Duramesh

Innovativa rete tubolare suturabile per l'approssimazione dei tessuti

Per sutura chirurgica si intende la procedura che permette di avvicinare stabilmente i lembi di un tessuto, che presenta una discontinuità dei suoi piani anatomici, favorendone la cicatrizzazione.

Le riparazioni con le suture convenzionali, quando sollecitate, possono fallire per la loro rottura, slittamento del nodo, o quando la sutura lacera il tessuto intermedio.

E’ da questa esperienza che nasce l’esigenza di una nuova tecnica di chiusura, che utilizza strisce di rete in polipropilene macroporoso ,il Duramesh, come sutura per la chiusura di difetti della parete addominale dovuti ai fallimenti delle suture standard e difficoltà con reti planari

Codice	Descrizione	Misura	USP	Colore	Confezione
MSP100-5	DURAMESHTM 2-0 Small Needle DR20B	91 cm, Ø 1.5 mm	2-0	Arancione	5 pz
MSP200-5	DURAMESHTM 0 Small Needle HR22B	91 cm, Ø 2.6 mm	0	Turchese	5 pz
MSP201-5	DURAMESHTM 0 Large Needle HR48	91 cm, Ø 2.6 mm	0	Blu	5 pz
MSP300-5	DURAMESHTM 1 Small Needle HR26B	91 cm, Ø 3.9 mm	1	Rosso	5 pz
MSP301-5	DURAMESHTM 1 Large Needle HR48	91 cm, Ø 3.9 mm	1	Viola	5 pz
MSP500-5	DURAMESHTM 2 Small Needle HR26B	91 cm, Ø 4.1 mm	2	Giallo	5 pz
MSP501-5	DURAMESHTM 2 Large Needle HR50	91 cm, Ø 4.1 mm	2	Verde	5 pz

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Stampa

Riparazione della cuffia dei rotatori

Tendine di Achille

Riparazione dei legamenti

Diastasi dei muscoli retti

Addominoplastica

Modellamento del seno

Diep

Ernia iatale

Ernia inguinale

Ernia ombelicale

Ernia incisionale e ventrale

PULL-THROUGH

Duramesh elimina il fenomeno conosciuto come pull-throught, cioè quando il punto di sutura lacera il tessuto, sfibrandolo, a causa della scarsa distribuzione della forza all’interfaccia sutura-tessuto, infatti la tensione è distribuita in modo uniforme grazie alla maggiore superficie della maglia e la crescita interna del tessuto attorno ai filamenti della sutura ne migliora la presa.

Download

Brochure DURAMESH (548.94 Kb - pdf)

Approfondimenti scientifici

Biomechanical Properties of a Novel Mesh

2022 - Stephen J. Wallace, MD,* Lauren M. Mioton, MD,† Robert M. Havey, MS,‡ Muturi G. Muriuki, PhD,‡ Jason H. Ko, MD†

Conventional suture repairs, when stressed, fail by suture rupture, knot slippage, or suture pull-through, when the suture cuts through the intervening tissue. The purpose of this study was to compare the biomechanical properties of flexor tendon repairs using a novel mesh suture with traditional suture repairs.

Biomechanical Properties Novel Mesh Suture Cadaveric Flexor Tendon JHS (952.00 Kb - pdf)

Evaluation of a new suture material (DurameshTM) by measuring suture tension in small and large bites techniques for laparotomy closure
in a porcine model

2022 - Y. Yurtkap · F. P. J. den Hartog · W. van Weteringen · J. Jeekel · G. J. Kleinrensink · J. F. Lange

After closure of laparotomies, sutures may pull through tissue due to too high intra-abdominal pressure or suture tension, resulting in burst abdomen and incisional hernia. The objective of this study was to measure the suture tension in small and large bites with a new suture material.

Evaluation Duramesh Suture Tension Small and Large Bites Lap Closure Porcine Model (2.09 Mb - pdf)

Suturable Mesh Demonstrates Improved Outcomes over Standard Suture in a Porcine Laparotomy Closure Model

2022 - Gregory A. Dumanian, MD

The small bites surgical technique supported by the STITCH trial has been touted as a strategy for Laparotomy closures fail due to suture pull-through. I hypothesize that a suturable mesh may limit pull-through via mechanisms of force distribution and fibrous encapsulation of the device filaments.

Suturable Mesh Demonstrates Improved Outcomes over Standard Suture in a Porcine Laparotomy Closure Model (1.46 Mb - pdf)

Suturable mesh better resists early laparotomy failure in a cyclic ball‐burst model

2022 - Stephen J. Wallace, MD,* Lauren M. Mioton, MD,† Robert M. Havey, MS,‡ Muturi G. Muriuki, PhD,‡ Jason H. Ko, MD†

The small bites surgical technique supported by the STITCH trial has been touted as a strategy for preventing early laparotomy dehiscence through greater force distribution at the suture–tissue interface. However, this hernia prevention strat- egy requires an alteration in the standard closure technique that has not been widely adopted in the USA. This study seeks to determine whether incorporating a mid-weight polypropylene mesh material into a hollow-bore surgical suture material will effectively increase the force distribution at the suture–tissue interface and potentially help prevent early laparotomy dehiscence in an ex vivo model.

Suturable Mesh Better Resists Lap Failure Cyclic Ballburst Model (848.18 Kb - pdf)

An In Vivo Comparison: Novel Mesh Suture Versus Traditional Suture- Based Repair in a Rabbit Tendon Model

2022 - Lindsay E. Janes, MD, Lauren M. Mioton, MD, Megan E. Fracol, MD, Jason H. Ko, MD, MBA

Despite advancements in surgical techniques, suture pull-though and rupture continue to limit the early range of motion and functional rehabilitation after flexor tendon repairs. The aim of this study was to evaluate a suturable mesh compared with a commonly used braided suture in an in vivo rabbit intrasynovial tendon model.

In Vivo Comparison – Novel Mesh Suture vs Traditional Suture-based Repair in a Rabbit Tendon Model (2.14 Mb - pdf)