PARIETEX COMPOSITE 10 YEAR ANNIVERSARY
|
|
- Caren Eunice Rich
- 6 years ago
- Views:
Transcription
1 PARIETEX COMPOSITE 10 YEAR ANNIVERSARY YEARS OF CLINICAL EVIDENCE
2 THE CONCEPT Polyester mesh takes on the challenge of hernia repair with material and manufacturing innovations to optimize healing and comfort through fast and intimate tissue in-growth. The new architecture of hernia repair features an enhanced hydrophilic, multi-filament construct and optimal porosity. Studies show that polyester is superior to other materials, such as polypropylene and eptfe, in lack of shrinkage, advanced rate of healing and improved patient comfort. Optimized Material - hydrophilic polyester enhances rapid tissue in-growth rapid and complete tissue integration is an important requirement for an optimal hernia repair mesh 1. To answer this need, our technology begins with a material difference polyester. When this material is designed with optimum pore size it enhances fast and intimate tissue ingrowth. Polyester promotes the attraction, fixation and survival of young fibroblasts and mesothelial cells due to its hydrophilic nature. In contrast, polypropylene and eptfe tend to repel all cells and avoid the fixation of all living cells to the material because of their hydrophobic characteristic. When a hydrophobic material like polypropylene, which do not promote the attraction of cells, is combined with a small-pore, size a common result is encapsulation of the mesh with scar tissue. Optimized Structure porosity promotes connective tissue differentiation. To allow fast and intimate tissue in-growth without any peripheral fibrous capsule (which can cause shrinkage, discomfort and chronic pain), a mesh must also have porosities that are as large as possible 5.Pore sizes below 1 mm trigger an intense inflammatory response. Inflammation and scar formation lead directly to encapsulation which in turn leads to contraction. Parietex technology creates both micropores for optimized cellular in-growth between the fibers and large macropores for true connective tissue differentiation. Parietex s porosity allows the right amount of connective tissue in-growth with no fibrotic encapsulation or degradation. Preventing Visceral Attachments Intraperitoneal placement of the mesh represents a real advance in the ventral hernia repair: it facilitates laparoscopic treatment of small incisional hernia repair. The result is a reduction of operative time that benefits the patient by decreasing of surgical and anesthetic morbidity. When placing a mesh intraperitoneally it must provide a permanent or temporary interface between normally separated structures. The requirements for an ideal mesh are: To physically separate anatomical structures during the early healing phase To induce a minimized inflammatory response in order to reduce both encapsulation and adhesions to the barrier itself To restore normal cleavage plans Parietex Composite (PCO) Mesh is composed of three-dimensional polyester structure on the parietal side and an absorbable collagen film on the visceral side.
3 PCO Series (Laparoscopy Surgery) PCO OS Series (Open Surgery) Parietex Composite Hiatal Mesh Parietex Composite Parastomal Mesh A proprietary manufacturing process creates a strong link between the film and the threedimensional polyester structure (picture 1) which eliminates the risk of delamination that has been reported in other meshes. Picture 1. The continuous, smooth, hydrophilic and resorbable collagen film is composed of a mixture of oxidized atelocollagen type I, polyethylene glycol and glycerol. The hydrogel film s physico-chemical properties: hydrophilicity, elasticity and transparency make it easy for surgeons to implant the mesh intraperitoneally. Moreover, the film extends 5 mm over the mesh edges providing additional protection. Before resorption of the hydrogelic film Hydrogelic film Mesh superficial thread Mesh deep thread Abdominal wall Transversal section 1 week after implantation Neoformed mesothelial layer Parietex Composite (PCO) Mesh provides a temporary barrier and the film s hydrophilicity promotes the attraction of mesothelial cells. After absorption it leaves a neo-peritoneum composed by mesothelial cells that will prevent visceral attachments. After resorption of the hydrogelic film Mesh superficial thread Continuous neoperitoneum Mesh deep thread Abdominal wall Transversal section 6 weeks after implantation Differentiated tissue in-growth Intimate attachment of the mesh to the wall
4 CLINICAL RESULTS An optimal balance of properties backed the largest portfolio of clinical studies. Study # Adhesion Integration Shrinkage Degradation Pain Infection Elasticity Balique 1 X X X Chelala 2 X X X Burger 3 X X Jacob 4 X X X Duffy 5 X X McGinty 6 X X X Clavé 7 X Bracco 8 X Ramshaw 9 X Junge 10 X X Gonzales 11 X Schreinemacher 12 X X Köckerling 13 X X Junge 14 X X X Rosen 15 X ADHESION PREVENTION Study patients were included in this prospective multicenter clinical trial. The main objective was to evaluate the antiadhesive properties of Parietex Composite (PCO) Mesh. Ultrasound (US) specific examinations of intestinal movement was initially validated (pre-operative prediction vs. Preoperative findings) and then used during the followup. After 12 months, 86% of the patients were ultrasonically adhesion free. There was 0% occlusion and fistula. Late complications were: mesh sepsis (1%), new defects (4%) and recurrence (2.5%). At four years, 56 patients (75.7%) were clinically evaluated with a mean follow-up of 48±6 months. One direct recurrence was noted while six patients experienced new defect outside the mesh. No long-term severe complication such as occlusion or enterocutaneous fistula was observed. Study 2. In this retrospective study, the author evaluated a minimally invasive surgical technique of moderate to large incisional and ventral hernia defects using Parietex Composite (PCO) Mesh. The midterm results for 400 patients are presented in terms of efficacy and safety. On 400 patients, no major complications were observed, 0 small bowel obstruction, 0 enterocutaneaous fistula and 0 infections. A second look study (for other indications) was performed on 35 patients (8.75%) 3 to 13 months postoperatively that confirms the global results. The majority (23 patients, 65.71%) were adhesion free. Some had loose adhesions of the omentum (grade 1 of Mueller s classification; n = 10), and the remainder had easily cleavable serosal adhesions (grade 2 of Mueller s classification; n = 2) There were no cases of chronic infection, small bowel obstruction, fistula, or hernia fistula, and no conversions occurred in this study.
5 Study 3 In an experimental rat study, the authors wanted to evaluate adhesion formation with different types of currently available composite meshes. Eight different meshes were placed intraperitoneally and in direct contact with abdominal viscera in 200 rats. The following meshes were tested: polypropylene (Ethicon's Prolene*), eptfe (Gore's Dualmesh ), polypropylene polyglecaprone composite (Ethicon's Ultrapro*), titanium polypropylene composite (GfE's Timesh ), polypropylene with carboxymethylcellulose sodium hyaluronate coating (Bard* Sepramesh*), polyester with collagen-polyethylene glycol glycerol coating (Parietex Composite), polypropylene polydioxanone composite with oxidized cellulose coating (Ethicon's Proceed ), and bovine pericardium (Tutogen Medical's Tutomesh ). Adhesion formation, mesh incorporation, tensile strength, shrinkage, and infection were evaluated at 7 days and 30 days. At 7 days and 30 days, Parietex Composite resulted in significantly less adhesions (3.9% and 11.2% respectively) than observed with other meshes except Tutogen Medical's Tutomesh and Bard* Sepramesh* Duamesh Timesh Ultrapro Prolene Proceed Sepramesh PCO Tutomesh Study 4. Adhesion surface at 30 days This prospective, randomized animal study compared shrinkage, adhesions and tissue ingrowth between Parietex Composite (PCO) Mesh, Ethicon's Proceed and uncoated polypropylene. 3 different 10x15 meshes were implanted in 10 pigs and then evaluated after 28 days. The mean area of adhesions to Parietex Composite (PCO) Mesh (11%) was significantly less than for Ethicon's Proceed (48%; p< 0.008) or PPM (46%;p < 0.008) % Adhesion peel strength was significantly less for PCO (5.9 N) than for Ethicon's Proceed (12.1 N; p < 0.02) or PPM (12.9 N; p < 0.02) 60% 50% 40% 30% 20% 10% 0% Study 5. In this prospective animal study Parietex Composite (PCO) Mesh and Bard's Composix E/X (Bard) were implanted in female Yorkshire swine and evaluated in terms of adhesion and tissue integration. The meshes were analyzed at 28 days post implantation by a veterinary pathologist who was blinded to the data. At 28 days, PCO induced fewer adhesions than eptfe mesh (14.5% vs 53.4%, P=0.007). On an adhesion scale (0 5), we had 1.75 for PCO (P<0.03) vs 3.6 for eptfe Bard's Composix E/X Study 6. 3 types of meshes polypropylene (PPM), expanded polytetrafluoroethylene (eptfe), and polyester with antiadhesive collagen layer (PCO) were implanted laparoscopically in eight pigs using sutures and tacks for fixation. Adhesion formation, fibrous ingrowth and shrinkage were evaluated after 28-day survival. Percentage of mesh area with 28 days Mean area of adhesions to PCO (8.25%) was less than that to eptfe (57.14%, p < 0.001) or PPM (79.38%, p < 0.001). Adhesion peel strength was less for PCO (2.3N) than for PPM (16.1 N, p < 0.001) or eptfe (8.8 N, p = 0.02). Study 11 PCO Proceed PPM The purpose of this prospective animal study was to compare the effectiveness of five meshes which had been developed to resist adhesion formation to that of an untreated mesh after 21 days following surgery. 5 composite mesh products (Parietex Composite, Parietene Composite, Bard Bard's Composix E/X, Bard * Sepramesh *, and Gore- Tex Gore's DualMesh ) and one untreated mesh product (Parietene ) were implanted in 80 rats.
6 After 21 days, adhesion formation was evaluated and Parietex Composite exhibited the lowest rate of adhesions with 8.3%, with non significance difference with other meshes except for Sepramesh and the untreated mesh. Untreated Parietene Control Sepramesh Gore-Tex Dual Mesh Bard Composix E/X Parietene composite Adhesion rate in % Parietex Composite (PCO) and Atrium's C-QUR showed the lowest score of adhesion compared to the other meshes with statistical difference. Only Parietex Composite (PCO) showed no visceral adhesions at 30 days. Study 13 3 different composite meshes were laparoscopically implanted in six swine (FEG's Dynamesh IPOM, Ethicon's Proceed, Parietene Composite). Parietene Composite has the same antiadhesive film than Parietex Composite. Parietex composite Study Comparison of adhesion formation between mesh products. Adhesion rate (%) This study examined the ability of different coated and uncoated meshes to attenuate adhesion formation. 6 meshes were placed intraperitoneally in rats: Ethicon's Prolene* (polypropylene), GfE's Timesh (polypropylene with titanium), Ethicon's Ultrapro % After 4 months, adhesion incidence and adhesion coverage were measured. Adhesion values were 12.8% for Parietene Composite, 31.7% for Ethicon's Proceed and 33.2% for Dynamesh IPOM (p = 0.01). Study 14 4 differents meshes PVDF+PP (FEG's Dynamesh ), PP+Col (Parietene Composite), eptfe (Dual mesh) and PP (a pure polypropylene mesh serving as control) were implanted in 40 rats. Parietene Composite has the same antiadhesive film than Parietex Composite. Adhesion rate, tissue integration and shrinkage were evaluated after 30 days. (polypropylene composites with polyglecaprone), Ethicon's Proceed (polypropylene mesh coated with a layer of cellulose) and Parietex Composite and Atrium's C-QUR (polypropylene mesh coated with a layer of omega-3 fatty acids). Parietene Composite (PCO) adhesion rate was (26.8 ± 12.1%) and the PVDF+PP mesh (34.6 ± 8.2%). Adhesions and incorporation were evaluated macroscopically and microscopically after 7 and 30 days.
7 TISSUE INTEGRATION Study 3 Parietex Composite (PCO) showed at 7 days and 30 days the highest tissue incorporation. Parietex Composite (PCO) showed the highest tensile strength (14.2 N) Study 4 Peak peel strength from the abdominal wall was significantly higher for PCO (17.2 N) than for Ethicon's Proceed (10.7 N) or PPM (10 N; p < 0.002) Tutomesh Dualmesh Timesh Tensile strengh Study 5 Good tissue ingrowth and neovascularisation had been observed in both meshes, although PCO showed a more complete neoperitoneum. Prolene Proceed Ultrapro Sepramesh PCO Newton Study 6 Peel strength of mesh from the abdominal wall was greater for PCO (2.8 N/cm, p = 0.001) or PPM (2.1 N/cm, p = 0.05) than for eptfe (1.3N/cm of mesh width).
8 SHRINKAGE Study 2 Based on the 2 nd look study (35 patients) the author noted the absence of prosthesis shrinking and wrinkling in all these cases confirming its total peritonization on the anterior abdominal wall. Study 3 Parietex Composite (PCO) showed 15.3% at 30 days with no significant difference with other mesh but Tutogen Medical's Tutomesh (44.3%) Study 4 The area of each mesh at the time of insertion was 150 cm 2. PCO (105.8 cm², 29.5%) had less shrinkage than Ethicon's Proceed (99.6 cm², 33.6%) but with no statistically significant difference. Study 6 The area of each mesh at the time of insertion was 150 cm 2. eptfe (94.4 cm 2, 63% of original area) PCO (118.6 cm 2, 79% of original area, p = 0.001) PPM (140.7 cm 2, 94% of original area, p = 0.002). Study 13 Parietene Composite and FEG's Dynamesh IPOM had a similar value of 14% of shrinkage while Ethicon's Proceed showed a 25% reduction in its surface area. Study 14 Parietene Composite (PCO) and FEG's Dynamesh IPOM had a similar value of 19% of shrinkage while Dual mesh showed a 52% reduction in its surface area.
9 ELASTICITY Study 10 The study showed that at a strain of 16N new ideal meshes should show an elasticity of at least 25% in vertical stretching and 15% in horizontal stretching to achieve almost physiological properties. Relative distension (%) Vertical direction The graphs below show the physiologic elasticity band and the elasticity of several meshes. Parietex and Parietene Composite are above the minimum requirement and don t impair the physiological abdominal wall elasticity. Relative distension (%) Horizontal direction Tensile strengh (N) 3D PET (Parietex Composite) 3D PP (Parietene Composite) 2D Light weight PP (Parietex Light) 2D Heavy weight PP (Prolene )
10 DEGRADATION Study 7 The objective of the study was to compare the state of alteration of different meshes commonly used in Pelvic Floor Disorder surgery. Multicentric retrospective and comparative study of 100 explanted samples of different meshes: Low Density polypropylene mesh (LDPPMF), High Density polypropylene (HDPPMF), Polypropylene Multifilament, Non- Knotting Non-Woven Polypropylene (NKNW), Polypropylene-polyglactin acid (Composite), Polyethylene Terephtalate (PET). Scanning Electron Microscopy (SEM) analysis was performed on each explanted meshes. SEM analysis has shown 39% of impaired meshes. All Polypropylene meshes 44.5%: LDPPMF 21% HDPPMF 47.8% Multifilament 75% Composite 87.5% NKNW 100% PET 0% PP mesh PP mesh PET mesh Study 8 SEM analysis was performed on 25 explanted meshes after primary abdominal wall hernia repair. The average period of implant was 32.5 months (range 2 180) Fig. 1 Scanning electron microscopy (SEM) micrograph (1,000x) of fragment #24 polyethylene terephthalate (PET) 100% of PP meshes (2 to 52 months of implantation) showed alterations 0% of PET meshes (36 to 180 months of implantation) showed alteration. Fig. 2 Scanning electron microscopy (SEM) micrograph (1,000x) of fragment #20 polyethylene (PP)
11 Study 9 14 Polypropylene meshes were removed from patients requiring revision surgery due to chronic pain, recurrence, infection, adhesions, or other complications. PAIN 85% of the explanted meshes showed alterations of their surface (cracks, fissures, and increased surface roughness). Moreover, nearly all meshes showed a decrease of the compliance (from 4 to 30 times more force to fold the mesh than the pristine mesh) Study 1 Pain was reduced to a very low level: 0.2±0.8/10 in the open group and 0.8±1.6/10 in the laparoscopic group. 69% of the patients were totally pain free (VAS= 0) in the open group and 67% in the laparoscopic group. Study 2 Transient pain was experienced by 10 patients (2.5%), and resolved over time with analgesic treatment. After 28 months, 97.5% of our patients were pain free, residual chronic parietal pain was reported for 10 patients (2.5%) INFECTION Study 1 1 mesh sepsis (1%) occurred at 8 months after a series of events on the incision, but it was not related directly to the mesh. Study 2 1 mesh sepsis after day 3 requiring mesh explantation (0.25%). No chronic infection reported. Study 15 This retrospective human study was designed to assess postoperative infections, fistulas, small-bowel obstructions and recurrence rates using Parietex Composite (PCO) Mesh in a complex group of patients. 109 patients had ventral hernias repaired and were tracked for a year. Forty-two (42%) of the patients were being treated for a recurrent hernia and twenty-six (26%) had prior intraperitoneal mesh placement. In the laparoscopic group, there were no delayed mesh infections, fistulas or hernia recurrences during the 14 month follow-up period. In the open group, there were no long term bowel obstructions, fistulas or delayed infections related to the mesh during the 11 month follow up period. Dr Rosen concluded based on his experience with a follow up of approximately 1 year, there does not seem to be an increased risk of mesh infection, bowel obstructions, or enterocutaneous fistulas. Polyester mesh seems to be safe for ventral hernia repair.
12 References 1. Balique J.G. et al. Intraperitoneal treatment of incisional and umbilical hernias using an innovative composite mesh: 4 years results of a prospective multicenter clinical trial. Hernia : Chelala E et al. The suturing concept for laparoscopic mesh fixation in ventral and incisional hernia repair: a mid term analysis of 400 cases. Surgical Endoscopy, Burger J.W.A et al. Evaluation of new prosthetic meshes for ventral hernia repair. Surgical Endoscopy, : B.P. Jacob et al. Tissue ingrowth and bowel adhesion formation in an animal comparative study: polypropylene versus Proceed versus Parietex Composite. Surgical Endoscopy 2007, 21: Duffy AJ et al. Comparison of two composite meshes using two fixation devices in a porcine laparoscopic ventral hernia repair. Hernia 2004;8 : McGinty J.J et al. A comparative study of adhesion formation and abdominal wall ingrowth after laparoscopic ventral hernia repair in a porcine model using multiple types of mesh. Surg Endosc (2005) 19: Clave A, et al. Study of the Alterations of 100 Meshes Excised for Complications after Stress Urinary Incontinence or Pelvic Organ Prolapses Surgery. Journal of Minimally Invasive Gynecology 15 (2008) S1eS P. Bracco et al. Comparison of polypropylene and polyethylene terephthalate (Dacron) meshes for abdominal wall hernia repair: A chemical and morphological study. Hernia (2005) 9: C.R. Costello, S.L. Bachman, B.J. Ramshaw, S.A. Grant. Materials Characterization of Explanted Polypropylene Hernia Meshes. Journal of Biomedical Materials Research Part B: Applied Biomaterials Junge K.et al.: Elasticity of the abdominal wall and impact for reparation of incisional repairs using mesh implants. Hernia Gonzales et al. Resistance to adhesion formation: A comparative study of treated and untreated mesh products placed in the abdominal cavity. Hernia (2004) 8: M. H. F. Schreinemacher et al. Degradation of mesh coatings and intraperitoneal adhesion formation in an experimental model. British Journal of Surgery 2009; 96: Christine Schug-Pass, Florian Sommerer, Andrea Tannapfel, Hans Lippert, Ferdinand Köckerling. The use of composite meshes in laparoscopic repair of abdominal wall hernias: are there differences in biocompatibily? Surg Endosc, Karsten Junge et al. Adhesion formation of a polyvinylidenfluoride/polypropylene mesh for intra-abdominal placement in a rodent animal model. Surg Endosc Michael J Rosen. Polyester-based mesh for ventral hernia repair: is it safe? The American Journal of Surgery (2009) 197, COVIDIEN, COVIDIEN with logo and marked brands are trademarks of Covidien AG or its affiliate Covidien AG or its affiliate. All rights reserved. Hernia Tyco Healthcare Pty Ltd 166 Epping Road, Lane Cove NSW 2066 Australia (t) Tyco Healthcare Ltd Ground Floor, 15B Vestey Drive, Mount Wellington, Auckland New Zealand (t)
Ventralex ST Hernia Patch featuring Sepra Technology
Ventralex ST Hernia Patch featuring Sepra Technology Proven Sepra Technology in a Low Profile, Lightweight Mesh Sepra Technology An extensively studied barrier with more than 10 publications and used clinically
More information3/21/2011. Advances in laparoscopic ventral hernia repair. Laparoscopic approach well-suited for simple hernias:
Advances in laparoscopic ventral hernia repair Topics Technique of laparoscopic ventral hernia repair Patient selection Is laparoscopic any better than open? Recent advances (or, should we say, advances?)
More informationTissue-Separating Mesh A Comparative Guide
Ethicon provides comprehensive solutions to advance hernia repair PROCEED Surgical Mesh with macroporous, partially absorbable monofilament construction has been trusted by surgeons for more than 10 years
More informationEarly View Article: Online published version of an accepted article before publication in the final form.
: Online published version of an accepted article before publication in the final form. Journal Name: Journal of Case Reports and Images in Surgery doi: To be assigned Early view version published: November
More informationMeshes. Meshes. Non-absorbable meshes. Absorbable meshes
Meshes Meshes Non-absorbable meshes Absorbable meshes Non-absorbable meshes hernia Premilene Mesh Premilene Mesh Plug Optilene Mesh Optilene Mesh LP Optilene Mesh Elastic Omyra Mesh Non-absorbable meshes
More informationOptiFix Absorbable Fixation System
OptiFix Absorbable Fixation System Absorbable Fixation Redefined Advancing the Fixation Experience. SOFT TISSUE REPAIR Right Procedure. Right Product. Right Outcome. Hernia Repair Fixation Challenges and
More informationVALUE ANALYSIS COMMITTEE PRODUCT INFORMATION KIT
VALUE ANALYSIS COMMITTEE PRODUCT INFORMATION KIT Versatex Monofilament Mesh Macroporous flatsheet for preperitoneal hernia repair HERNIA CARE MESH FIXATION BIOLOGICS DISSECTION HERNIA REPAIR We have established
More informationMædica - a Journal of Clinical Medicine STATE-OF-THE-ART. , Danut VASILE. University of Medicine and Pharmacy Carol Davila Bucharest, Romania
Mædica - a Journal of Clinical Medicine MAEDICA a Journal of Clinical Medicine 2017; 12(3): 202-207 STATE-OF-THE-ART Prostheses Used in Laparoscopic Inguinal Hernia Repair: Biocompatibility, Postoperative
More informationEvidence Summary. Ethicon Hernia Portfolio. Better surgery for a better world
Ethicon Hernia Portfolio Ethicon HerniaSummary Portfolio Evidence Evidence Summary Color Better surgery for a better world sticky notes repre s ent cu stome r insig ht s. The third party trademarks used
More informationII.- PLUG. NAME of the products. Premilene Mesh Plug MANUFACTURER. B Braun DESCRIPTION. Polypropylene mesh for plug technique
II.- PLUG Premilene Mesh Plug B Braun 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
More informationDesigned to help advance patient outcomes and ease of use
Introducing ULTRAPRO ADVANCED Macroporous Partially Absorbable Mesh for inguinal and ventral hernia repair Designed to help advance patient outcomes and ease of use t n rese rep otes n y k. r stic ights
More informationGlue for mesh fixation in laparoscopic ventral hernia repair. An experimental comparison with conventional fixation.
Glue for mesh fixation in laparoscopic ventral hernia repair. An experimental comparison with conventional fixation. A.Vanlander, F. Berrevoet MD PhD Department of General and Hepatobiliary Surgery and
More information7/2/2015. Incidence. *Mudge M et al, Br. J. Surg, 1985, 72:70-71
Ventral Hernia Repair: Revisonal Surgery Natan Zundel MD FACS Professor of Surgery Vice-Chairman Department of Surgery FIU Herbert Wertheim College of Medicine. Miami Florida DISCLOSURE Ethicon Endosurgery
More informationPositioning System. Laparoscopic ventral hernia repair KEY BENEFITS SOFT TISSUE REPAIR
Echo PS Positioning System with Ventralight ST Mesh or Composix L/P Mesh Laparoscopic ventral hernia repair Echo PS Positioning System with Ventralight ST Mesh Echo PS Positioning System with Composix
More informationSTOMA SITING & PARASTOMAL HERNIA MANAGEMENT
STOMA SITING & PARASTOMAL HERNIA MANAGEMENT Professor Hany S. Tawfik Head of the Department of Surgery & Chairman of Colorectal Surgery Unit Benha University Disclosure No financial affiliation to disclose
More informationSCIENTIFIC PAPER ABSTRACT INTRODUCTION METHODS
SCIENTIFIC PAPER Adhesion Formation After Laparoscopic Ventral Incisional Hernia Repair With Polypropylene Mesh: A Study Using Abdominal Ultrasound Juliane Bingener, MD, George B. Kazantsev, MD, Shailendra
More informationB. Braun Mesh Range It s All about Prevention. Experts in Abdominal Wall Health. Hernia Repair
B. Braun Mesh Range It s All about Prevention. Experts in Abdominal Wall Health Hernia Repair B. Braun Mesh Range It s All about Prevention Experts in Abdominal Wall Health Welcome to B. Braun Closure
More informationTechnique Guide. Bard MK Hernia Repair. Featuring Modified Onflex Mesh SOFT TISSUE REPAIR. Anterior Approach to a Preperitoneal Inguinal Hernia Repair
Bard MK Hernia Repair Featuring Modified Onflex Mesh Technique Guide Anterior Approach to a Preperitoneal Inguinal Hernia Repair SOFT TISSUE REPAIR Right Procedure. Right Product. Right Outcome. The opinions
More informationCytoflex Barrier Membrane Clinical Evaluation
Cytoflex Barrier Membrane Clinical Evaluation Historical Background Guided tissue regeneration is a well established concept in the repair of oral bone defects. The exclusion of soft tissue epithelial
More informationResearch Article Adhesions to Mesh after Ventral Hernia Mesh Repair Are Detected by MRI but Are Not a Cause of Long Term Chronic Abdominal Pain
Gastroenterology Research and Practice Volume 2016, Article ID 2631598, 7 pages http://dx.doi.org/10.1155/2016/2631598 Research Article Adhesions to Mesh after Ventral Hernia Mesh Repair Are Detected by
More informationINSTRUCTIONS FOR USE FOR:
INSTRUCTIONS FOR USE FOR: en English INSTRUCTIONS FOR USE GORE ENFORM PREPERITONEAL BIOMATERIAL Carefully read all instructions prior to use. Observe all instructions, warnings, and precautions noted throughout.
More informationJMSCR Vol. 03 Issue 08 Page August 2015
www.jmscr.igmpublication.org Impact Factor 3.79 ISSN (e)-2347-176x DOI: http://dx.doi.org/10.18535/jmscr/v3i8.40 Comparison of Outcome between Lightweight Mesh & Heavy Weight Mesh in Lichtenstein Groin
More informationAdverse Event Reports Relating to Surgical Mesh Implants
Adverse Event Reports Relating to Surgical Mesh Implants Summary of reports received by August 2017 Page 1 of 26 Document History Version Number Revision Date Summary of Changes 0 Dec-2013 Reports received
More informationTutopatch and Tutomesh
Tutopatch and Tutomesh Bovine Pericardium Implant Overview About RTI Surgical Strong commitment to advancing science, safety and innovation. Leading global surgical implant company providing safe biologic,
More informationLaparoscopic repair of incisional and ventral hernias with the new type of meshes: randomized control trial
Original paper Videosurgery Laparoscopic repair of incisional and ventral hernias with the new type of meshes: randomized control trial Vladimir V. Grubnik, Aleksandra V. Grubnik, Kseniya O. Vorotyntseva
More informationAdverse Event Reports Relating to Surgical Mesh Implants. Summary of reports received by Medsafe
Adverse Event Reports Relating to Surgical Mesh Implants Summary of reports received by Medsafe December 2016 Page 2 of 25 Document History Version Number Revision Date Summary of Changes 0 Dec-2013 Reports
More informationTitle at a Single Institution. Issue Date Right.
NAOSITE: Nagasaki University's Ac Title Author(s) Laparoscopic Repair of a Ventral He at a Single Institution. Ono, Shinichiro; Kawashita, Yujo; K Citation Acta medica Nagasakiensia, 57(2), p Issue Date
More informationColorectal procedure guide
Colorectal procedure guide Illustrations by Lisa Clark Biodesign ADVANCED TISSUE REPAIR cookmedical.com 2 INDEX Anal fistula repair Using the Biodesign plug with no button.... 4 Anal fistula repair Using
More informationLaparoscopic Hernia Repair, Indications, Superiority and Outcome
Laparoscopic Hernia Repair, Indications, Superiority and Outcome Mr. Amir Morgan MBBCh; MSc; MD; FICS; JAG; FRCS Consultant Laparoscopic Colorectal & General Surgeon Lead of medical education and surgical
More informationInformation from the MAUDE Database
Information from the MAUDE Database Device mesh, surgical, polymeric Regulation Description Surgical mesh. Product Code FTL Regulation Number 878.3300 Device Class 2 Manufacturer ETHICON Medical Device
More informationTitanised mesh implants for hernia surgery TiMESH TiLENE Blue TiLENE TiSURE
Quality and Experience Titanised mesh implants for hernia surgery TiMESH Blue TiSURE www.pfmmedical.com Our titanised hernia meshes TiMESH, Blue, and TiSURE are hydrophilic with excellent bodycompatibilty
More informationFarah S, Kiyingi A, Leinkram C. The Melbourne Hernia Clinic Masada Hospital 26 Balaclava Road St Kilda East Victoria, Australia 3168.
Medium to Long term results following open intra-abdominal repair of large incisional hernias with a new composite polypropylene and silicone mesh, without components separation. Farah S, Kiyingi A, Leinkram
More informationBiodesign E NTEROCUTANEOUS FISTULA PLUG
Offer a new alternative to patients who have enterocutaneous fistulas, even after standard treatments have been tried. Illustration by Lisa Clark Biodesign E NTEROCUTANEOUS FISTULA PLUG MEDICAL How is
More informationwith Laparoscopic Ventral Hernia Repair Positioning System SOFT TISSUE REPAIR Designed for Accurate Mesh Centering
with Laparoscopic Ventral Hernia Repair Positioning System Designed for Accurate Mesh Centering SOFT TISSUE REPAIR Right Procedure. Right Product. Right Outcome. with A Consistent, Reproducible Technique
More informationComparison of adhesion-preventing meshes in a rat model of incisional hernia in terms of intra-abdominal adhesions and other complications
Biomedical Research 2014; 25(3): 414-419 ISSN 0970-938X http://www.biomedres.info Comparison of adhesion-preventing meshes in a rat model of incisional hernia in terms of intra-abdominal adhesions and
More informationVentral Hernia Repair
Ventral Hernia Repair Ventrio ST Hernia Patch Ventrio Hernia Patch Technique Guide Open and Laparoscopic Ventral Hernia Repair SOFT TISSUE REPAIR Right Procedure. Right Product. Right Outcome. This Technique
More informationInadvertent Enterotomy in Minimally Invasive Abdominal Surgery
SCIENTIFIC PAPER Inadvertent Enterotomy in Minimally Invasive Abdominal Surgery Steven J. Binenbaum, MD, Michael A. Goldfarb, MD ABSTRACT Background: Inadvertent enterotomy (IE) in laparoscopic abdominal
More informationNiTiNol Hernia Device Stability in Inguinal Hernioplasty Without Fixation
SCIENTIFIC PAPER NiTiNol Hernia Device Stability in Inguinal Hernioplasty Without Fixation Roderick B. Brown, MD ABSTRACT Background and Objective: To determine whether the NiTiNol frame of a novel hernia
More informationAdverse Event Reports Relating to Surgical Mesh Implants. Summary of reports received by Medsafe
Adverse Event Reports Relating to Surgical Mesh Implants Summary of reports received by Medsafe September 2016 Page 2 of 25 Document History Version Number Revision Date Summary of Changes 0 Dec-2013 Reports
More informationPrevention and Surgical management of Parastomal hernias; When to treat?
Prevention and Surgical management of Parastomal hernias; When to treat? Sabry A. Mahmoud (MD) Prof of General & Colorectal Surgery Mansoura University It is an incisional hernia that develops at the site
More informationCHAU KHAC TU M.D., Ph.D.
CHAU KHAC TU M.D., Ph.D. Hue Central Hospital Vietnam LAPAROSCOPIC PROMONTOFIXATION FOR THE GENITAL PROLAPSE TREATMENT Chau Khac Tu MD.PhD. Hue central hospital CONTENT 3 1 INTRODUCTION 2 OBJECTIVE AND
More informationMOVE BEYOND. to new hope for enterocutaneous fistulas. Enterocutaneous Fistula Repair
MOVE BEYOND to new hope for enterocutaneous fistulas. Enterocutaneous Fistula Repair to an alternative treatment option Enterocutaneous fistulas can significantly affect patient health and quality of life.
More informationHernias Umbilical Hernia When to See a Surgeon? What Are Symptoms of an Umbilical Hernia? How is Repair Performed?
Hernias Umbilical Hernia An umbilical hernia occurs when part of the intestine protrudes through the umbilical opening in the abdominal muscles. Umbilical hernias are common and typically harmless. They
More informationStop Coping. Start Living. Talk to your doctor about pelvic organ prolapse and sacrocolpopexy
Stop Coping. Start Living Talk to your doctor about pelvic organ prolapse and sacrocolpopexy Did you know? One in three women will suffer from a pelvic health condition in her lifetime. Four of the most
More informationLight weight meshes in incisional hernia repair
CMYK117 Symposium Light weight meshes in incisional hernia repair Volker Schumpelick, Uwe Klinge, Raphael Rosch, Karsten Junge Department of Surgery, University Hospital Aachen, Germany Address for correspondence:
More informationExpert Technologies in PVDF
Expert Technologies in PVDF Druckt: HKS 92 oder RAL 7040 HKS 5 oder RAL 1003 THE Lichtenstein mesh Excellent Material: 100% PVDF Anatomic Correct Design Atraumatic Selvedges Optimal Handling Technical
More informationThe Emergency Hernia or The call you don t want at 2:00 a.m.*
or The call you don t want at 2:00 a.m.* *Or even at 8:00 a.m. Michael G. Sarr, MD Professor of Surgery Mayo Clinic South Canada WEST CANADA EAST CANADA Clinical talk Hernias Inguinal Umbilical Incisional
More informationREINFORCED BIOSCAFFOLDS
REINFORCED BIOSCAFFOLDS Midline Incisional Open OviTex 1S Resorbable Clinical Case Study: Open Abdomen Incisional Herniorrhaphy in Contaminated (CDC Class IV) Operative Field Performed by Dr. Michael Sawyer,
More informationSetting The study setting was tertiary care. The economic study was carried out in the USA.
Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia: prospective comparison to open prefascial polypropylene mesh repair DeMaria E J, Moss J M, Sugerman
More informationTitanised mesh implants for urogynaecology Transvaginal multi-arm meshes Incontinence tapes Instruments Laparoscopic meshes
Quality and Experience Titanised mesh implants for urogynaecology Transvaginal multi-arm meshes Incontinence tapes Instruments Laparoscopic meshes www.pfmmedical.com 1 Titanised Mesh Implants for Urogynaecology
More informationEcho PS Positioning System with Ventralight ST Mesh or Composix L/P Mesh
Ventralight ST Mesh with Echo PS Positioning System Catalog Number Shape Mesh Size 5955450 Circle 4.5" (11.4 cm) 5955460 Ellipse 4" x 6" (10.2 cm x 15.2 cm) 5955600 Circle 6" (15.2 cm) 5955680 Ellipse
More informationLaparoscopic Repair of Inguinal Hernia with Biomimetic Matrix
SCIENTIFIC PAPER Laparoscopic Repair of Inguinal Hernia with Biomimetic Matrix Arthur Fine, MD ABSTRACT Background and Objectives: Materials utilized for the repair of hernias fall into 2 broad categories,
More informationPerineal hernia different surgical approaches and treatment techniques. A case report
Case report Videosurgery Perineal hernia different surgical approaches and treatment techniques. A case report Joanna Wałecka, Wioleta Pokora, Maciej Śmietański Department of General Surgery, Puck Hospital,
More informationPelvic Prolapse. A Patient Guide to Pelvic Floor Reconstruction
Pelvic Prolapse A Patient Guide to Pelvic Floor Reconstruction Pelvic Prolapse When an organ becomes displaced, or slips down in the body, it is referred to as a prolapse. Your physician has diagnosed
More informationInternational Journal of Science and Research (IJSR) ISSN (Online): Index Copernicus Value (2013): 6.14 Impact Factor (2013): 4.
Comparative Study on the Application of Surgipro Partiene Mesh and Light Partiene Mesh, in Patients with Inguinal Hernia Surgery with the Lichtenstein Method Dr. Gordana Bozhinovska - Beaka MOB "th September"
More informationAbstract. Med. J. Cairo Univ., Vol. 82, No. 1, September: ,
Med. J. Cairo Univ., Vol. 82, No. 1, September: 629-634, 2014 www.medicaljournalofcairouniversity.net Evaluation of the Use of Low-Density Composite Prosthetic Material Mesh in Treating Large Abdominal
More informationINGUINAL HERNIA REPAIR PROCEDURE GUIDE
ROOM CONFIGURATION The following figure shows an overhead view of the recommended OR configuration for a da Vinci Inguinal Hernia Repair (Figure 1). NOTE: Configuration of the operating room suite is dependent
More informationThe use of peritoneal flaps in the repair of large incisional hernia
The use of peritoneal flaps in the repair of large incisional hernia Marc Huyghe MD GZA St Augustinus Hospital (Antwerp) Mesh 2017 - Paris Peritoneal flap in the repair of incisional hernia - definition
More informationScience Journal of Clinical Medicine
Science Journal of Clinical Medicine 2012;1(1):10-14 Published online December 30, 2012 (http://www.sciencepublishinggroup.com/j/sjcm) doi: 10.11648/j.sjcm.20120101.13 Laparoscopic intraperitoneal onlay
More informationPAPER. Long-term Complications Associated With Prosthetic Repair of Incisional Hernias
PAPER Long-term Complications Associated With Prosthetic Repair of Incisional Hernias Geoffrey E. Leber, MD; Jane L. Garb, MS; Albert I. Alexander, MD; William P. Reed, MD Objective: To determine whether
More information(12) United States Patent (10) Patent No.: US 6,383,201 B1
USOO63832O1B1 (12) United States Patent (10) Patent No.: US 6,383,201 B1 Dong (45) Date of Patent: May 7, 2002 (54) SURGICAL PROSTHESIS FOR REPAIRING A 5,697.978. A 12/1997 Sgro HERNIA 5,725,577 A 3/1998
More informationTitanized Mesh Implants Hernia Surgery
Quality and Experience Titanized Mesh Implants Hernia Surgery The titanized mesh implants from pfm medical distinguish themselves with a minimum in inflammation rates and a minimum in shrinkage as they
More informationWhat You Should Know About Pelvic Adhesions & Gynecologic Surgery
ETHICON, a Johnson & Johnson company, is dedicated to providing innovative solutions for common women s health conditions. Our goal is to provide you access to advanced technology and valuable, easy-to-understand
More informationThis information is intended as an overview only
This information is intended as an overview only Please refer to the INSTRUCTIONS FOR USE included with this device for indications, contraindications, warnings, precautions and other important information
More informationARTIFICIAL MESH REPAIR FOR TREATMENT OF PELVIC ORGAN PROLAPSE
Pelvic Floor Unit / Department of Gynaecology Ward 17, Singleton Hospital, Sketty, Swansea, SA2 8QA 01792 205666 Secretary Direct Line: 01792 285688. Fax: 01792 285874 ARTIFICIAL MESH REPAIR FOR TREATMENT
More informationSingle-incision laparoscopic parastomal hernia repair employing fascial defect closure and sandwich technique
Case Report on Gastrointestinal Surgery Page 1 of 6 Single-incision laparoscopic parastomal hernia repair employing fascial defect closure and sandwich technique Akira Umemura 1, Takayuki Suto 1, Hisataka
More informationINCISIONAL HERNIAS. Contents What is an Incisional Hernia?... 3
Contents What is an Incisional Hernia?................... 3 When can I return to normal activities?....... 6 YOUR GUIDE TO INCISIONAL HERNIAS An IPRS Guide to provide you with exercises and advice to ease
More information1. Introduction. 2. Material and methods Methodology
Clinical evaluation on 96 patients of the SWING-CONTACT meshes in the treatment of groin hernia: a new three-dimensional device with atraumatic grips on both sides 1. Introduction This data collection
More informationHybrid technique for postoperative ventral hernias own experience
Original paper Videosurgery Hybrid technique for postoperative ventral hernias own experience Monika Romanowska, Tomasz Okniński, Jacek Pawlak Department of General Surgery, John Paul II Specialist Western
More informationGuided Tissue and Bone Regeneration
Guided Tissue and Bone Regeneration One toolbox for your needs! Tefguide 9000 742 401 12x24 mm pc 1 Osgide 9000 701 520 15 x 20 mm pc 1 Osbone 9000 800 255 250-1000 μm 0.25 cc 5 Product Specifications
More informationResearch Article Parastomal Hernia Repair with Intraperitoneal Mesh
Hindawi Surgery Research and Practice Volume 2017, Article ID 8597463, 6 pages https://doi.org/10.1155/2017/8597463 Research Article Parastomal Hernia Repair with Intraperitoneal Mesh PiaNäsvall, 1,2 JörgenRutegård,
More informationHernia. emoryhealthcare.org
Hernia Have you noticed a bulge or pain in your abdominal wall or groin? If so you may have a hernia. You may be in the process of confirming this diagnosis with your Primary Care Physician or already
More informationUltrapro Hernia System Bi Layer Dr Cosmas Gora T SpB-KBD. dffdfdfxxgfxgfxgffxgxgxg
Bi Layer Dr Cosmas Gora T SpB-KBD dffdfdfxxgfxgfxgffxgxgxg Why UHS? Lightweight Mesh Covering entire myopectineal orifices with underlay mesh in preperitoneal space (posterior repair) Covering the inguinal
More informationColostomy & Ileostomy
Colostomy & Ileostomy Indications, problems and preference By Waleed Omar Professor of Colorectal surgery, Mansoura University. Disclosure I have no disclosures. Presentation outline Stoma: Definition
More informationSuture Versus Tack Fixation of Mesh in Laparoscopic Umbilical Hernia Repair
SCIENTIFIC PAPER Suture Versus Tack Fixation of Mesh in Laparoscopic Umbilical Hernia Repair Riley K. Kitamura, BS, Jacqueline Choi, MD, Elizabeth Lynn, MD, Celia M. Divino, MD, FACS ABSTRACT Background
More informationCordis EXOSEAL Vascular Closure Device
to receive our latest news and key activities. Cordis EXOSEAL Vascular Closure Device Polyglycolic Acid Plug (PGA) Material Absorption and Tissue Reaction Assessment 3 Days* 14 Days* 60 Days* LinkedIn
More informationCase Report. XCM Biologic Tissue Matrix. Components separation using sandwich technique for reconstruction of abdominal wall defect.
Case Report XCM Biologic Tissue Matrix. Components separation using sandwich technique for reconstruction of abdominal wall defect. XCM Biologic Tissue Matrix. Components separation using sandwich technique
More informationRobotic Ventral Rectopexy
Robotic Ventral Rectopexy What is a robotic ventral rectopexy? The term rectopexy refers to an operation in which the rectum (the part of the bowel nearest the anus) is put back into its normal position
More informationTransabdominal pre peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair
Transabdominal pre peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair An inguinal hernia (hernia of the groin) is a weakness in the wall of the abdominal
More information2015 General Surgery Survival Guide
2015 General Surgery Survival Guide Chapter 10: Hernia Repair Know What to Look for When Coding Hernia Repair Reporting hernia repair can be tricky. But if you know what to look for then half the work
More informationSURGICAL TREATMENT OF INCISIONAL HERNIAS
UNIVERSITY OF MEDICINE AND FARMACY CRAIOVA PhD School PhD Thesis Abstract SURGICAL TREATMENT OF INCISIONAL HERNIAS Scientific coordinator: PROF.UNIV.DR. DAN MOGOȘ PhD Student: SFECLAN MARIA CRISTINA CRAIOVA
More informationUS FDA/CDRH: Public Health Notification: Serious Complications Associated with Transvaginal Place... FDA Home Page CDRH Home Page Search A-Z Index
US FDA/CDRH: Public Health Notification: Serious Complications Associated with Transvaginal Place... http://www.fda.gov/cdrh/safety/102008-surgicalmesh.html Page 1 of 3 FDA Home Page CDRH Home Page Search
More informationFish Skin Grafts Promote Superior Cell Ingrowth Compared to Amnion Allografts, Human Cadaver Skin and Mammalian Extracellular Matrix (ECM)
Fish Skin Grafts Promote Superior Cell Ingrowth Compared to Amnion Allografts, Human Cadaver Skin and Mammalian Extracellular Matrix (ECM) Christopher L. Winters, DPM American Health Network Indianapolis,
More informationTechnique Guide. SynPOR Porous Polyethylene Implants. For craniofacial and orbital augmentation and reconstruction.
Technique Guide SynPOR Porous Polyethylene Implants. For craniofacial and orbital augmentation and reconstruction. Table of Contents Introduction SynPOR Porous Polyethylene Implants 2 Indications and Contraindications
More informationBard CapSure. Technique Guide. Permanent Fixation System SOFT TISSUE REPAIR. Laparoscopic Inguinal, Open and Laparoscopic Ventral Hernia Repair
Bard CapSure Permanent Fixation System Technique Guide Laparoscopic Inguinal, Open and Laparoscopic Ventral Hernia Repair SOFT TISSUE REPAIR Right Procedure. Right Product. Right Outcome. The opinions
More informationPERMACOL IMPLANT EVIDENCE SUMMARY
PERMACOL IMPLANT EVIDENCE SUMMARY Use of Permacol surgical implant in a contaminated or infected field may lead to a weakening or breakdown of the implant. Treat any existing or suspected infection according
More informationEthicon Women s Health & Urology eclinical Compendium Article Summary
Ethicon Women s Health & Urology eclinical Compendium Article Summary Title Postoperative Adhesion Prevention With an Oxidized Regenerated Cellulose Adhesion Barrier in Infertile Women Author(s) Sawada
More informationFocus on: IMPLANT TESTING ISO
Focus on: IMPLANT TESTING ISO 10993-6 Implantation Assess the local pathological effects on living tissue, at both the gross level and microscopic level, Sample of a material or final product that is surgically
More informationMesh migration Should it be a mandatory consentable complication?
CASE REPORT Persson et al. 1 PEER REVIEWED OPEN ACCESS Mesh migration Should it be a mandatory consentable complication? Pia Persson, Duncan SG Scrimgeour, Craig Parnaby ABSTRACT Introduction: Use of mesh
More informationFrom the Unit of General and Geriatric Surgery, School of Medicine, Department of Surgery, Second University of Naples, Italy
Sutureless fixation with fibrin glue of lightweight mesh in open inguinal hernia repair: Effect on postoperative pain: A double-blind, randomized trial versus standard heavyweight mesh Silvestro Canonico,
More informationOpen abdomen in trauma. Ari Leppäniemi Abdominal Center Meilahti hospital University of Helsinki Finland
Open abdomen in trauma Ari Leppäniemi Abdominal Center Meilahti hospital University of Helsinki Finland Frequency and causes of open abdomen - in 23% (344/1531) after trauma laparotomies - damage control
More informationREGENERATIVE OF THE BLADDER WALL FOR THE TREATMENT OF A BIOABSORBABLE POLYMER SHEET
REGENERATIVE OF THE BLADDER WALL FOR THE TREATMENT OF A BIOABSORBABLE POLYMER SHEET Katsuya Okada M.D., Mitsuo Miyazawa M.D.,Ph.D., Masayasu Aikawa M.D.,Ph.D., Isamu Koyama M.D.,Ph.D. Department of Surgery,
More informationPelvic Organ Prolapse. Natural Solutions
Pelvic Organ Prolapse Natural Solutions Bringing your body back to its natural state There is a very common problem affecting millions of women. Many women are too embarrassed to talk to their physicians
More informationCorMatrix ECM Bioscaffold
CorMatrix ECM Bioscaffold REMODEL. REGROW. RESTORE. CorMatrix ECM Bioscaffold provides a natural bioscaffold matrix that enables the body s own cells to repair and remodel damaged cardio-vascular tissue.
More informationRandomized clinical trial of laparoscopic hernia repair comparing titanium-coated lightweight mesh and medium-weight composite mesh
DOI 10.1007/s00464-012-2425-y and Other Interventional Techniques Randomized clinical trial of laparoscopic hernia repair comparing titanium-coated lightweight mesh and medium-weight composite mesh Alfredo
More informationIndex. Note: Page numbers of article title are in boldface type.
Index Note: Page numbers of article title are in boldface type. A Abscess(es) in Crohn s disease, 168 169 IPAA and, 110 114 as unexpected finding in colorectal surgery, 46 Adhesion(s) trocars-related laparoscopy
More informationHernia repair: the search for ideal meshes
Hernia (2010) 14:81 87 DOI 10.1007/s10029-009-0587-x CONGRESS REPORT Hernia repair: the search for ideal meshes S. Bringman J. Conze D. Cuccurullo J. Deprest K. Junge B. Klosterhalfen E. Parra-Davila B.
More informationCOMPLICATIONS OF HERNIA REPAIR
COMPLICATIONS OF HERNIA REPAIR Stanley Rogers, MD Associate Clinical Professor of Surgery University of Califronia, San Francisco Paré was respected as a hernia specialist, and was known to have elevated
More informationPROCEED Surgical Mesh Product Information Kit
Value Analysis Committee PROCEED Surgical Mesh Product Information Kit Create an IPOM mesh optimized for strength and performance Color sticky note represents customer insight. Third-party trademarks used
More informationPeritoneal Dialysis Catheter Placement. Peritoneal Dialysis Catheter Placement. Peritoneal Dialysis Catheter Placement
ASDIN Advanced Techniques Pre-course Feb. 24, 2012 New Orleans, La Randall L. Rasmussen, MD Special thank you to Drs. Rajeev Narayan, San Antonio, Tx and Hemant Dhingra, Fresno Ca for lending me slides
More information