DynaMesh®

Tailored Implants made of PVDF

DynaMesh®-IPOM

For the intraperitoneal onlay mesh technique in hernia surgery
Optimal handling in laparoscopic and open techniques

and/or

For repair of umbilical hernia with intraperitoneal mesh position


Abdominal wall hernia

For the intraperitoneal onlay mesh technique in hernia surgery.
Optimal handling in laparoscopic and open techniques.

DM-IPOM_added-suture

 

Attach the mesh with added holding sutures under pre-tension

DM-IPOM-cross-sectional-view


Green marker thread
in the craniocaudal direction attached to the parietal (PP) side.

Dual-layer composite mesh
DynaMesh®-IPOM is a dual-component structure specifically developed for the IPOM technique; it is composed 88% of high purity PVDF and 12% 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 (as in the sandwich technique, for example [9] ), the open-pore structure means that implants can easily be overlapped.


DM-IPOM_Fold-free-mesh-positioning

Fold-free mesh positioning after draining the pneumoperitoneum

DM-IPOM_intraoperativeiIntraoperative view

Insertion in the correct position and direction
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.

The textile implant can easily be cut to size extracorporeally and provided with more fixation threads. DynaMesh®-IPOM facilitates intraoperative handling by offering very high transparency.

The high resilience and minimal roll-up tendency enable optimal handling and fold-free placement. It is recommended that the mesh is attached under pre-tension to the abdominal wall while this is stretched during surgery.

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


Umbilical hernia

For repair of umbilical hernia with intraperitoneal mesh position.

A Danish register study was able to demonstrate that the risk of recurrence of small mesh-repaired umbilical hernias with hernia gaps ≤ 2 cm is 50% lower compared to repair with sutures.*

* Christoffersen MW, Helgstrand F, Rosenberg J, Kehlet H, Strandfelt P, Bisgaard T:
Long-term recurrence and chronic pain after repair for small umbilical or epigastric hernias: a regional cohort study.
Am J Surg 2014. DOI: 10.1016/j.amjsurg.2014.05.021


Videos

Videos: DynaMesh®-IPOM

(–) – Animation:
Laparoscopic Repair of Incisional Hernias

(en) – Animation & Operation:
Laparoscopic Repair of Incisional Hernias (Prof. Dr. Berger)

(–) – Animation:
The necessity of an elastic mesh in terms of a fold-free implantation

(–) – Animation:
DynaMesh®-IPOM visible 3D remodelling

Product range
Abdominal wall hernia

Allow for sufficient overlap when selecting mesh size. – (P) Prophylaxis

DynaMesh®-IPOM Size: d 12 cm round IP070012F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: d 12 cm round IP070012F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 10 cm x 15 cm IP071015F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 15 cm IP071515F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 15 cm IP071515F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 15 cm x 20 cm IP071520F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 20 cm IP071520F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 20 cm x 20 cm IP072020F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 20 cm x 25 cm IP072025F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 20 cm x 30 cm IP072030F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 20 cm x 30 cm IP072030F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 28 cm x 37 cm IP072837F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 30 cm x 30 cm IP073030F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 30 cm x 45 cm IP073045F1 Unit = 1 EA / BX
DynaMesh®-IPOM visible Size: 30 cm x 30 cm IP083030F1 Unit = 1 EA / BX

Umbilical hernia

Allow for sufficient overlap when selecting mesh size.

DynaMesh®-IPOM Size: 07 cm x 06 cm IP070706F5 Unit = 5 EA / BX
DynaMesh®-IPOM Size: d 12 cm round IP070012F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: d 12 cm round IP070012F3 Unit = 3 EA / BX
DynaMesh®-IPOM Size: 10 cm x 15 cm IP071015F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 15 cm IP071515F1 Unit = 1 EA / BX
DynaMesh®-IPOM Size: 15 cm x 15 cm IP071515F3 Unit = 3 EA / BX
Use and properties
Product DynaMesh®-IPOM
Field of application abdominal wall /
umbilicus
Surgical approach laparoscopic / open
Surgical technique IPOM
Mesh position intraperitoneal
Fixation suture / stapler / tacker
Optimal handling
gruene_punkte
Optimal patient safety
gruene_punkte
Optimal patient comfort
gruene_punkte
Green marker thread
gruene_punkte
PVDF barrier
gruene_punkte
visible technology
gruene_punkte

gruene_punkte Applies to all product sizes
gruene_punkte Only applies to selected product sizes

Technical data

gruene_punkte Applies to all product sizes

Legends for the technical data

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