Optimal Tissue Ingrowth
Parietex ProGrip™ Mesh
Ordering Code
Size
TEM1208GL
12 x 8 cm (4.7”x 3”)
TEM1208GR
12 x 8 cm (4.7”x 3”)
TEM1409GL
14 x 9 cm (5.5”x 3.5”)
TEM1409GR
14 x 9 cm (5.5”x 3.5”)
Left Side
Right Side
Shape
Monofilament
Monofilament
Bicomponent mesh before PLA resorption
Mesh after PLA resorption
Resorbable PLA
Parietex ProGrip™ Mesh
Non resorbable PET
Procedure Guide
Bicomponent mesh with monofilaments
of polyester (PET) and polylactic acid (PLA)
• Hydrophilic polyester monofilament results in fast and intimate
tissue ingrowth
TEM1509G
15 x 9 cm (6”x 3.5”)
x
x
• Polyester’s large pore size and monofilament fiber composition
works with the body’s natural systems to improve tissue response
and reduce foreign material reaction*
TEM1515G
15 x 15 cm (6”x 6”)
x
x
• Lightweight mesh (38 g/m2): reduced amount of material
after resorption
Warnings and Precautions:
Truly tension-free.
• Optimal porosity (pore size: 1.1 x 1.7 mm) for quick and
optimized tissue ingrowth
Parietex ProGrip™ Mesh (monofilament polyester mesh) is
Excessive tension should be avoided on the Parietex ProGrip™ Mesh
Mesh before PLA resorption
Mesh after PLA resorption
73 g/m2
38 g/m2
and suture attachment points to account for wound shrinkage during
the healing process.
Self-gripping. Easy-to-use.
the only self-gripping, semi resorbable, lightweight mesh
available for open inguinal hernia repair.
• Textile designed with patient comfort in mind
The mesh is provided in double sterile packaging. It is recommended
Warp
to open the last packaging only for the placement of the mesh and
Tear strength:
to handle the latter using clean gloves and instruments.
Designed with input from surgeons and with patient comfort
in mind, Parietex ProGrip™ Mesh is the first bicomponent
Weft
mesh comprised of monofilament polyester and a resorbable
21 ± 0 N (4.7lbs.) 18 ± 1 N (4 ± 0.2lbs.)
polylactic acid (PLA) gripping system which perfects true
tension-free repair. This secure, biocompatible solution is
These meshes should only be used by experienced practitioners who
positioned and placed in the same manner as in a standard
do so under their own responsibility.
*
William S. Cobb, MD; Kent W. Kercher, MD; and B. Todd Heniford, MD. “The Argument for Lightweight Polypropylene Mesh in Hernia
Repair.”Surgical Innovation (March 2005); Vol. 12, No. 1: pp 63-9.
** According to norm NF EN ISO 13934-1
IMPORTANT: Please refer to Instructions for Use for complete indications, contraindications, warnings and precautions.
COVIDIEN, COVIDIEN with logo and TM marked brands are trademarks of Covidien AG and its affiliate.
© 2008 Covidien AG or its affiliate. All rights reserved.
RO384715 CBK00066i
Please refer to Instructions for Use for complete indications, contraindications, warnings and precautions.
For more information or to set up a
product demonstration, contact your local
Covidien Surgical Device Specialist or
call Customer Service at 1-800-722-8772.
150 Glover Avenue
Norwalk, CT
06856
1-800-722-8772 [t]
1-888-636-1002 [f]
www.covidien.com
open patch repair.
TM
Parietex
ParietexProGrip
ProGripTM
Mesh
Meshfor
forOpen
OpenInguinal
InguinalHernia
HerniaRepair
Repair
This
Thisoperation
operationrequires
requiresbasic
basicinstrumentation
instrumentation
and
andin
inmost
mostcases
casesisisperformed
performedunder
underlocal
local
anesthesia
anesthesia(according
(accordingto
tothe
thesurgeon’s
surgeon’s
preference).
preference).
Step
Step11––Incision
Incision
The
Themesh
meshcan
canbe
beused
usedwhole
wholeor
orcut
cutto
tothe
the
required
requireddimensions
dimensionsbefore
beforefifinal
nalplacement.
placement.
Step
Step22––Dissection
Dissection(cont.)
(cont.)
AA5-centimeter
5-centimeterhorizontal
horizontalororvertical
verticalincision
incision
isismade
madeininthe
thefold
foldofofthe
thegroin.
groin.
Step
Step33––Replacement
Replacementof
of
the
thehernia
herniasac
sac
C.C.Free
Freethe
theinguinal
inguinal
ligament.
ligament.
Step
Step44––Close
Closeand
andposition
positionthe
themesh
mesh
around
aroundthe
thespermatic
spermaticcord
cord
A.A.Reduce
Reducethe
thehernia
herniasac.
sac.
InIncase
caseofofvoluminous
voluminous
direct
directhernia,
hernia,the
thesac
saccould
could
bebesimply
simplyreduced
reducedininthe
the
abdominal
abdominalcavity.
cavity.
Step
Step22––Dissection
Dissection
A.A.AAlarge
largelateral
lateral
dissection
dissectionofofthe
the
aponeurosis
aponeurosisofofthe
the
external
externaloblique
obliquemuscle
muscle
isisperformed
performedwith
with
partial
partialdissection
dissectionofofthe
the
cremaster
cremastermuscle.
muscle.The
The
partial
partialdissection
dissectionofof
the
thecremaster
cremastermuscle
muscleisis
made
madeatatthe
thesurgeon’s
surgeon’s
discretion.
discretion.
D.D.Section
Sectionthe
thecremasteric
cremasteric
fifibers
bersand
andskeletonize
skeletonize
the
thecord.
cord.Once
Oncethe
thehernia
hernia
isisdissected
dissectedup
uptotothe
the
subperitoneal
subperitonealspace,
space,ititisis
simply
simplyretracted.
retracted.
B.B.ItItisisnecessary
necessarytoto
widely
widelydissect
dissectthe
the
superfi
superficial
cialinguinal
inguinal
space
spaceup
uptotothe
the
aponeurosis
aponeurosisofofthe
the
medial
medialrectus
rectusmuscle,
muscle,
then
thentotothe
thesuperior
superior
rectus
rectusmuscle
muscleup
uptotothe
the
anterior
anteriorsuperior
superioriliac
iliac
spine.
spine.
E.E.Ilio-hypogastric,
Ilio-hypogastric,ilioilioinguinal
inguinaland
andthe
thegenital
genital
branch
branchofofthe
thegenito-crural
genito-crural
nerves
nervesare
arelocated
locatedand
and
preserved.
preserved.
B.B.InIncase
caseofofvoluminous
voluminous
indirect
indirecthernia,
hernia,like
like
aapantaloon
pantaloonhernia,
hernia,
superfi
superficial
cialsutures
suturescould
could
bebeindicated,
indicated,avoiding
avoidingany
any
tension.
tension.
A.A.Present
Presentthe
themesh
meshand
and
close
closethe
theself-gripping
self-gripping
flflap
aparound
aroundthe
thecord
cord
The
Themesh
meshshould
shouldbebe
presented
presentedslit
slitupward,
upward,flflapap
open,
open,colored
coloredyarn
yarnmarker
marker
toward
towardthe
thepubis,
pubis,gripping
gripping
side
sidefacing
facingthe
thedeep
deep
muscular
muscularplane.
plane.The
Theblue
blue
mark
markon
onthe
theinterior
interiorportion
portion
ofofthe
themesh
meshallows
allowsitittotobebe
correctly
correctlyoriented.
oriented.FitFitthe
the
slit
slitaround
aroundthe
thecord.
cord.
Step
Step44––Close
Closeand
andposition
positionthe
themesh
mesh
around
aroundthe
thespermatic
spermaticcord
cord(cont.)
(cont.)
Step
Step55––Aponeurosis
Aponeurosis
closure
closure
D.D.Apply
Applythe
themesh
mesh
First
Firstapply
applythe
theinternalinternalinferior
inferior(gripping)
(gripping)side
sideofof
the
themesh
meshon
onthe
thepubic
pubic
bone.
bone.
The
Themesh
meshextends
extendsabout
about
11centimeter
centimeterbeyond
beyondthe
the
pubic
pubicbone.
bone.
A.A.Anchoring
Anchoringthe
themesh
mesh
totothe
thetissue
tissuewith
withthe
the
micro-grips
micro-gripsisisimmediate
immediate
and
andmay
maynot
notrequire
requireany
any
additional
additionalfifixation.*
xation.*
B.B.Fold
Foldthe
theflflapapback
backonto
onto
the
themesh.
mesh.Gripping
Grippingisis
reversible
reversibletotoallow
allowthe
the
slit
slitclosure
closuretotobebeadjusted
adjusted
several
severaltimes.
times.
E.E.Anchoring
Anchoringand
and
additional
additionalfifixation
xation
ItItisisoften
oftenhelpful
helpfultotofifixx
the
themesh
meshon
onthe
thepubis
pubis
with
withaasingle
singleabsorbable
absorbable
stitch
stitchofofsuture.
suture.This
Thisaids
aidsinin
positioning
positioningand
andmay
mayhelp
help
avoid
avoidsliding
slidingofofthe
themesh
mesh
when
whenapplied
appliedasasdescribed
described
above.
above.
B.B.The
Theaponeurosis
aponeurosisofofthe
the
external
externaloblique
obliquemuscle
muscle
isisclosed
closedininaaprepre-oror
retrofunicular
retrofunicularmanner
manner
according
accordingtotothe
thesurgeon’s
surgeon’s
preference.
preference.
C.C.Lowering
Loweringand
and
positioning
positioningthe
themesh
mesh
The
Themesh
meshisisthen
thenlowered
lowered
along
alongthe
thelength
lengthofofthe
the
cord.
cord.Lightly
Lightlyposition
positionthe
the
mesh
meshagainst
againstthe
theadjacent
adjacent
tissue
tissueand
andcheck
checkfor
forproper
proper
fifit.t.
F.F.Working
Workingthe
themesh
meshunder
under
the
theaponeurosis
aponeurosisofofthe
the
external
externaloblique
obliquemuscle,
muscle,
the
theexternal-superior
external-superior(non(nongripping)
gripping)aspect
aspectofofthe
the
mesh
meshisispressed
presseddown
downfor
for
fifinal
nalplacement.
placement.
11cm
cm
Step
Step66––Skin
Skinclosure
closure
The
Theskin
skinisisclosed
closedintradermally
intradermallyusing
usingaasize
size
3-0
3-0Caprosyn™,
Caprosyn™,resorbable,
resorbable,monofi
monofilament
lamentthread.
thread.
* *Additional
Additionalfifi
xation
xationisisleft
lefttotothe
thesurgeon’s
surgeon’sdiscretion.
discretion.
Please
Pleaserefer
refertotoInstructions
Instructionsfor
forUse
Usefor
forcomplete
completeindications,
indications,contraindications,
contraindications,warnings
warningsand
andprecautions.
precautions.