II.-‐ PLUG

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 •
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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 NAME of the products PERFIX™ Plug MANUFACTURER Bard, Davol DESCRIPTION Polypropylene mesh for plug technique ADVANTAGES Plug and patch for simple, open anterior approach to a preperitoneal repair of the hernia defect. •
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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 NAME of the products 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 •
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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 NAME of the products 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 w
ith p
ermanent h
ernia p
lugs 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 •
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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 NAME of the products Parietex™ Plug and Patch System MANUFACTURER Covidien DESCRIPTION Plug for inguinal hernia repair •
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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 NAME of the products ULTRAPRO™ Plug MANUFACTURER Ethicon DESCRIPTION •
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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 NAME of the products ProLoop™ Mesh MANUFACTURER Atrium DESCRIPTION •
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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/prol
oop.asp PICTURES NAME of the products Bidimensional Plug Basic MANUFACTURER Dipromed DESCRIPTION •
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Plug for inguinal and femoral hernias. ADVANTAGES •
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Indications: Treatment of inguinal and femoral hernias, primary and recurrent http://www.dipromed.eu/?page_id=283 PICTURES NAME of the products Bidimensional Plug Evolution MANUFACTURER Dipromed DESCRIPTION •
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inguinal and femoral hernias. Plug for ADVANTAGES •
Indications: Treatment of inguinal and femoral hernias, primary and recurrent http://www.dipromed.eu/?page_id=285 •
PICTURES NAME of the products Tridimensional Plug MANUFACTURER Dipromed DESCRIPTION •
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Tridimensional plug in polypropylene mesh, medium weight and low density. ADVANTAGES Indications: Treatment of inguinal hernias in open surgery http://www.dipromed.eu/?page_id=292 PICTURES NAME of the products Tridimensional Plug Evolution MANUFACTURER Dipromed DESCRIPTION •
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Tridimensional plug in polypropylene mesh, lightweight, macroporous mesh ADVANTAGES Indications: Treatment of inguinal hernias in open surgery http://www.dipromed.eu/?page_id=294 PICTURES NAME of the products Tridimensional Plug with base MANUFACTURER Dipromed DESCRIPTION •
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Tridimensional plug in polypropylene mesh, medium weight and low density. ADVANTAGES Indications: Treatment of femoral and inguinal hernias in open surgery http://www.dipromed.eu/?page_id=296 PICTURES NAME of the products Tridimensional Plug Evolution MANUFACTURER Dipromed DESCRIPTION •
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Tridimensional plug in polypropylene mesh, lightweight, macroporous mesh ADVANTAGES Indications: Treatment of femoral and inguinal hernias in open surgery http://www.dipromed.eu/?page_id=298 PICTURES NAME of the products 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&idsp
ecialite=19&idcategorie1=50&idcategorie2=50&i
dproduit=72 PICTURES NAME of the products 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 NAME of the products 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. http://www.herniamesh.com/en/ PICTURES NAME of the products 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. http://www.herniamesh.com/en/ PICTURES NAME of the products 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. http://www.herniamesh.com/en/