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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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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/
•
PICTURES NAME of the products
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
PICTURES NAME of the products
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
NAME of the products
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
NAME of the products
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
NAME of the products
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
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