details - Helioscopie

STRESS URINARY INCONTINENCE
TREATMENT FOR WOMEN
M I N I - S U B U R E T H R A L TA P E
As a minimally invasive and atraumatic medical
implant, the mini-suburethral tape HELETECH® MIVT
(Minimally Invasive Vaginal Tape) is a guarantee
of safe and effective treatment for Stress Urinary
Incontinence (SUI) in women.
Surgical and minimally invasive
By vaginal route, at a distance from the vasculo-nervous
bundle without perforating the obturator membrane.
No external scarring and minimisation of the quantity
of material implanted.
Reinforcement
Self-locking gussets.
Polypropylene monofilament.
Macroporous mesh >75 µm promoting cell
colonisation and thus limiting the risk of infection.
Size
Mini-tape measuring 11 X 1.2 cm.
Easy to put in place
New operating technique - easier to perform than
standard techniques and readily reproducible.
Ancillary with a dual curve to better guide the insertion
of the tape.
LNE/G-Med CE marking. Compliance with the standard NF S94-801 : 2007.
Stress urinary incontinence in women often occurs
when the pelvic floor muscles weaken (age, pregnancy…).
The insertion of the HELETECH® MIVT mini-suburethral
tape is an option following failure of re-education
therapy.
The insertion of the HELETECH® MIVT mini-suburethral
tape supports the deficient pelvic floor muscles.
Stress urinary incontinence in women
Tolerance
Incontrollable leakage of urine during effort, such as
coughing, sneezing, lifting a weight etc.
Efficacy
Restoration of continence in over 97% of patients.(1)
Less post-operative neuralgic pain.
Lower operative risks, with simple follow-up for 99%
of patients.(1)
STRESS URINARY INCONTINENCE
TREATMENT FOR WOMEN
M I N I - S U B U R E T H R A L TA P E
1
2
3
The patient is installed in the gynaecological
position, with legs flexed at 90°. The description
of the operative manoeuvres refers to this
position. A 2.5cm deep median vertical incision
is made on the anterior vaginal wall, 1.5cm
under the urinary meatus.
Through this incision the scissors are introduced
laterally between the vaginal wall and the
urethra, perpendicular to the ischio-pubic ramus,
seeking contact with this bone. This tunnel is then
continued behind it retaining the same
perpendicular axis until the fascia of the pelvic
aponeurosis is opened. Once in place the
scissors are then opened gently and then closed
again before being withdrawn. The same
manoeuvres are performed on each side.
3 Variation
If difficulty in finding the dissection tunnel
is experienced, the guide may be used to find
this tunnel and used to guide the scissors
to bring the tape up to the obturator muscles
through the aponeurosis, without crossing
the obturator membrane. The guide is then
withdrawn.
4
Then the scissors are withdrawn leaving the tape
in the tunnel. The same manoeuvre is performed
in an identical manner on the other side.
5
The tape is simply inserted without tension.
The adjustment is identical to that of a TOT.
If the tension is not sufficient, reintroduction
of the scissors at the bottom of the tunnel,
in the gusset of one side, is easy and will enable
the appropriate repositioning.
The point of the Jones scissors is slipped into
the gusset at the end of the polypropylene tape.
Thus sheathed they are slipped into the tunnel,
carrying the end of the tape to the obturator
muscles, through the aponeurosis and without
crossing the obturator membrane. The passage
of the point of the scissors, with a slight dip
through the aponeurosis, should be felt.
It guarantees that each end of the tape is
correctly positioned.
REFERENCES
(1)
Manufactured by HESPERIS CHIRURGICAL (Vienne - FRANCE) - Tel. +33 (0)4 74 16 19 11 - Fax +33 (0)4 74 16 18 19 - VIENNE TRADE AND COMPANIES REGISTER NO. 439 642 752
Distributed by HELIOSCOPIE - Rue des Frères Lumière - BP 385 - 38217 Vienne - FRANCE
Tel. +33 (0)4 74 16 18 18 - Fax +33 (0)4 74 16 18 10 - contact@helioscopie.fr
www.helioscopie.fr
Compagnie européenne d’étude et de recherche de dispositifs pour l’implantation par Laparoscopie
PLC WITH A CAPITAL OF €45,060 - VIENNE TRADE AND COMPANIES REGISTER NO. 429 085 483
DC-047-04 - 02/2011 - Production madmoizele.fr - Non contractual photos
Study of the efficacy and tolerance of the MIVT technique on 110
patients presenting type II or II+ SUI. Analysis carried out from the
patient follow-up register of the Gynaecology Department at the Clinic
of Essonne (Evry, France) between June 2006 and January 2009.