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 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 optionally used.

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

• Additional stabilisation of the affected 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 should 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^®-CESA
(CErvico-SAcropexy)

The surgical technique CESA is a modified abdominal cervicosacropexy procedure (laparoscopic/open), in which the uterosacral ligaments are bilaterally reinforced or replaced by the implant.

DynaMesh^®-IVT02 instrument for DynaMesh^®-CESA in retroperitoneal tape position through laparotomic access. Reusable instrument made of surgical steel.
Length: 32 cm

Colpo-/cervicosacropexy

• unilateral

Colpo-/cervicosacropexy

• unilateral
• anterior/posterior mesh plasty (for concomitant cystocele/rectocele)

Colpo-/cervicosacropexy

• unilateral

Less Effort
The elastic zone in the mesh, incorporated by using a special warp-knitting technique, makes it easier for the surgeon to achieve fold-free positioning of the implant.

Less Risk
The special slit design enables tunnel modulation with pressure distribution.

High Tear Propagation Resistance
The high tear propagation resistance at the end point of the slit minimises the risk of mesh rupture.

Dual-Layer Composite Mesh
DynaMesh^®-IPOM is a dual-component structure specifically developed for the IPOM technique and consists mainly of high-purity PVDF and a small proportion of polypropylene (PP). The parietal side (PP) promotes rapid and safe ingrowth into the abdominal wall. The PVDF layer on the visceral side forms a barrier to the intestines. PVDF demonstrably decreases the risks of adhesions compared with polypropylene [11] and thus reduces the risk of intestinal erosions. If implantation of several meshes is required (for example, the sandwich technique [9]), the open-pore structure means that implants can easily be overlapped.

Correct Orientation
The parietal side (PP component) has a green marker thread and must face the abdominal wall. The marker thread is located on the front surface and simultaneously shows the correct direction of the elasticity in the craniocaudal direction.

Intraoperative view

Advantages for the Patients
The open-pore mesh construction facilitates the break-down of seroma and reduces scar plate formation.
Minimal mesh shrinkage is achieved and long-term surgical success with high patient comfort is ensured [9-14] through the open-pore and elastic mesh construction made from PVDF, which offers long-term stability.