V- Mesh for intrabdominal placement - laparoscopic v.2 - … · soft!tissue!and!fascial!reconstruction! demonstrated against! laboratory! strains! and clinical! isolates of! the!

V.-‐ MESHES FOR INTRAABDOMINAL PLACEMENT (LAPAROSCOPIC)

PICTURES

NAME of the products

Soft Tissue Patch

MANUFACTURER

Gore

DESCRIPTION

e-‐PTFE mesh for intraperitoneal placement

For reconstruction of hernias or soft tissue deficiencies, surgeons require a prosthesis affording a secure repair with decreased risk of recurrence, increased patient comfort postoperatively, and minimal complications such as adhesions and fistula formation.

The GORE-‐TEX® Soft Tissue Patch has long been the prosthetic patch of choice for soft tissue repairs. Composed of the inert biomaterial expanded polytetrafluoroethylene (ePTFE), it features a microporous structure allowing for host tissue incorporation. GORE-‐TEX® Soft Tissue Patch meets the unique challenges of laparoscopic hernia repair and inguinal herniorrhaphy, as well as temporary bridging of fascial defects. It is contraindicated for the reconstruction of cardiovascular and orthopedic defects.

The GORE-‐TEX® Soft Tissue Patch has material and suture/staple retention strength greater than the most commonly used meshes. The biological inertness of the prosthesis, combined with softness and conformability in vivo, minimizes foreign-‐body response, erosion into the bowel, and adhesions to surrounding viscera.

The GORE-‐TEX® Soft Tissue Patch offers ease of handling, including cutting and shaping to size without fraying. Pre-‐configured patches requiring little or no trimming before implantation are also

provided.

ADVANTAGES

• Composed of the inert biomaterial expanded polytetrafluoroethylene (ePTFE), it features a microporous structure allowing for host tissue incorporation.

• Unique challenges of laparoscopic hernia repair and inguinal herniorrhaphy

• •

http://www.goremedical.com/stp/

PICTURES


Dual Mesh Biomaterial

MANUFACTURER

Gore

DESCRIPTION


In certain hernia and soft tissue reconstructions, and in temporary bridging of fascial defects, it is sometimes necessary to encourage host tissue ingrowth along one surface, while minimizing tissue attachment along another surface. GORE® DUALMESH® Biomaterial is a soft, conformable, ePTFE materialthat offers a unique, two-‐surface design intended for such applications. The biomaterial features two functionally distinct surfaces: the textured CORDUROY Surface encourages host tissue incorporation while the smooth surface minimizes tissue attachment to the material.

ADVANTAGES

• Maximizing peritoneal ingrowth while minimizing visceral tissue attachment in hernia, soft tissue and fascial reconstruction

• •

http://www.goremedical.com/dualmesh/

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PICTURES


Dual Mesh Plus

MANUFACTURER

Gore

DESCRIPTION


GORE® DUALMESH® PLUS Biomaterial is the first two-‐surface hernia repair material with antimicrobial technology for controlling potential operative contamination of the material. This advanced ePTFE biomaterial contains two antimicrobial preservative agents, silver carbonate and chlorhexidine diacetate, which act to inhibit microbial colonization of, and resist initial biofilm formation on, the device for up to 14 days post-‐implantation.

Using zone of inhibition bioassays, substantial preservative activity associated with the device has been demonstrated against laboratory strains and clinical isolates of the some organisms

ADVANTAGES

Maximizing peritoneal ingrowth while minimizing visceral tissue attachment in hernia,

soft tissue and fascial reconstruction

demonstrated against laboratory strains and clinical isolates of the following organisms: Methicillin resistant Staphylococcus aureus (MRSA), Vancomycin-‐resistant Enterococcus faecalis (VRE), Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumonia, Staphylococcus epidermidis, Candida albicans, Staphylococcus aureus, Group A Streptococcus, Acinetobacter baumannii

• http://www.goremedical.com/dualmeshplus/

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PICTURES


Dual Mesh Plus with holes

MANUFACTURER

Gore

DESCRIPTION


GORE® DUALMESH® PLUS Biomaterial is also available with holes. These macropores encourage faster tissue incorporation, while maintaining the benefits of GORE® DUALMESH® Biomaterial. It also offers all the performance advantages of GORE® DUALMESH® Biomaterial, such as rapid host tissue incorporation and minimal foreign-‐body response.

ADVANTAGES

• encourage faster tissue incorporation, while maintaining the benefits of

GORE® DUALMESH® Biomaterial

• http://www.goremedical.com/dualmeshplus/

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PICTURES


Omyra® Mesh

MANUFACTURER

B Braum

DESCRIPTION

c-‐PTFE mesh for intraperitoneal placement

Omyra® Mesh brings a new concept for hernia repair within the antiadhesive mesh group. It is a film of condensed polytetrafluoroethylene (cPTFE) with very low density (0.9 g/cm3) and a macroporous star-‐shaped structure (2.4 mm). Omyra® Mesh is the first mesh in a monolayer, non-‐coated format which has antiadhesive and bacterial resistant properties. The cPTFE material improves the adhesion prevention features of the traditional expanded PTFE, whereas the star-‐macroporous structures enhance a fast tissue integration like the one achieved with polypropylene meshes. Furthermore, the transparent monolayer that Omyra® Mesh provides, offers excellent handling, especially in laparoscopic procedures.

ADVANTAGES

• Highly biocompatible with star pore structures • Macropores to allow an excellent tissue

integration • Fast neo-‐peritoneum formation covering the

mesh • Impairment of bacterial growth • Reduction of adhesion formation • Condensed PTFE • Transparent and tailorable ensuring an optimal

handling

• http://www.bbraun.com/cps/rde/xchg/bbraun-‐com/hs.xsl/9094.html

PICTURES


COMPOSIX™ EX Mesh MANUFACTURER

Bard, Davol

DESCRIPTION

Heavy-‐weight polypropylene/ePTFE composite for laparoscopic repair of ventral and incisional hernias

ADVANTAGES

• Two distinctly different sides: Polypropylene BARD® Mesh on one side to promote tissue ingrowth and sub-‐micronic ePTFE on the other side to minimize adhesions to the prosthesis.

• Elliptically shaped design: Reduces the need to trim the mesh, saving time.

• Low Profile: Makes it ideally suited for laparoscopic ventral hernia repairs.

• Sealed Edge: Prevents exposure of the polypropylene mesh side from contact with the bowel, thus potentially reducing the chances of adhesions around the edge of the prosthesis.

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/ventral-‐hernia-‐

repair/laparoscopic-‐repair-‐options/composix-‐ex-‐mesh/

PICTURES


COMPOSIX™ L/P Mesh MANUFACTURER

Bard, Davol

DESCRIPTION

Light-‐weight, low profile polypropylene BARD® Soft Mesh specifically designed to meet the meticulous challenges of laparoscopic ventral hernia repair

ADVANTAGES

• Made with lightweight, low profile polypropylene BARD® Soft Mesh that is approximately 60% lighter than traditional polypropylene mesh.

• Lightweight, large pore polypropylene matrix leaves less foreign body mass than traditional polypropylene mesh.

• Easier handling and laparoscopic insertion – all sizes can fit through a trocar.

• Optional Introducer Tool, which is packaged with larger sizes, makes insertion even easier.

• Two distinctly different sides: polypropylene BARD® Soft Mesh on one side to promote tissue ingrowth and sub-‐micronic ePTFE on the other side to minimize tissue attachment to the prosthesis.

• http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/ventral-‐hernia-‐repair/laparoscopic-‐repair-‐options/composix-‐lp-‐mesh/

PICTURES


SEPRAMESH™ IP Composite MANUFACTURER

Bard, Davol

DESCRIPTION

Davol is excited to offer an innovative mesh combined with a proven absorbable barrier to minimize tissue attachment to the mesh.The absorbable layer is built on a foundation of proven Sepra* technology, supported by 11 years of clinically demonstrated success. SEPRAMESH™IP Composite merges a polypropylene mesh with a hydrogel safety coating, resulting in a permeable repair.

ADVANTAGES

• Hydrogel barrier minimizes tissue attachment to the prosthesis.

• Bioresorbable fibers reinforce mesh strength and bind the mesh to the hydrogel coating.

• Deep tissue incorporation. • Easily cut to customize shape and size. • Ideal memory for laparoscopic repair. • Material choices – NO ORC (oxidized

regenerated cellulose) and NO polyester.

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/ventral-‐hernia-‐repair/laparoscopic-‐repair-‐options/sepramesh-‐ip-‐composite/

PICTURES


VENTRALIGHT™ ST Mesh

MANUFACTURER

Bard, Davol

DESCRIPTION

Proven Sepra® Technology in a Low Profile, Lightweight Mesh

ADVANTAGES

• Low profile design facilitates trocar deployment and mechanical fixation.

• Easily cut to customize shape and size. • Uncoated lightweight monofilament

polypropylene allows for complete tissue ingrowth with a low percentage of contraction* for a strong repair.

• Hydrogel barrier minimizes tissue attachment to the visceral side of the mesh.

• Hydrogel barrier is based on Sepra® Technology. • Lightweight monofilament polypropylene. • Both 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/laparoscopic-‐repair-‐options/ventralight-‐st-‐mesh/

PICTURES


ECHO PS™ Positioning System with

VENTRALIGHT™ ST and COMPOSIX™ L/P Mesh

MANUFACTURER

Bard, Davol

DESCRIPTION

The latest technology from Bard, the ECHO PS™ Positioning System, facilitates optimal mesh deployment by eliminating some of the challenges of placing and positioning mesh. The ECHO PS™ Positioning System is designed for today’s laparoscopic surgeon to facilitate an efficient and reproducible hernia repair.

ADVANTAGES

• The pre-‐packaged Introducer Tool holds the mesh in place, ensuring a tight, uniform roll

• The positioning system and the mesh are low-‐profile and pre-‐attached, facilitating trocar deployment

• Mesh easily unrolls and opens during inflation • No additional trocar site is needed to hold the

mesh in place • Positioning system design and orientation

markers allow for ease of orientation (anterior vs. posterior side, long vs. short axis, and the mid-‐line of the mesh)

• System designed to facilitate centering of the mesh over the defect

• System designed to eliminate the time and effort involved with placing and pulling up of orientation sutures

• Positioning system keeps the mesh open and up against the abdominal wall with no additional graspers or spreading devices, allowing for complete visibility during fixation.

• Following initial mesh fixation with the SorbaFix™ Absorbable Fixation System, the

positioning system is deflated and quickly and completely removed from the body

http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/ventral-‐hernia-‐repair/laparoscopic-‐repair-‐options/echo-‐ps/

PICTURES


DULEX™ Mesh

MANUFACTURER

Bard, Davol

DESCRIPTION

Dual-‐sided ePTFE mesh for intraabdominal ventral hernia repair.

ADVANTAGES

• Micro-‐porous structure on one side minimizes visceral attachment to prosthesis.

• Other side is a macro-‐porous structure designed to promote tissue ingrowth. http://www.davol.com/products/soft-‐tissue-‐reconstruction/hernia-‐repair/ventral-‐hernia-‐repair/laparoscopic-‐repair-‐options/dulex-‐mesh/

PICTURES


PARIETEX COMPOSITE (PCO) MESH

MANUFACTURER

COVIDIEN

DESCRIPTION

Composite mesh for laparoscopic ventral hernia repair that provides protection from the formation of visceral attachments Introduced in 1999, Parietex™ Composite (PCO) mesh was the first to offer a resorbable collagen barrier on one side to limit visceral attachments and a three-‐dimensional polyester knit structure on the other to promote tissue ingrowth and ease of use. This balance of material properties produces superior cellular proliferation when compared to polypropylene mesh in vitro1 and works with the body’s natural systems to provide rapid fibrous ingrowth,2 minimal shrinkage3,4 and strong tissue integration5. With more than 10 years of documented clinical effectiveness, Parietex™ PCO mesh was ahead of its time and remains the procedural standard that others strive to reach.

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

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

• Proven safe based on a mean clinical follow-‐up of four years in a prospective, multicenter human trial

• Lower incidences of visceral attachments in comparative and animal studies

• Stronger incorporation into the abdominal wall in prospective and comparative animal studie

• 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

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

PICTURES


PHYSIOMESH™ Flexible Composite

MANUFACTURER

ETHICON

DESCRIPTION

Mesh for laparoscopic ventral hernia repair that provides protection from the formation of visceral attachments

ADVANTAGES

• Mesh is physiologically designed to complement your patient's every twist and turn.

• Surgeons can view anatomy of the abdominal wall through ETHICON PHYSIOMESH™ and there are absorbable markers for orientation.

• The handling characteristics are improved with MONOCRYL™ (poliglecaprone 25) Suture polymer on both sides, which eases placement.

• PHYSIOMESH™ has sufficient memory for ease of deployment and clings to the abdominal wall to ease in placement and positioning.

• It is also trimmable and ready to use out of the package. http://www.ethicon.com/healthcare-‐professionals/products/hernia-‐solutions/ethicon-‐physiomesh-‐flexible-‐composite-‐mesh#!about

PICTURES


PROCEED™ Surgical Mesh

MANUFACTURER

ETHICON

DESCRIPTION

• PROCEED™ Surgical Mesh is designed for general surgeons who perform intra-‐abdominal hernia repairs and is ideal for open and laparoscopic ventral hernia repair.

ADVANTAGES

• It is distinctive for its combination of large-‐pore, monofilament mesh and natural, absorbable tissue-‐separating technology that together enable patients to heal more naturally, strongly, and comfortably. http://www.ethicon.com/healthcare-‐professionals/products/hernia-‐solutions/proceed-‐surgical-‐mesh

PICTURES


C-‐QUR™ Mesh

MANUFACTURER

Atrium

DESCRIPTION

• C-‐QUR™ Mesh combines Atrium’s Indication by Design platform of polypropylene mesh with an all natural Omega 3 gel coating. The O3FA coating is derived from highly purified, contaminant-‐free pharmaceutical grade fish oil consisting of a unique blend of triglycerides and Omega 3 fatty acids

ADVANTAGES

In pre-‐clinical studies, the Omega 3 absorbable coating was observed to minimize the inflammatory response following blunt dissection. C-‐QUR™ exhibited significantly less inflammatory cell recruitment than uncoated polypropylene, resulting in a fully incorporated, well-‐anchored reinforcement to the abdominal wall, with little to no evidence of “uncontrolled” connective tissue scarring or visceral tissue attachment. By all measures, C-‐QUR™ Mesh outperforms all competitive barrier meshes in terms of ease-‐of-‐use. C-‐QUR™ also offers the surgeon trimming and fixation flexibility while utilizing our advanced O3FA technology to provide a more natural healing experience with less visceral tissue attachment and/or mesh erosion.

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

PICTURES


DynaMesh-‐IPOM

MANUFACTURER

Dynamesh

DESCRIPTION

Visceral material: Polyvinylidene fluoride (PVDF) monofilament Parietal material: Polypropylene (PP) monofilament Weight: Equivalent 60 g/m2 Thickness: 0.7 mm Pore size: 80 % > 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

Non-‐coated 100% synthetic 2-‐component textile structure (PVDF + PP) Open-‐pore monofilament mesh Fast and complete growing-‐in of peritoneum and simultaneous reduction of adhesions between intestine and mesh Minimal foreign body reaction Optimum handling when performing laparoscopic and open techniques

http://en.dyna-‐mesh.com/aplprod/hernia/ipom-‐gb/

PICTURES


CMC – ClearMesh Composite

MANUFACTURER

Dipromed

DESCRIPTION

2P-‐CMC ClearMesh Composite is a transparent, lightweight, ultra-‐thin, nonabsorbable surgical prosthesis in polypropylene, made by a monofilament macroporous mesh and transparent film in order to minimize the adhesion formations. ADVANTAGES

lndications: Treatment of the abdominal wall defects caused by hernias and incisional hernias with intraperitoneal positioning. It can be used with laparotomic and laparoscopic surgical approach. http://www.dipromed.eu/?page_id=300

PICTURES


PCMC – ClearMesh Composite

MANUFACTURER

Dipromed

DESCRIPTION

2P-‐PCMC is a transparent, lightweight, ultra-‐thin, nonabsorbable surgical prosthesis in polypropylene, made by a monofilament macroporous mesh and a transparent film in order to minimize the adhesion formations. 2P-‐PCMC can be adapted to the defect and anatomy of patient, cutting the prosthesis around the guide seams. ADVANTAGES

lndications: Treatment of the abdominal wall defects caused by hernias and incisional hernias with intraperitoneal positioning. It can be used with laparotomic and laparoscopic surgical approach. http://www.dipromed.eu/?page_id=302

PICTURES


Intramesh T1

MANUFACTURER

Cousin

DESCRIPTION

Two-‐sided polypropylene and ePTFE wall reconstruction prosthesis. Its two-‐sided structure has the advantage of one smooth side which reduces visceral adherence and a knitted side for better colonisation of the peritoneum. ADVANTAGES

A complete range is available for various indications: ventral hernia, umbilical hernia and linea alba hernia. • Recognised materials o 1 side in polypropylene monofilament knit o 1 smooth anti-‐adhesive ePTFE side • Micro-‐perforations • Easy to position via Laparoscopy thanks to markers • Optimal thickness: less adherence to the viscera

http://www.cousin-‐biotech.com/uk/produit.php?idrubrique=7&idspecialite=17&idcategorie1=46&idcategorie2=46&idproduit=73

PICTURES


Intramesh W3

MANUFACTURER

Cousin

DESCRIPTION

Composite implant Soft materials and shape memory for easy implantation. Double side design for a better colonisation of the peritoneum : a non-‐woven side ands its adhesion face to reduce adhesion to the viscera ADVANTAGES

• Recognised materials o 1 side made in non-‐woven polyethylene terephthalate o 1 anti-‐adhesive side dimethyl siloxane • Micro-‐perforations • Easy to position via Laparoscopy thanks to markers • Optimal thickness: less adherence to the viscera

http://www.cousin-‐biotech.com/uk/produit.php?idrubrique=7&idspecialite=17&idcategorie1=46&idcategorie2=46&idproduit=74

PICTURES


Bi-‐material Relimesh meshes

MANUFACTURER

Herniamesh

DESCRIPTION

Meshes used in surgery to reinforce soft or weak tissues such as hernia repairs using the open or laparoscopy approach.

The double-‐layered structure means that the device is especially indicated for intraperitoneal use: the microporous side in ePTFE, which comes into contact with the intestine, minimises adherence; the macroporous side in PP, in contact with the wall, promotes tissue development. ADVANTAGES

Relimesh® can be: • cut to the size and shape required, with no

delamination of the prosthesis or loss of Polypropylene filaments, all as a result of the special mesh structure and exclusive process for joining the two materials1;

• easily wound for trocar insertion into the abdominal cavity;

• easily distended over the anatomical site. Relimesh is available either oval or round shape. http://www.herniamesh.com/en/

Documents

V- Mesh for intrabdominal placement - laparoscopic v.2 - … · soft!tissue!and!fascial!reconstruction! demonstrated against! laboratory! strains! and clinical! isolates of! the!