181KAT007E Hernias

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Tailored Solutions for Visceral Surgery Abdominal wall hernias Expert Technologies in PVDF For the intraperitoneal onlay mesh technique in hernia surgery Optimal handling in laparoscopic and open techniques DynaMesh ® -IPOM Abdominal wall hernia Allow for sufficient overlap when selecting mesh size. DynaMesh ® -IPOM Size: d 12 cm round IP070012F1 Unit = 1 EA / BX IP070012F3 Unit = 3 EA / BX Size: 10 cm x 15 cm IP071015F1 Unit = 1 EA / BX Size: 15 cm x 15 cm IP071515F1 Unit = 1 EA / BX IP071515F3 Unit = 3 EA / BX Size: 15 cm x 20 cm IP071520F1 Unit = 1 EA / BX IP071520F3 Unit = 3 EA / BX Size: 20 cm x 20 cm IP072020F1 Unit = 1 EA / BX Size: 20 cm x 25 cm IP072025F1 Unit = 1 EA / BX Size: 20 cm x 30 cm IP072030F1 Unit = 1 EA / BX IP072030F3 Unit = 3 EA / BX Size: 28 cm x 37 cm IP072837F1 Unit = 1 EA / BX Size: 30 cm x 30 cm IP073030F1 Unit = 1 EA / BX Size: 30 cm x 45 cm IP073045F1 Unit = 1 EA / BX DynaMesh ® -IPOM visible Size: 30 cm x 30 cm IP083030F1 Unit = 1 EA / BX For special sizes and other package sizes please see the attached sheet. Use and properties IPOMProduct abdominal wall Field of application laparoscopic / open Surgical approach IPOM Surgical technique intraperitoneal Mesh position Fixation suture/ stapler/tacker Optimal handling Optimal patient safety Optimal patient comfort Green marker thread PVDF barrier visible technology p.8 p.8 p.16 28
Cross-sectional view Dual-layer composite mesh DynaMesh ® -IPOM is a dual-component structure specifically developed for the IPOM technique; it is composed 88% of high purity PVDF and 12% of polypropylene (PP). The parietal side (PP) promotes rapid and safe ingrowth into the abdominal wall. The PVDF layer on the visceral side forms a barrier to the intestines. PVDF demonstrably decreases the risks of adhesions compared with polypropylene [11] and thus reduces the risk of intestinal erosions. If implantation of several meshes is required (as in the sandwich technique, for example [9] ), the open-pore structure means that implants can easily be overlapped. Green marker thread in the craniocaudal direction attached to the parietal (PP) side. PP monofilament PVDF monofilament Insertion in the correct position and direction The parietal side (PP component) has a green marker thread and must face the abdominal wall. The marker thread is located on the front surface and simultaneously shows the correct direction of the elasticity in the craniocaudal direction. The textile implant can easily be cut to size extracorporeally and provided with more fixation threads. DynaMesh ® -IPOM facilitates intraoperative handling by offering very high transparency. The high resilience and minimal roll-up tendency enable optimal handling and fold-free placement. It is recommended that the mesh is attached under pretension to the abdominal wall while this is stretched during surgery. Intraoperative view Attach the mesh with added holding sutures under pre-tension Fold-free mesh positioning after draining the pneumoperitoneum Advantages for the patients The open pore mesh construction facilitates the break-down of seroma, reduces scar plate formation and thus decreases postoperative pain. Minimal mesh shrinkage is achieved and long-term surgical success with high patient comfort ensured [9-14] through the open-pore and elastic mesh construction made from PVDF, which offers long-term stability. Technical data visceral: PVDF [88%] parietal: PP [12%] p.10 Polymer (monofilament) Excellent biocompatibility Reduced bacterial adherence reaction body foreign p.10 p.10Minimal p.10 p.11 High ageing resistance p.13 Optimal dynamometry p.14 No scar plate formation 1.90 p.12 Maximum stability (b) [N/cm] Reactive surface (a) [m²/m²] 74 p.13 76 p.13 Elasticity (b) at 16 N/cm [%] 29 p.13 Tear propagation resistance (c) [N] Textile porosity (d) [%] 58 p.14 43 p.15 Effective porosity (d) [%] 30 p.15 1a Effective porosity at 2.5 N/cm (d) [%] Classification (e) (a)-(e) p.41 29
Page 1 and 2: Tailored Solutions for Visceral Sur
Page 3 and 4: Expert Technologies in PVDF It all
Page 5 and 6: Our promise You can rely on it What
Page 7 and 8: Our company “Made in Germany“ h
Page 9 and 10: Our development A specific solution
Page 11 and 12: DynaMesh ® products Excellent prop
Page 13 and 14: DynaMesh® products Superior Textil
Page 15 and 16: DynaMesh® products Optimal integra
Page 17 and 18: DynaMesh ® visible A better intern
Page 21 and 22: For example: inguinal hernia, on th
Page 23 and 24: Perfectly structured mesh Intraoper
Page 25 and 26: Optimised shape Three-dimensionally
Page 27: Tailored Solutions for Visceral Sur
Page 31 and 32: Optimally adapted tri-elasticity Be
Page 39 and 40: Optimal handling The implant is mad
Page 41 and 42: Literature 9. Berger D, Bientzle M:
Page 43 and 44: www.dyna-mesh.com Notes

181KAT007E Hernias

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