DynaMesh®

Tailored Implants made of PVDF

DynaMesh®-CESA / -VASA
DynaMesh®-CERESA / -VARESA

For the surgical treatment of pelvic organ prolapse and urinary urge incontinence

Modified sacrocolpopexy with bilateral ligament augmentation of the uterosacral ligaments [23].
Maximal physiological vaginal mobility with minimal use of material.

 


Standardised surgical method: “The CESA/VASA system

The surgical method is a modified sacrocolpopexy procedure, in which the uterosacral ligaments (USL) are bilaterally reinforced or replaced by the implant.
Mobility of the reconstructed uterosacral ligaments is guaranteed. Concomitant urinary urge incontinence can be successfully treated using this procedure.

Depending on the nature of the operation to be performed and the patient’s anatomical defect, different versions of DynaMesh® implants are available:

 

DynaMesh®-CESA
(CErvico-SAcropexy)

fixation-CESA

Bilateral fixation of the cervical stump to the sacrum

DynaMesh®-VASA
(VAgino-SAcropexy)

fixation-VASA

ilateral fixation of the vaginal stump to the sacrum

VASA-CESA-Logo-web

In the case of concomitant faecal incontinence, the procedure can be combined with rectopexy.

The DynaMesh®-CERESA/VARESA implants are used for this purpose:

 

DynaMesh®-CERESA
(CErvico-REcto-SAcropexy)

fixation-CERESA

Bilateral fixation of the cervical stump to the sacrum and additional rectopexy in the case of concomitant faecal incontinence

DynaMesh®-VARESA
(VAgino-REcto-SAcropexy)

fixation-VARESA

Bilateral fixation of the vaginal stump to the sacrum and additional rectopexy in the case of concomitantfaecal incontinence

In the case of simultaneous defect of the pubourethral ligaments (PUL), the CESA/VASA system is applied [33].

bi-cesa_vasa_detail

Ligament augmentation with a system
Anatomy + Sacral fixation
Indication spectrum

Product range
cesa-v
DynaMesh®-CESA (1)
03 cm x 04 cm PV740404F1 Unit = 1 EA / BX
DynaMesh®-CESA (1)
03 cm x 04 cm PV740404F3 Unit = 3 EA / BX

vasa-v

DynaMesh®-VASA (2)
02 cm x 03 cm PV740203F1 Unit = 1 EA / BX
DynaMesh®-VASA (2)
02 cm x 03 cm PV740203F3 Unit = 3 EA / BX

 

ceresa-v

DynaMesh®-CERESA (3)
03 cm x 04 cm PV770404F1 Unit = 1 EA / BX
DynaMesh®-CERESA (3)
03 cm x 04 cm PV770404F3 Unit = 3 EA / BX

vasresa-v

DynaMesh®-VARESA (4)
02 cm x 03 cm PV770203F1 Unit = 1 EA / BX
DynaMesh®-VARESA (4)
02 cm x 03 cm PV770203F3 Unit = 3 EA / BX
Use and properties
Product DynaMesh®-CESA (1)

DynaMesh®-VASA (2)

DynaMesh®-CERESA (3)

DynaMesh®-VARESA (4)

Field of application urinary urge incontinence (UUI) (1,2,3,4) /
mixed urinary incontinence (MUI) (1,2,3,4) /
pelvic organ prolapse (1,2,3,4) / faecal incontinence (3,4)
Surgical method open / laparoscopic
Fixation to sacrum suture / stapler
Optimal handling
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Optimal patient safety
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Optimal patient comfort
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Atraumatic selvedges
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Maximal use of material
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Shape stability
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Defined elasticity
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visible technology
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Technical data
Product DynaMesh®-CESA (1)

DynaMesh®-VASA (2)

DynaMesh®-CERESA (3)

DynaMesh®-VARESA (4)

Polymer (Monofilament) PVDF
Excellent biocompatibility
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Minimal foreign body reaction
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Reduced bacterial adherence
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High ageing resistance
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Optimal dynamometry
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Reactive surface (a) [m²/m²] * 1.9
Maximum stability (b) [N/cm] 61
Elasticity (b) at 16 N/cm [%] 11
Textile porosity (c) [%] * 71
Effective porosity (c) [%] * 68
Effective porosity at 2.5 N/cm(c) [%] * 68
Classification (d) 1a

gruene_punkte Applies to all product sizes

Legends for the technical data

* Fixation areas
(a) Ratio of implant reactive surface area (thread surface) to implant surface area
(b) measured in the strip tensile test
(c) Mühl method [6]
(d) Klinge’s classification [8]