Laparoscopic mesh procedure

PelviGYNious

PelviGYNious consists of two, differently shaped meshes with a hexagonal structure. An anterior mesh placed between vagina and bladder to prevent from recurrent cystocele, and a wider, posterior mesh between vagina and rectum to prevent from recurrent rectocele. Both meshes have an apical component for Level 1 suspension to prevent vaginal prolapse.

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
  • Apical fixation to correct POP
  • Two differently shaped meshes (anterior and posterior) – proximal ends of both are fixed at level of sacral promontory to the longitudinal ligament

Benefits 1

  • PelviGYNious 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%)

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