Laparoscopic mesh procedure

EndoGYNious

EndoGYNious is a Y-shaped mesh prosthesis. It is a double-layer mesh on the proximal end, for firm fixation to the longitudinal ligament at level of sacral promontory. The iso-elastic single-layer mesh body, which is positioned between vagina and rectum and vagina and bladder, maintains vaginal flexibility and function, and prevents the patient from recurrent cystocele and rectocele.

Indication

Symptomatic POP with or without urinary incontinence:

  • Cervical prolapse
  • Vaginal vault prolapse
  • Cystocele
  • Rectocele

Facts

  • Applicable for the well-established procedure sacrocolpopexy and sacrocervicopexy
  • Double-layer mesh on proximal part for firm fixation
  • Positioning between vagina and rectum and vagina and bladder
  • Apical stabilisation for POP correction

Benefits 1

  • EndoGYNious can successfully cure patients with pelvic organ prolapse
  • Low rates of erosion in a 3-month follow-up period (<3%)
  • Low rates of severe post-operative pain in a 3-month follow-up period (<3%)
  • Very low rate of intra-operative complications (<0.5%)

Unique – The A.M.I. HexaPro mesh

What makes the A.M.I. HexaPro mesh material unique:

  • Ultra-lightweight mesh material 21 g/m2
  • Hexagonal structure for isoelasticity
  • Wide-pore structure ≥ 1,9 mm
  • Macroporous
  • 93% Porosity
  • Extra-large interstitial micropores: 100-150 μm
  • Monofilament polypropylene

+ EasyInstruments

  • Instrument shafts of two different diameters (3 mm and 5 mm) and various lengths
  • Reusable shaft and handpiece with additional ratchet function or finger-operated HF-function possible
  • Various tips for cutting, grasping, dissecting and holding tissue are completely combinable

Order information

Surgery video

References

1 Christmann-Schmid et al. (2018)
Laparoscopic sacrocolpopexy with or without midurethral sling insertion: Is a two-step approach justified? A prospective studyInGYNious single-incision advanced pelvic floor repair with hexapro-mesh