Johnson & Johnson Institute
Ventral hernia repair - small umbilical hernia without 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.

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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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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