PRP

DynaMesh®-PRP yumuşak ve DynaMesh®-PRP görünür implantlar, apikal pelvik organ prolapsusuna yönelik cerrahi tedavinin bir parçası olarak köprüleme materyali olarak kullanılmak ve yumuşak dokuyu güçlendirmek üzere tasarlanmıştır.

Cerrahi teknik:

pektopeksi
bilateral
(eş zamanlı sistosel/rektosel)

Paylaş

Pectopexy
Bilateral Fixation on the Pectineal Ligament

Fig. left:
Apical mesh repair following hysterectomy with DynaMesh®-PRP soft / visible (03 cm x 15 cm)

Pectopexy after vaginal/cervical stump prolapse:

Two implant sizes are available in the following dimensions DynaMesh®-PRP soft / visible 03 cm x 15 cm and DynaMesh®-PRP visible 03 cm x 18 cm.
With greatly shortened vaginas, e.g., following a radical hysterectomy, DynaMesh®-PRP visible 03 cm x 18 cm can be used.

Pectopexy after vaginal/cervical stump prolapse with concomitant cystocele and/or rectocele: (pulsion cystocele / rectocele)

Additional stabilisation of the anterior and/or posterior vaginal wall can be achieved with DynaMesh®-PRP visible 17 cm x 15 cm.

Pectopexy after uterine prolapse with uterine preservation:

With a normal sized uterus, DynaMesh®-PRP visible 03 cm x 18 cm can be used and fixed in place on the posterior cervix.

Pectopexy after uterine prolapse with uterine preservation:

With smaller uteri (below 100 g), anterior fixation of DynaMesh®-PRP soft / visible 03 cm x 15 cm can be selected as an alternative.

DynaMesh®-PRP soft	⁽¹⁾ 03 cm x 15 cm	PV540315F1/F3
DynaMesh®-PRP visible	⁽²⁾ 03 cm x 15 cm	PV780315F1
DynaMesh®-PRP visible	⁽³⁾ 03 cm x 18 cm	PV780318F1/F3
DynaMesh®-PRP visible)	⁽⁴⁾ 17 cm x 15 cm	PV781715F1/F3
	FX = X unit(s)/box (e.g. F3 = 3 unit(s)/box)

Product	DynaMesh®-PRP soft 03 cm x 15 cm ⁽¹⁾ DynaMesh®-PRP visible 03 cm x 15 cm ⁽²⁾ DynaMesh®-PRP visible 03 cm x 18 cm ⁽³⁾ DynaMesh®-PRP visible 17 cm x 15 cm ⁽⁴⁾
Surgical Treatment	Apical Pelvic Organ Prolapse (Uterus / Vaginal Stump / Cervical Stump)
Surgical Approach	Minimally Invasive / Open
Surgical Technique	Pectopexy ^{(1) – (3)} / Pectopexy with reinforcement of the vaginal walls in case of concomitant cystocele and/or rectocele.⁽⁴⁾
Fixation	– Pectineal ligament: non-absorbable suture – Vaginal stump: absorbable monofilament suture – Cervix: non-absorbable suture (size 0)
Smooth Warp-Knitted Selvedges
Defined Elasticity	[TR120]
Visible Technology	⁽¹⁾/ ^{(2) – (4)}
Materials	– Polyvinylidene fluoride (PVDF) (CAS 24937-79-9) > 99% (w/w) ^{(1) – (4)} – Phthalocyanine green (CAS 1328-53-6) < 1% (w/w) ^{(1) – (4)} – Triiron tetraoxide (CAS 1317-61-9) < 1% (w/w)^{(2) – (4)}
Polymer (Monofilament)	PVDF
Biocompatibility	[TR1]
Ageing Resistance	[2^A, 5^VIT, 27^A, 52^VIT, 93^A, 101]
Effective Porosity	High effective porosity reduces inflammation and the risk of excessive scar formation. [103^P, TR121]
Klinge’s Mesh Classification	Class 1a [102^P, TR121]

	Applies to all product sizes
	Does not apply
[#]	Reference “#” (see “References”)
[TR#]	Internal test report (see “internal test report references”)
Limitations	“A” animal trial, “B” bench test, “VIT” in-vitro trial, “P” published results based on the analysis of human mesh explants, “PB” published results mainly based on bench tests