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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_874_Библиотеки_им_академика_М_И_Перельмана.pdf
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K. A. LeBlanc
Table 4.11 Flat polypropylene products
2D PPT Std, Microval, Saint-Just- Malmont, France 2D PPT LW, Microval, Saint-Just- Malmont, France 2D PPNT, Microval, Saint-Just- Malmont, France Basic mesh, Di.pro Medical Devices, Torino, Italy Basic Evolution mesh, Di.pro Medical Devices, Torino, Italy Bard mesh, Davol, Inc., Warwick, RI, USA Bard Soft mesh, Davol, Inc., Warwick, RI, USA Biomesh P1, Cousin Biotech, Wervicq-Sud, France Bulev UL, Di.pro Medical Devices, Torino, Italy Bulev B5050, Di.pro Medical Devices, Torino, Italy DynaMesh PP-Standard, FEG Textiltechnik mbH, Aachen,
Germany DynaMesh PP- Light, FEG Textiltechnik mbH, Aachen,
Germany
EasyProthes, TransEasy Medical Tech.Co.Ltd., Beijing, China Hermesh 3,4,5,6,7,8, HerniaMesh, S.R.L., Torino, Italy Optilene, B.Braun Melsungen AG, Melsungen, Germany Optilene LP, B.Braun Melsungen AG, Melsungen, Germany Optilene Mesh Elastic, B.Braun Melsungen AG, Melsungen,
Germany
Parietene Flat Sheet, Medtronic, Minneapolis, MN, USA Parietene Lightweight, Medtronic, Minneapolis, MN, USA Premilene, B.Braun Melsungen AG, Melsungen, Germany Premium, Cousin Biotech, Wervicq- Sud, France Prolene, Ethicon Inc., Somerville, NJ, USA Prolene Soft Mesh, Ethicon Inc., Somerville, NJ, USA Prolite, Atrium Medical Corporation, Hudson, NH, USA Repol Angimesh 0,1,8,9, Angiologica, S.Martino Sicc., Italy SMX, THT Bio-Science, Montpelier, France SMH2, THT Bio-Science, Montpelier, France SMH, THT Bio-Science, Montpelier, France Surgimesh WN, Aspide Medical, St. Etienne, France Surgipro Monolamented, Covidien plc, Dublin, Ireland Surgipro Multilamented, Covidien plc, Dublin, Ireland Surgipro Open Weave, Covidien plc, Dublin, Ireland TiLENE, GfE Medizintechnik, Nuremburg, Germany TiLENE Blue, GfE Medizintechnik, Nuremburg, Germany TiMESH, GfE Medizintechnik, Nuremburg, Germany TiO
Mesh, Bayreuth, Germany
2
VitaMesh– Getinge Group, Wayne, NJ VitaMesh Blue– Getinge Group, Wayne, NJ
former is heavy weight while the latter is medium weight and possesses larger pore sizes. The 2D PPNT is a non-woven PP material that is available in three different weights and thicknesses (Fig.4.10). These meshes are congured in a variety of shapes and sizes as shown.
Basic mesh is a lightweight mesh (Fig.4.11). Di.pro has developed an ultra light- weight version that is called Basic Evolution mesh (Fig. 4.12). Bard Mesh is
4 Prosthetic Materials forRobot-Assisted Hernia Repair
Fig. 4.10 2D PPNT
Fig. 4.11 Basic
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probably the oldest at sheet of heavy weight polypropylene in existence, having been brought to market in the early 1960s (Fig.4.13). It is still in use today and like many of these prostheses, a lightweight and more macroporous version has been developed, the Bard Soft Mesh (Fig.4.14). Biomesh P1 (Fig.4.15) is the standard weight material compared to the Premium (Fig.4.16). It is available for extraperito­neal placement in various shapes and sizes for laparoscopic inguinal and ventral hernia repairs. Bulev B and Bulev UL are somewhat similar to the Basic and Basic Evolution meshes discussed above (Figs.4.17 and 4.18). The weights of the Bulev
2
products are 48gm/m
and 39gm/m2 respectively. They are different in that they possess blue lines to differentiate them from the other meshes and aid in positioning of the product.
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Fig. 4.12 Basic evolution
Fig. 4.13 Bard mesh
K. A. LeBlanc
DynaMesh comes in two weights; Dynamesh PP—Standard (Fig.4.19, right) is twice the weight of the Dynamesh PP—Light (Fig.4.19, left) product. Easy Prothes is available as a heavy weight material (90g/m2), two medium products (70g/m2 and 60g/m2), and a lightweight version (40g/m2). Figures4.20 and 4.21 compare the medium and lightweight versions. The Hermesh 3–8 have a huge variety of sizes and graduated weights from heaviest (3) to lightest (8) and sizes (Fig.4.22).
Optilene products are all lightweight materials that vary from the heaviest by that
2
name (60gm/m
) to the Elastic (48gm/m2) and the lighter LP (36gm/m2). The
4 Prosthetic Materials forRobot-Assisted Hernia Repair
Fig. 4.14 Bard Soft mesh
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Fig. 4.15 Biomesh P1
70
Fig. 4.16 Premium mesh
Fig. 4.17 Bulev B
K. A. LeBlanc
Fig. 4.18 Bulev UL
4 Prosthetic Materials forRobot-Assisted Hernia Repair
Fig. 4.19 DynaMesh light and standard
Fig. 4.20 Easy prothes mediumweight
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Fig. 4.21 Easy prothes lightweight
Elastic version has unequal pore sizes (3.6×2.8mm) to allow for multidirectional elasticity (Figs.4.23, 4.24, and 4.25). Parietene Flat Sheet and Parietene Lightweight products are monolament at sheet products (Fig.4.26). Premilene is the heaviest
2
weight (82gm/m
) product in the Braun at mesh product line (Fig.4.27). Premium mesh is a lightweight product similar to the Biomesh P1 described above (Fig.4.15) this is congured into various sizes and shapes for use in open or laparoscopic
72
Fig. 4.22 Hermesh 3-8
K. A. LeBlanc
Fig. 4.23 Optilene
inguinal and extraperitoneal ventral hernia repair (Fig. 4.16). Prolene is also a heavier weight mesh material and it is one of the older products available (Fig.4.28). Prolene Soft Mesh is the lighter weight version that has larger pores than the original mesh and blue lines through the product (Fig.4.29). Prolite was one of the earliest meshes that were initially introduced as a lighter weight material (Fig.4.30). Today, it is considered a mid-weight mesh. Prolite Ultra possesses even less weight of mesh than Prolite (Fig.4.31).
4 Prosthetic Materials forRobot-Assisted Hernia Repair
Fig. 4.24 Optilene elastic
Fig. 4.25 Optilene LP
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Fig. 4.26 Parietene at sheet (All rights reserved; used with permission of Medtronic)
74
Fig. 4.27 Premilene
Fig. 4.28 Prolene (Image
courtesy of Ethicon, Inc.)
K. A. LeBlanc
Fig. 4.29 Prolene soft mesh (Image courtesy of Ethicon, Inc.)
4 Prosthetic Materials forRobot-Assisted Hernia Repair
Fig. 4.30 ProLite
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Fig. 4.31 ProLite ultra