Johnson & Johnson Institute
Ventral hernia repair - medium hernia with mesh
Commonly used devices
Trocars
ENDOPATH XCEL™ Trocars
Trocars are the first point of contact into a patient during minimally invasive procedures and need to do many jobs - maximize visibility and maneuverability, enable surgical flow, and minimize exposure to pneumoperitoneum gas. ENDOPATH XCEL™ Trocars are designed to offer the control1,2A-D and consistency3-5E-G needed throughout the procedure from open to close.
Mesh
PROCEED™ Ventral Patch
A sterile, self-expanding, partially absorbable, flexible laminate mesh device designed for the open repair of ventral hernias that require the addition of a reinforcing material to obtain the designed surgical result.1A Mesh repairs demonstrated superior to suture repair in multiple open hernia repairs; with a recurrence rate of 0-10% vs. up to 63% with conventional suture repair.2BC
Mesh
ULTRAPRO ADVANCED™ Macroporous Partially Absorbable Mesh
Built on the proven technology of ULTRAPRO™ Macroporous Partially Absorbable Mesh1, ULTRAPRO ADVANCED™ is designed to help optimize patient outcomes2,3and ease of use4,5 in inguinal and ventral hernia repair. Physiologically designed for comfortable healing6-8, it features a unique knitted mesh construction to promote good tissue ingrowth/integration.9A
Mesh
PROLENE™ Soft Polypropylene Mesh
Built for both open ventral and inguinal hernia repair. This nonabsorbable, synthetic mesh is for the repair of abdominal wall fascial defects. PROLENE™ Soft Polypropylene Mesh is a large-pore, macroporous mesh for necessary tissue ingrowth.1
Suture
Coated VICRYL™ Plus Antibacterial (Polyglactin 910) Suture
Surgical site infections (SSIs) are the most common type of hospital-acquired infection.1 Part of the Ethicon suture portfolio, Coated VICRYL™ Plus Antibacterial Sutures provide the same handling and performance as traditional Coated VICRYL™ (polyglactin 910) Sutures while dependably providing antibacterial protection.2-9
Coated with triclosan, these absorbable sutures were associated with nearly 30% reduction in the risk of SSIs10,11A Backed by the highest level of clinical evidence,8,12-16H these sutures offer an added layer of protection against the most common pathogens associated with SSIs in an in vitro study.2,4,5BC
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Fixation device
SECURESTRAP™ Absorbable Strap Fixation Device
Tissue capture, penetration and holding strength at multiple deployment angles are important factors when selecting a fixation device for hernia repair. SECURESTRAP™ Absorbable Strap Fixation Device is a market leading fixation device1A designed for acute holding strength at various deployment angles.2,3
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Suture
MONOCRYL™ Plus Antibacterial (poliglecaprone 25) Suture
Surgical site infections (SSIs) are the most common type of hospital-acquired infection.1 Part of the Ethicon suture portfolio, MONOCRYL™ Plus Antibacterial Sutures provide the same handling and performance as traditional MONOCRYL™ (Poliglecaprone 25) Sutures while dependably providing antibacterial protection.2-9
Coated with triclosan, these absorbable sutures were associated with nearly 30% reduction in the risk of SSIs.10,11A Backed by the highest level of clinical evidence,8,12-16H these sutures offer an added layer of protection against the most common pathogens associated with SSIs in an in vitro study.2,4,5BC
Topical skin adhesive
DERMABOND™ PRINEO™ Skin Closure System
The DERMABOND™ PRINEO™ Skin Closure System offers a powerful, non-invasive alternative to traditional skin sutures and staples. It combines the strength, flexibility, and microbial protection of DERMABOND ADVANCED™ Topical Skin Adhesive with a secure, latex-free, self-adhering mesh to facilitate optimal skin closure and healing.1-7A In a clinical study, the DERMABOND™ PRINEO™ System was associated with a better cosmetic outcome than conventional suturing in skin closure. 8B
References
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
George Crawford, MD prepared this procedure guide on behalf of Johnson & Johnson and its affiliates. The procedure guide reflects the opinions of the individual presenter, and the steps described may not encompass the complete steps of the procedure. Additionally, other surgeons may prefer different techniques, approaches, etc., as individual surgeon experience in his/her clinical practice, as well as patient needs, may dictate variation in procedure steps.
Before using any medical device, review all labeling, including without limitation; the Instructions For Use (IFU), and relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device(s).
This presentation is not accredited for CE/CME.
George Crawford, MD is compensated by and presenting on behalf of Johnson & Johnson and its affiliates and must present information in accordance with applicable regulatory requirements.
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