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II.-‐ PLUG
PICTURES
NAME of the products
Premilene® Mesh Plug
MANUFACTURER
B Braun
DESCRIPTION
Polypropylene mesh for plug technique Premilene® Mesh Plug is a monofilament polypropylene mesh plug designed for the repair of recurrent hernias and can also be used for primary inguinal hernias. The smooth self-‐expanding plug fills the defect perfectly. The plug adapts optimally to the shape of the defect and the natural anatomy. Premilene® Mesh Plug is a pre-‐shaped mesh with excellent properties: Rapid healing and tissue penetration, high biocompatibility and stability. It is able to conform to the movements of the patient and the blunt tip avoids any discomfort in the patient.
ADVANTAGES
• Self-‐expanding plug • Most anatomic 3-‐D shape • Smooth plug design with blunt tip for best
patient comfort • Exclusive blue center grip • Tailorable for better anatomical adaptation • Pre-‐shaped mesh onlay included for modified
technique
http://www.bbraun.com/cps/rde/xchg/bbraun-‐com/hs.xsl/8892.html
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PICTURES
NAME of the products
PERFIX™ Plug
MANUFACTURER
Bard, Davol
DESCRIPTION
Polypropylene mesh for plug technique
Plug and patch for simple, open anterior approach to a preperitoneal repair of the hernia defect.
ADVANTAGES
• Minimal dissection • Simple technique can be performed in 25
minutes or less† • Quick recovery and low complications •
http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/inguinal-‐hernia-‐repair/perfix-‐plug/
PICTURES
NAME of the products
PERFIX™ Light Plug
MANUFACTURER
Bard, Davol
DESCRIPTION
Light-‐weight polypropylene mesh for plug technique
Introducing a lighter-‐weight version of our proven PERFIX™ Plug for tension-‐free inguinal hernia repair. The PERFIX™ Light Plug is ideal for
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use in a tension-‐free preperitoneal repair technique where a lighter-‐weight mesh and reduced amount of implanted material is indicated.
ADVANTAGES
• Lighter-‐weight monofilament polypropylene mesh.
• Reduced amount of implanted material. • Approximately 50% lighter than PERFIX™ Plug. • Dynamic design conforms to defect. • Inner petals can be trimmed, customizing to
patient. • Tension-‐free repair achieved with Classic or
Modified Techniques. • Same design as clinically-‐proven PERFIX™ Plug,
which has been used in over 4 million implants worldwide.
• Proven design and materials • •
http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/inguinal-‐hernia-‐repair/perfix-‐light-‐plug/
PICTURES
NAME of the products
BIO-‐A® Hernia Plug MANUFACTURER
Gore
DESCRIPTION
Absorbable plug for inguinal hernia repair
Despite the relative ease of plug-‐and-‐patch open inguinal herniorrhaphy, chronic complications with permanent hernia plugs such as erosion, migration and nerve entrapment can occur. W. L. Gore & Associates has applied more than 15 years of research in bioabsorbables to develop an effective alternative to permanent
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hernia plugs -‐ the new GORE® BIO-‐A® Hernia Plug. Indicated for the reinforcement of soft tissue in the groin, abdominal and umbilical regions, the GORE®BIO-‐A® Hernia Plug is a porous fibrous structure composed of synthetic copolymer that is bioabsorbed in approximately six months. It is both biocompatible and nonantigenic. The GORE® BIO-‐A® Hernia Plug repairs hernia defects by promoting a well-‐organized tissue response, while markedly reducing chronic complications associated with permanent implants. The unique design of the plug serves as a scaffold to facilitate tissue generation, and is highly adaptable and easily tailored to create an optimal fit for the defect.
ADVANTAGES
• It is a porous fibrous structure composed of synthetic copolymer that is bioabsorbed in approximately six months.
• Reduce chronic complications associated with permanent implants
•
http://www.goremedical.com/herniaplug/
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PICTURES
NAME of the products
Parietex™ Plug and Patch System
MANUFACTURER
Covidien
DESCRIPTION
Plug for inguinal hernia repair
• The Parietex™ Plug and Patch system is easy to use, allowing surgeons to maintain their proven technique and designed to deliver enhanced patient comfort and intra-‐operative security through its unique design.
• ADVANTAGES
• Effective • Easy to use • Conforms to defects
http://www.covidien.com/hernia/pages.aspx
PICTURES
NAME of the products
ULTRAPRO™ Plug
MANUFACTURER
Ethicon
DESCRIPTION
• ULTRAPRO™ Plug is the only partially absorbable plug-‐and-‐patch device for surgeons who perform inguinal hernia repairs. Its unique design provides stability in the defect to minimize the risk of migration.
• ADVANTAGES
• Developed to be intuitive for the surgeon for improved security and comfort for their
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patients.
http://www.ethicon.com/healthcare-‐professionals/products/hernia-‐solutions/ultrapro-‐plug
PICTURES
NAME of the products
ProLoop™ Mesh
MANUFACTURER
Atrium
DESCRIPTION
• The ProLoop™ Mesh Plug is a non-‐absorbable, lightweight, pre-‐formed, three-‐dimensional plug constructed of knitted rows of monofilament polypropylene with multiple protruding monofilament loops.
• •
ADVANTAGES
• The innovative shape simply conforms to the defect, stays in place, sutures easily, and will not collapse or "pop out" during the procedure. The soft, flexible mesh minimizes irritation and integrates seamlessly into the healing tissue.
• •
http://www.atriummed.com/en/biosurgery/proloop.asp
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PICTURES
NAME of the products
Bidimensional Plug Basic
MANUFACTURER
Dipromed
DESCRIPTION
• Plug for inguinal and femoral hernias. • •
ADVANTAGES
• Indications: Treatment of inguinal and femoral hernias, primary and recurrent
• http://www.dipromed.eu/?page_id=283
PICTURES
NAME of the products
Bidimensional Plug Evolution
MANUFACTURER
Dipromed
DESCRIPTION
• Plug for inguinal and femoral hernias. • •
ADVANTAGES
• Indications: Treatment of inguinal and femoral hernias, primary and recurrent
• http://www.dipromed.eu/?page_id=285
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PICTURES
NAME of the products
Tridimensional Plug
MANUFACTURER
Dipromed
DESCRIPTION
• Tridimensional plug in polypropylene mesh, medium weight and low density.
• ADVANTAGES
• Indications: Treatment of inguinal hernias in open surgery
• http://www.dipromed.eu/?page_id=292
PICTURES
NAME of the products
Tridimensional Plug Evolution
MANUFACTURER
Dipromed
DESCRIPTION
• Tridimensional plug in polypropylene mesh, lightweight, macroporous mesh
• ADVANTAGES
• Indications: Treatment of inguinal hernias in open surgery
• http://www.dipromed.eu/?page_id=294
PICTURES NAME of the products
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Tridimensional Plug with base
MANUFACTURER
Dipromed
DESCRIPTION
• Tridimensional plug in polypropylene mesh, medium weight and low density.
• ADVANTAGES
• Indications: Treatment of femoral and inguinal hernias in open surgery
• http://www.dipromed.eu/?page_id=296
PICTURES
NAME of the products
Tridimensional Plug Evolution
MANUFACTURER
Dipromed
DESCRIPTION
• Tridimensional plug in polypropylene mesh, lightweight, macroporous mesh
• ADVANTAGES
• Indications: Treatment of femoral and inguinal hernias in open surgery
• http://www.dipromed.eu/?page_id=298
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PICTURES
NAME of the products
4DDOME
MANUFACTURER
Cousin
DESCRIPTION
1st semi-‐absorbable obturator The innovation of the 4DDOME® lies in its architectural structure which resists maximum pressure using a minimum amount of material. After absorption, only 10% of the semi-‐absorbable implant is left behind.
ADVANTAGES
Dome + semi-‐absorbable reinforcement mesh: Poly-‐L-‐lactic acid (PLLA) and polypropylene knit Easy and safe to insert Improved patient comfort Out-‐patient surgery Better fibrosis thanks to the PLLA No risk of migration
http://www.cousin-‐biotech.com/uk/produit.php?idrubrique=7&idspecialite=19&idcategorie1=50&idcategorie2=50&idproduit=72
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PICTURES
NAME of the products
Flat, round T1 Plugs
MANUFACTURER
Herniamesh
DESCRIPTION
Flat, round T®1 Plugs can be used to repair primary and recurrent hernial defects, either inguinal (direct or indirect) and femoral, to obliterate enlarged inguinal ring or femoral orifice dimensions. The plug must be modelled in dart form and fixed to the posterior wall of the inguinal canal.
ADVANTAGES
The two size versions allow the surgeon to obtain an optimum dart form to best adapt to the hernial defect dimensions.
http://www.herniamesh.com/en/
PICTURES
NAME of the products
Flat, round T1 Plugs
MANUFACTURER
Herniamesh
DESCRIPTION
Rigid and semirigid, preshaped meshes
Rigid or semi-‐rigid round preshaped meshes (5 cm diameter), with eccentric or central eye. These are indicated for medium-‐large indirect inguinal hernias in males: they reduce the dimensions of an enlarged internal inguinal ring and reinforce the surrounding tissue.
ADVANTAGES
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The T®4 Plug mesh, positioned under the transversalis fascia, links to a preshaped Hertra, which is positioned above the fascia.
http://www.herniamesh.com/en/
PICTURES
NAME of the products
Three-‐dimesnsional T2 Plugs
MANUFACTURER
Herniamesh
DESCRIPTION
Ideal for repairing femoral hernias or recurrent inguinal hernias by open surgery.
ADVANTAGES
T®2 Plugs offer significant advantages: • the rounded tip of the T2 Plug causes no
blood vessel compression and adapts to all hernial defect dimensions;
• the tip is connected to the base along the perimeter and, as it is made of a more rigid material than the base, it is not subject to shrinkage as a result of fibroblast action.
• the base reinforces the tissues surrounding the defect and, as it is sutured, helps to prevent recurrences deriving from plug migration.
http://www.herniamesh.com/en/
PICTURES
NAME of the products
Three-‐dimesnsional T3 Plugs
MANUFACTURER
Herniamesh
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DESCRIPTION
Three-‐dimensional T®3 Plugs with a rectangular base are ideal for the repair of recurrent inguinal hernias in cases of significant destruction or weakness of the rear wall. Available in five different formats, with a soft or semi-‐rigid base, medium or large sized tip.
ADVANTAGES
T®3 Plugs offer significant advantages: • the rounded tip of the T3 Plug causes no
blood vessel compression and adapts to all hernial defect dimensions
• the tip is connected to the base along the perimeter and, as it is made of a more rigid material than the base, it is not subject to shrinkage as a result of fibroblast action.
• the base reinforces the tissues surrounding the defect and, as it is sutured, helps to prevent recurrences deriving from plug migration.
• The larger base can be modelled by the surgeon to adapt to the area to be reinforced.
http://www.herniamesh.com/en/