DynaMesh®-CESA / -VASADynaMesh®-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)
Bilateral fixation of the cervical stump to the sacrum
DynaMesh®-VASA
(VAgino-SAcropexy)
ilateral fixation of the vaginal stump to the sacrum
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)
Bilateral fixation of the cervical stump to the sacrum and additional rectopexy in the case of concomitant faecal incontinence
DynaMesh®-VARESA
(VAgino-REcto-SAcropexy)
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].
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
 |
| 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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Applies to all product sizes
| 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 |
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]
