Prolapse of female pelvic organs: Pelvimesh®

A pelvic floor prolapse occurs when the tissue normally supporting the pelvic organs is damaged, causing it to drop and press against the vaginal wall.

Surgery consists of reinforcing the anterior and posterior walls of the vagina, in accordance with the type of prolapse:

 

Cystocele: reinforcement of the bladder-vaginal fascia
Rectocele: einforcement of the rectovaginal fascia
Elytrocele: resectioning of the Douglas pouch and reinforcement of the rectovaginal fascia
Elytrocele: this type of prolapse normally concerns pre- or post-menopausal women. The uterus is usually removed with this type of prolapse.

 

The various anatomical structures can be used for fascial reinforcement; however, as they are stretched due to the prolapse, they prove to be of poor quality and inadequate for guaranteeing support.

PELVIMESH® prosthetic mesh is used for the reinforcement of fascial structures in pelvic floor repairs.

They are made from non-absorbable single-filament polypropylene and, owing to their high porosity, guarantee good fibroblast colonisation and mesh encapsulation.

 

Light and ultralight macroporous mesh: Pelvimesh®

PELVIMESH®  is a rectangular mesh and can easily be adapted to the area to be reinforced.

 

  Pelvimesh

 

Code Description Dimensions Quantity
PM1015 Light (30 g/m2) mesh for pelvic repair 10 x 15 cm 1/per box
PM21015 Ultralight (19 g/m2) mesh for pelvic floor repair 10 x 15 cm 1/per box

 

  

Macroporous meshes with quadriaxial weave1: Pelvimesh® anterior e Pelvimesh® posterior

  • PELVIMESH® anterior is used for cases of bladder prolapse (cystocele).
    The prosthesis comprises a trapezoidally-shaped central body, from which two pairs of slings branch off, upper and lower; these have protective sheaths, and pre-assembled ring sutures for insertion into the eye of the Herniamesh introducer needle.

    Pelvimesh  Pelvimesh

     

    PELVIMESH® anterior is available in two versions, with different physical-mechanical characteristics and different central patch dimensions.


    It is positioned with a quadruple transobturator procedure using Herniamesh needles that can be re-sterilised: helical needles are recommended for positioning upper slings, while for lower slings a hooked needle is used.



    Code Description Dimensions Quantity
    PM30630 Prosthesis to treat cystocele length 30 x heighth 6 cm 1 per box
    PM30830 Prosthesis to treat cystocele length 30 x heighth 6 cm 1 per box
    PM30630-H Prosthesis to treat cystocele length 30 x heighth 6 cm 1 per box
    PM30830-H Prosthesis to treat cystocele length 30 x heighth 6 cm 1 per box

 

  • PELVIMESH® posterior is used for the surgical treatment of vaginal vault prolapse and is particularly suitable in the case of associated enterocele or rectocele.
    PELVIMESH® posterior is a T-shaped prosthesis comprising a rectangular central body, with two slings extending the upper base, which have protective sheaths and pre-assembled ring sutures for insertion into the eye of the Herniamesh introducer needle.


    Pelvimesh

     

    PELVIMESH® posterior is available in two versions with different physical-mechanical characteristics, and can be positioned via posterior transgluteal approach, using the Herniamesh transgluteal needle (which can be re-sterilised).

 

1. Patent pending

 

Code Description Dimensions Quantity
PM41230 Prosthesis for vaginal vault suspension and rectocele repair length 30 x heighth 12 cm 1 per box
PM41230-H Prosthesis for vaginal vault suspension and rectocele repair length 30 x heighth 12 cm 1 per box

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