For the intraperitoneal onlay mesh technique in hernia surgery
Optimal handling in laparoscopic and open techniques

and/or

For repair of umbilical hernia with intraperitoneal mesh position

3523

Abdominal wall hernia

For the intraperitoneal onlay mesh technique in hernia surgery.
Optimal handling in laparoscopic and open techniques.

 

Attach the mesh with added holding sutures under pre-tension

 

Green marker thread in the craniocaudal direction attached to the parietal (PP) side.

 

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.

 

 

 


Fold-free mesh positioning after draining the pneumoperitoneum Intraoperative view

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 pre-tension to the abdominal wall while this is stretched during surgery.


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.


Umbilical hernia

For repair of umbilical hernia with intraperitoneal mesh position.

A Danish register study was able to demonstrate that the risk of recurrence of small mesh-repaired umbilical hernias with hernia gaps ≤ 2 cm is 50% lower compared to repair with sutures.*

* Christoffersen MW, Helgstrand F, Rosenberg J, Kehlet H, Strandfelt P, Bisgaard T:
Long-term recurrence and chronic pain after repair for small umbilical or epigastric hernias: a regional cohort study.
Am J Surg 2014. DOI: 10.1016/j.amjsurg.2014.05.021


Abdominal wall hernia

 

Allow for sufficient overlap when selecting mesh size. – (P) Prophylaxis

DynaMesh®-IPOM Size: d 12 cm round IP070012F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: d 12 cm round IP070012F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 10 cm x 15 cm IP071015F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 15 cm IP071515F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 15 cm IP071515F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 15 cm x 20 cm IP071520F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 20 cm IP071520F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 20 cm x 20 cm IP072020F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 20 cm x 25 cm IP072025F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 20 cm x 30 cm IP072030F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 20 cm x 30 cm IP072030F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 28 cm x 37 cm IP072837F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 30 cm x 30 cm IP073030F1 Unit = 1 EA / BX
DynaMesh®-IPOM 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

Umbilical hernia

Allow for sufficient overlap when selecting mesh size.

DynaMesh®-IPOM Size: 07 cm x 06 cm IP070706F5 Unit = 5 EA / BX
DynaMesh®-IPOM Size: d 12 cm round IP070012F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: d 12 cm round IP070012F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 10 cm x 15 cm IP071015F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 15 cm IP071515F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 15 cm IP071515F3 Unit = 3 EA / BX


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