II.- Plug v.2 - EAES · 2020. 1. 31. · hernia! plugs!

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

PICTURES


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


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

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


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

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/

PICTURES


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


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

patients.

http://www.ethicon.com/healthcare-‐professionals/products/hernia-‐solutions/ultrapro-‐plug

PICTURES


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

PICTURES


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


Bidimensional Plug Evolution

MANUFACTURER

Dipromed

DESCRIPTION

• Plug for inguinal and femoral hernias. • •

ADVANTAGES

• Indications: Treatment of inguinal and femoral hernias, primary and recurrent


PICTURES


Tridimensional Plug

MANUFACTURER

Dipromed

DESCRIPTION

• Tridimensional plug in polypropylene mesh, medium weight and low density.

• ADVANTAGES

• Indications: Treatment of inguinal hernias in open surgery


PICTURES


Tridimensional Plug Evolution

MANUFACTURER

Dipromed

DESCRIPTION

• Tridimensional plug in polypropylene mesh, lightweight, macroporous mesh

• ADVANTAGES

• Indications: Treatment of inguinal hernias in open surgery


PICTURES NAME of the products

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


PICTURES


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


PICTURES


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

PICTURES


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


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

The T®4 Plug mesh, positioned under the transversalis fascia, links to a preshaped Hertra, which is positioned above the fascia.


PICTURES


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.


PICTURES


Three-‐dimesnsional T3 Plugs

MANUFACTURER

Herniamesh

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.


Documents

II.- Plug v.2 - EAES · 2020. 1. 31. · hernia! plugs!