/ventral-‐hernia-‐repair/open-‐repair-‐options/new-‐ventrio-‐hernia-‐patch/

PICTURES


VENTRIO™ ST Hernia Patch

MANUFACTURER

Bard, Davol

DESCRIPTION

The benefits of a laparoscopic repair through an open incision. Now featuring an absorbable barrier based on Sepra® Technology.

ADVANTAGES

• Provides the benefits of a laparoscopic repair through the ease of an open anterior incision.

• SORBAFLEX™ Memory technology allows the patch to spring open, lay flat and maintain its shape.

• Simplifies placement and positioning of the patch throughout the ventral hernia repair.

• Unique pocket aids in the proper placement and positioning of the patch.

• Designed to facilitate the use of mechanical fixation devices and/or sutures.

• Available in a variety of shapes and sizes to accommodate defect sizes and locations.

• Hydrogel barrier is based on Sepra® Technology. • Uncoated monofilament polypropylene mesh

allows for fast tissue ingrowth leading to a strong repair.

• Materials have been used in general surgery for years with demonstrated clinical success.

• •

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/ventral-‐hernia-‐repair/open-‐repair-‐options/ventrio-‐st-‐hernia-‐patch/

PICTURES


Parietex™ Composite Open Skirt (PCO OS) Mesh

MANUFACTURER

Covidien

DESCRIPTION

• Parietex™ composite open skirt (PCO OS) mesh provides a new level of control during open ventral hernia repair. It is made with the clinically proven Parietex™ composite open skirt (PCO OS) mesh, which combines Parietex™ 3 dimensional mesh with a resorbable collagen film to limit attachments from the viscera. The Open Skirted (OS) design has increased rigidity for easier handling during implantation in open incisional and ventral hernia repair.

• The skirted flap on the parietal side of the mesh allows for more easily accessible fixation points in the open approach. The skirt provides an area of fixation protected from the viscera on one side and allows fixation to the abdominal wall without disrupting the collagen film.

• All of Covidien's Parietex™ products are created from a macroporous polyester material whose properties invite healthy tissue integration and mesh compliance while reducing encapsulation.1

ADVANTAGES

• Proven effective, with more than 10 years of documented success

• Lower incidences of visceral attachments in comparative and animal studies

• Benefit: Stronger incorporation into the abdominal wall in prospective and comparative animal studies

• Incites excellent fibrous ingrowth and a neoperitoneum versus the inflammatory encapsulation of other meshes

• Produces superior cellular proliferation when compared to polypropylene mesh in vitro

• Allows for mechanical fixation, which can reduce procedure time

• Skirt provides accessible, secure fixation points http://www.covidien.com/hernia/mesh/compositeskirted

PICTURES


C-‐QUR TacShield™ with Advanced Fixation Guidance Technology

MANUFACTURER

Atrium

DESCRIPTION

Atrium’s advanced C-‐QUR TacShield™ Mesh is designed for fixation guidance and ease of handling during the surgical repair of mid and large sized open ventral hernias. Combining the clinically proven ProLite™ polypropylene monofilament with omega-‐3 fatty acid coating technology, TacShield combines ideal mechanical strength properties with stunning handling and conformance by use of a symmetrical mesh apron for fixation guidance, stability and protection. ADVANTAGES

Simplifies surgical placement and alignment of the mesh Safeguards fixation from contacting visceral contents Saves time in the operating room when compared to traditional, single layer mesh products without a fixation guidance apron http://www.atriummed.com/en/biosurgery/cqur-‐tacshield.asp

FOR PARASTOMAL HERNIAS

PICTURES NAME of the products

CK™ Parastomal Patch

MANUFACTURER

Bard, Davol

DESCRIPTION

Self-‐expanding polypropylene and ePTFE patch for permanent, tension-‐free open or laparoscopic parastomal hernia repair.

ADVANTAGES

• Mesh allows for repair of parastomal hernia without relocating the stoma.

• Memory recoil ring facilitates placement. • Tissue ingrowth into the polypropylene mesh

reduces the need for trans-‐fixation sutures. • • •

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/specialty-‐hernia-‐repair/ck-‐parastomal-‐patch/

•

PICTURES


Parietex™ Composite Parastomal Mesh

MANUFACTURER

Covidien

DESCRIPTION

• Parietex™ Composite (PCO) Parastomal mesh is a monofilament mesh providing a custom design for parastomal hernia repair. While ordinary meshes carry the risk of in-‐growth into the bowel, Parietex™ Composite is coated with a

protective collagen-‐based film to help prevent tissue attachment. Its unique design provides for easy placement of the mesh for parastomal hernia repair.

• All of Covidien's Parietex™ products are created from a macroporous polyester material whose properties invite healthy tissue integration and mesh compliance while reducing encapsulation

ADVANTAGES

• Enhance tissue integration and mesh compliance while reducing encapsulation

• Minimizes visceral attachments while leaving no more foreign material in the patient over time than is needed

• Available in a full range of designs for direct and indirect techniques for parastomal hernia repair.

• Designed with patient comfort in mind

http://www.covidien.com/hernia/mesh/parietexcompositepcoparastomal

PICTURES


DYnaMesh-‐IPST

MANUFACTURER

Dynamesh

DESCRIPTION

• Designed for parastomal hernia repair and for Prophylaxis of hernia stoma formation

• • Size intestinal cuff: Ø 20, 30 or 40mm (elastic,

expandable), length 25mm • Visceral material: Polyvinylidene fluoride (PVDF)

monofilament Parietal material: Polypropylene (PP) monofilament Weight: corresponding 60 g/m2

• Thickness: 0.7 mm • Pore size: 80 % more then 1.0 mm • Effective porosity: 41 % • Reactive surface: 1.71 m2/m2 • Maximum stability: 62 N/cm • Physiological elasticity at 32 N/cm: 28 % • Maximum suture pull out strength: 36 N

ADVANTAGES

• 3-‐dimensional preshaped and seamless mesh • Open-‐pore and elastic monofilament mesh • Optimised for intraperitoneal placement by 2-‐

component-‐textile structure (PVDF + PP) • Optimum handling when performing open and

laparoscopic techniques • Minimal tissue traumatisation and maximum

patient comfort •

http://en.dyna-‐mesh.com/aplprod/stomachirurgie/ipst-‐gb/

PICTURES


Colostomy meshes

MANUFACTURER

Herniamesh

DESCRIPTION

Rigid or semi-‐rigid oval meshes with a 5 cm central eye, used in open surgery to reinforce soft or weak tissues such as hernia repairs, especially for the prevention of incisional stomal laparoceles (ileostomy, colostomy, urethrostomy) ADVANTAGES

• •

http://www.herniamesh.com/en/

FOR HIATAL HERNIAS

PICTURES


CRURASOFT™ Patch

MANUFACTURER

Bard, Davol

DESCRIPTION

PTFE mesh/ePTFE patch uniquely designed for the repair of hiatal and paraesophageal hernias.

ADVANTAGES

• Soft and flexible patch is designed to fit the anatomy.

• ePTFE flap creates a cradle for the esophagus to protect against adhesion to prosthesis.

• PTFE mesh encourages tissue ingrowth to repair the defect. http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/specialty-‐hernia-‐repair/crurasoft-‐patch/

PICTURES


Parietex™ Composite Hiatal (PCO 2H) Mesh

MANUFACTURER

Covidien

DESCRIPTION

• Parietex™ Composite (PCO) Hiatal mesh makes the surgical treatment of gastroesophageal reflux disease (GERD) and hiatal hernia viable. While ordinary meshes can carry the risk of in-‐growth into the esophagus, Parietex™ Composite is coated on one side with a protective collagen-‐based film to help minimize tissue attachment. Its unique design provides for easy placement of the mesh for hiatal hernia repair.

• All of Covidien's Parietex™ products are created from a macroporous polyester material whose properties invite healthy tissue integration and mesh compliance while reducing encapsulation

ADVANTAGES

• Enhance tissue integration and mesh compliance while reducing encapsulation

• Minimizes visceral attachments while leaving no more foreign material in the patient over time than is needed

• Easy to place and manipulate around the esophagus and meets a wide range of clinical needs.

• Designed with patient comfort in mind

http://www.covidien.com/hernia/mesh/compositepcohiatal

FOR INGUINAL HERNIAS -‐ OPEN

PICTURES


Parietex Easegrip™ Mesh

MANUFACTURER

Covidien

DESCRIPTION

Parietex Easegrip™ mesh features a unique design for open inguinal hernia repair that combines the soft compliance of the 3D weave for patient comfort with the key hole slit for ease of placement around the cord. This design also uses a pre-‐placed suture to mark the medial aspect of the mesh to facilitate placement. The ability to attach the flap with an integrated connection makes Parietex Easegrip™ mesh easy to use. All of Covidien's Parietex™ products are created from a macroporous polyester material whose properties invite healthy tissue integration and mesh compliance while reducing encapsulation ADVANTAGES

Enhance tissue integration and mesh compliance while reducing encapsulation Provides wide, complete coverage of groin anatomy. Easy and secure positioning of mesh around the cord. Designed with patient comfort in mind.

http://www.covidien.com/hernia/mesh/folding

PICTURES


PROLENE™ 3D Patch

MANUFACTURER

Ethicon

DESCRIPTION

PROLENE™ 3D Patch Polypropylene Mesh is a one-‐piece low profile hernia device for the repair of inguinal wall hernias. This nonabsorbable mesh device is used to repair abdominal wall hernia defects to provide extended support during and following wound healing. ADVANTAGES

http://www.ethicon.com/healthcare-‐professionals/products/hernia-‐solutions/prolene-‐3d-‐patch

PICTURES


PROLENE™ Polypropylene Hernia System

MANUFACTURER

Ethicon

DESCRIPTION

PROLENE™ Polypropylene Hernia System offers secure posterior repair from a simple anterior approach and has three points of protection. It demonstrates reproducible outcomes with different surgeons. Additionally, it remains soft and pliable and allows tissue to grow through its interstices, thereby incorporating medium into adjacent tissue. The Underlay Patch covers all 3 triangles of the

groin (myopectineal orifice) and repairs and prevents recurrence of indirect, direct, and femoral hernias. Posterior repair is taken from an anterior approach. The Onlay Patch covers the entire floor of inguinal canal and overlaps the pubic tubercle for added support. Minimal suturing secures the entire device. The Connector joins underlay and overlay patches and virtually eliminates migration. ADVANTAGES

Proven, effective repair with outstanding patient outcomes. http://www.ethicon.com/healthcare-‐professionals/products/hernia-‐solutions/prolene-‐polypropylene-‐hernia-‐system

PICTURES


ULTRAPRO™ Hernia System

MANUFACTURER

Ethicon

DESCRIPTION

The Ethicon ULTRAPRO™ Hernia System is a macroporous partially absorbable mesh device for inguinal hernia repairs. Its unique design enhances preperitoneal deployment to provide surgeons with confidence, knowing that they have provided their patients with the most reliable posterior repair. It has three points of protection with an onlay patch that covers and protects, a connector that virtually eliminates migration, and the underlay patch that provides posterior support.

ADVANTAGES

Unique and reliable design http://www.ethicon.com/healthcare-‐professionals/products/hernia-‐solutions/ultrapro-‐hernia-‐system

PICTURES


CABS´AIR SR

MANUFACTURER

Cousin

DESCRIPTION

Parietal prosthesis with inflatable expansion balloon The innovative balloon secures the spread of the prosthesis when using a pre-‐peritoneal approach. The semi-‐absorbable material leaves little implanted material behind and promotes better fibrosis. It combines the advantages of both open surgery and laparoscopy in the treatment of inguinal and femoral hernias. ADVANTAGES

Safe and easy to insert • Double anterior and posterior reinforcement • Improved patient comfort • Out-‐patient surgery http://www.cousin-‐biotech.com/uk/produit.php?idrubrique=7&idspecialite=19&idcategorie1=50&idcategorie2=50&idproduit=84

PICTURES


Oval Preshaped mesh

MANUFACTURER

Herniamesh

DESCRIPTION

Rigid flat, oval preshaped mesh. Can be used in the repair of inguinal hernias as an alternative to the Kugel technique, by retropubic insertion via the front approach. ADVANTAGES

The mesh does not need a pouch or ring as its rigidity allows finger positioning and distension against the posterior wall of the inguinal canal. http://www.herniamesh.com/en/

FOR INGUINAL HERNIAS -‐ LAPAROSCOPY

PICTURES


3DMAX™ Mesh

MANUFACTURER

Bard, Davol

DESCRIPTION

Three dimensional heavy-‐weight polypropylene mesh designed specifically for the laparoscopic repair of inguinal hernias.

After years of performing a transabdominal preperitoneal (TAPP) repair, Dr. Pajotin came to

the realization that a flat sheet of mesh may not be the ideal configuration for a laparoscopic repair. After all, the inguinal anatomy was anything but the two-‐dimensional image seen on the monitor. So, after careful cadaver research and molding, Dr. Pajotin developed what he believed to be the ideal prosthetic-‐-‐one that was anatomically formed and shaped to the inguinal anatomy. 3DMAX™ Mesh is constructed of BARD® Mesh, a knitted monofilament polypropylene. The knit construction allows the mesh to be stretched in both directions in order to accommodate and reinforce tissue defects. It allows a prompt fibroblastic response through the interstices of the mesh.

ADVANTAGES

• Designed for laparoscopic surgeons by a laparoscopic surgeon.

• Preformed mesh contours precisely to the inguinal anatomy.

• Three dimensional design allows for easy positioning.

• May be placed without fixation. • Due to its precise anatomical form,

3DMAX™ Mesh is offered in left and right orientations. This allows for precise and specific mesh positioning for any inguinal hernia.

• Designed for easier placement • • •

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/inguinal-‐hernia-‐repair/3dmax-‐mesh/

PICTURES


3DMAX™ Light Mesh

MANUFACTURER

Bard, Davol

DESCRIPTION

Three dimensional light-‐weight polypropylene mesh designed specifically for the laparoscopic repair of inguinal hernias.

This lighter-‐weight version of our popular 3DMAX™ Mesh features a large pore knit. It is easy to deploy and provides excellent visibility. Animal study data demonstrated the formation of a flexible and compliant wall.

ADVANTAGES

• 3D shape developed by a laparoscopic surgeon. • Designed to conform to the inguinal anatomy. • Contour minimizes buckling that may be seen

with flat mesh. • Design may reduce the need for fixation. • Sealed edge and medial orientation marker

facilitate accurate placement and positioning. • Built-‐in memory maintains shape. • Lighter-‐weight monofilament polypropylene

mesh. • Large pore knit provides excellent visibility. • Animal study data demonstrated the formation

of a flexible and compliant wall. • •

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/inguinal-‐hernia-‐repair/3dmax-‐light-‐mesh/

•


Parietex™ Anatomical Mesh

MANUFACTURER

Covidien

DESCRIPTION

Parietex™ anatomical mesh provides a custom designed mesh for laparoscopic inguinal hernia repair. It combines Parietex™ 2D weave with Parietex™ 3D weave. The 2D weave is lightweight and macroporous with a design that is rigid, making it ideal for laparoscopic applications due to its handling properties.The 3D weave is also a lightweight, macroporous mesh but has a design that provides compliance and softness. This softness allows for gentle placement over sensitive nerve and vessel structures in the inguinal area. All of Covidien's Parietex™ products are created from a macroporous polyester material whose properties invite healthy tissue integration and mesh compliance while reducing encapsulation

ADVANTAGES

Produces broad coverage of the inguinal anatomy. Available with a lateral slit and a section of TET to wrap the cord (requires minimal mechanical fixation). For ease of handling, positioning, improved compliance and minimal fixation. Reduced encapsulation promoting tissue ingrowth

http://www.covidien.com/hernia/mesh/anatomical


Parietex™ Folding Mesh

MANUFACTURER

Covidien

DESCRIPTION

Parietex™ Folding mesh has a suture to fold the mesh, making insertion into a laparascopic cannula easier. This design enables ease of placement of the mesh into the surgical site for inguinal hernia repair. All of Covidien's Parietex™ products are created from a macroporous polyester material whose properties invite healthy tissue integration and mesh compliance while reducing encapsulation ADVANTAGES

Enhance tissue integration and mesh compliance while reducing encapsulation Pulling the suture allows mesh to fold like an accordion for ease of placement laparoscopically through the trocar (“No Touch” concept). Designed with patient comfort in mind. http://www.covidien.com/hernia/mesh/folding

PICTURES


C-‐QUR™ CentriFX

MANUFACTURER

Atrium

DESCRIPTION

• C-‐QUR CentriFX™ combines the absorbable, all natural Omega-‐3 coated filament polypropylene technology with a surgeon preferred material designed forlaparoscopic inguinal hernia repair.

•

ADVANTAGES

• The unique multi-‐dimensional and anatomically correct design provides UNMATCHED coverage and conformance

• Optimal coverage on lateral and medial sides of the hernia defect

• Aligns with vessels and cord structures. • Conforms to the inguinal space. • Invertible design standardizes use in both right and

left sided hernias. • Excellent see-‐thru clarity allowing for accurate

implantation, positioning, and fixation.

http://www.atriummed.com/en/biosurgery/centriFX.asp

PICTURES


C-‐LAP Pre-‐shaped mesh

MANUFACTURER

Dipromed

DESCRIPTION

• C-‐LAP’s design and quality are the result of the research in collaboration with Dr. Luciano Casciola, greatly experienced laparoscopie surgeon with a follow up of over 4000 TAPP, laparoscopie surgery teacher and author of numerous italian and international scientific publications

• ADVANTAGES

lndications: Treatment of the inguinal hernias in laparoscopic surgery.

http://www.dipromed.eu/?page_id=250

PICTURES


Premium

MANUFACTURER

Cousin

DESCRIPTION

Lightweight polypropylene mesh

• ADVANTAGES

Advantages of lightweight implants Reduced inflammatory reaction compared to heavyweight Good elasticity Less post-‐operative pain Limited skrinkage Transparent: visible anatomical structures Macroporous: good tissue integration

http://www.cousin-‐biotech.com/uk/produit.php?idrubrique=7&idspecialite=19&idcategorie1=47&idcategorie2=47&idproduit=139

III.-‐ PRE-‐SHAPED MESHES FOR VENTRAL HERNIAS

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Transcript of III.-‐ PRE-‐SHAPED MESHES FOR VENTRAL HERNIAS