Accessories for single-incision vaginal mesh procedure
i-Stitch
i-Stitch is a surgical instrument that is used for placing suspension sutures on tissue structures (Amreich-Richter) and/or surgical mesh implants during pelvic floor reconstruction. It facilitates the attachment of sutures to structures that are difficult to reach without extensive dissection.
Technical features
- Blunt, non-cutting suture tip
- Resorbable or non-resorbable suture material
- Additional suture clamp option
- Suitable cleaning accessories
Benefits 1, 2, 3, 4, 5, 6, 7
- Safe, precise and reproducible application for suture fixation
- Minimal transvaginal dissection needed, without excessive preparation. No visualization of sacrospinous ligament is required.
- Very low intra-operative complications (e.g. minimal blood loss)
- Reduced operating time
- Easy access to pelvic floor tissue structures
- i-Stitch and i-Stitch up support a good usability for the surgeon. Comfortable suture placement and instrument handling.
Easy handling
Just a few steps are necessary to easily use the instrument:
- Secure the suture in the suture clamp of i-Stitch loading unit. Load i-Stitch with the loading unit.
- i-Stitch is guided along surgeon’s finger to intended suture attachment point, push tip into tissue.
- Push loading unit forward, suture penetrates tissue.
- Release suture from suture clamp and remove loading unit completely.
- Carefully retrieve i-Stitch instrument. Suture will remain firmly in place. Tie the knot.
Animation video
References
1 Brandt et al. (2019)
1-Year Outcome After Treatment of Uterovaginal Prolapse With a 6-Point Fixation Mesh
2 Deltetto et al. (2021)
Effectiveness and Safety of Posterior Vaginal Repair with Single-Incision, Ultralightweight, Monofilament Propylene Mesh: First Evidence from a Case Series with Short-Term Results
3 Hemptenmacher et al. (2020)
Bilateral Sacrospineous Colposuspension ( BSC ) in the Treatment of Female Genital Prolapse: Risk-Benefit Considerations and Six Months Follow-up
4 Haşegan et al. (2016)
Sacrospinous ligament in urogenital prolapse repair using A.M.I. I-Stitch
5 Retzke et al. (2013)
Original article Caution ‘FDA 2011’: A modern pelvic floor mesh with a new form of cranial fixation. An observational study with 6-month follow-up on the A.M.I.® CR-Mesh and i-Stitch
6 Kieback (2019)
Bilateral Sacrospinous Colposuspension (BSC) for the treatment of vaginal vault prolapse – description of a novel method
7 Haşegan et al. (2016)
Transvaginal urogenital prolaps repair using i-Stitch