During the wound healing phase, the porous structure increases the mechanical load capacity of the supported tissue.

Safil® Mesh offers a strong support with a high tensile strength. The fine mesh structure may avoid fluid accumulation and ensures excellent integration into the adjacent tissue. Due to the absorption of the material after 60 to 90 days the risk of late secondary infections is low.

Advantages

• Strong support with high tensile strength
• Homogeneous elongation in horizontal and vertical direction
• Reduced foreign body material helps for minor tissue reaction
• Total absorption after 60-90 days
• Porous mesh structure enhances tissue ingrowth
• Low risk of late secondary infections due to the degradation of the material.

Indication

Safil® Mesh is suitable to reinforce soft tissues in patients undergoing abdominal wall surgery or other fascial defects that require the addition of an absorbable reinforcing material to obtain the desired surgical result.

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Universal-light mesh for inguinal and incisional hernia repair.

Optilene® Mesh is a mesh implant for re-enforcement of connective tissue structures. It is constructed from monofilament polypropylene, that has been knitted to a thin and elastic shape-stable mesh.

After Implantation the Optilene® Mesh adapts to the longitudinal and latitudinal expansions taking place in the connective tissue.

Optilene® Mesh does not possess any independent pharmacological properties. The polypropylene mesh is biostable and is not degraded in the body.

Indication

Re-inforcement material in connective tissue weakness: 

• For inguinal hernia repair 
• For primary ventral hernia repair 
• For incisional hernia repair.

Optilene® Mesh LP

Super-light and thin-walled mesh with full transparency.

Indication

Re-enforcement material in connective tissue weakness: 

• For inguinal hernia repair 
• For primary ventral hernia repair 
• For incisional hernia repair 
• For prevention of incisional hernia used as a prophylactic mesh in high-risk patients according to the professional criteria (such as but not limited to: age, nutrition, body mass index, comorbidities, etc.).

Optilene® Mesh Elastic

Thin, elastic mesh implant for re-enforcement of connective tissue structures.

Indication

Re-inforcement material in connective tissue weakness: 

• For inguinal hernia repair 
• For primary ventral hernia repair 
• For incisional hernia repair 
• For prevention of incisional hernia used as a prophylactic mesh in high-risk patients according to the professional criteria (such as but not limited to: age, nutrition, body mass index, comorbidities, etc.).

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Premilene® Mesh is a mesh implant for re-enforcement of connective tissue structures.

It is constructed from monofilament polypropylene, that has been knitted to a thin and elastic shape-stable mesh.

After implantation the Premilene® Mesh adapts to the longitudinal and latitudinal expansions taking place in the connective tissue.

Premilene® Mesh does not possess any independent pharmacological properties. The polypropylene mesh is biostable and is not degraded in the body.

Indication

Re-inforcement material in connective tissue weakness: 

• For inguinal hernia repair 
• For primary ventral hernia repair 
• For incisional hernia repair 
• For prevention of incisional hernia used as a prophylactic mesh in high-risk patients according to the professional criteria (such as but not limited to: age, nutrition, body mass index, comorbidities, etc.). 

Premilene® Mesh Plug | Polypropylene Mesh for Plug Technique

Premilene® Mesh Plug is a monofilament polypropylene mesh plug designed for the repair of recurrent hernias and can also be used for primary inguinal hernias.

The plug adapts to the shape of the defect and the natural anatomy.

Advantages

• Anatomic 3-D shape
• Exclusive blue center grip
• Tailorable for anatomical adaptation
• Pre-shaped mesh onlay included for modified technique

Indication

• Open groin hernia repair (Rutkow-Robbins technique).

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Note

Sizes available USP 11/0 (0.1 metric) to USP 2 (5 metric).

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Advantages

• Improved knot pull tensile strength (KPTS) compared to the European Pharmacopoeia (EP).
• Better flexibility performance and similar knot safety compared to the market reference.
• Greater smooth surface than market reference in USP sizes 0 and 2/0, allowing an easier and faster knot running down.
• Needle penetration performance better for the most used needles of Novosyn® compared to the market reference.
• Less inflammatory reaction after suture implantation compared to the market reference based on in-vivo animal studies.

Features

• 40-50 % Tensile Strength Retention: 21 days 
• Complete Mass Absorption: 56 up to 70 days

Note

Sizes available: USP 8/0 (metric 0.4) up to USP 2 (metric 5)

Indication

• Gyneacology
• Ophthalmic surgery
• Urology
• Ligatures
• General Surgery
• Microsurgery

Novosyn® Quick | Fast absorbable braided and coated suture made of polyglactin 910

Advantages

• Fast and predictable degradation profile
• Smooth surface
• High initial tensile strength
• Good knot security
• High flexibility and pliability
• Excellent handling properties
• Quick mass absorption

Features

• 50 % Tensile Strength Retention: 5 days
• Complete Mass Absorption: 42 days

Note

Sizes available: USP 6/0 (metric 0.7) up to USP 2 (5 metric)

Indication

• Episiotomies
• Skin closure, particularly in pediatric surgery.
• Closure of oral mucosa

Novosyn® CHD | Mid-term absorbable braided and coated suture made of polyglactin 910 coated with Chlorhexidine Diacetate

Advantages

• Novosyn® CHD has the same physical properties than Novosyn but with added antimicrobial protection.
• It has a zone of inhibition against the most common pathogens that causes SSI.
• It helps on the prevention of microbial contamination of the implanted thread.

Features

• 40-50 % Tensile Strength Retention: 21 days.
• Complete Mass Absorption: 56 up to 70 days.

Note

Sizes available: USP 5/0 (metric 1) up to USP 2 (metric 5).

Indication

• Gastrointestinal surgery
• Gyneacology / Obstetrics
• Orthopedics
• Urology
• Skin closure (intracutaneous, subcutaneous)
• Ligatures

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• 72% glycolide
• 14% ε-caprolactone
• 14% trimethylenecarbonate.

This product fulfils all the requirements of the European Pharmacopoeia and of the United States Pharmacopoeia for sterile, synthetic absorbable monofilament sutures, except for minor variations in suture diameter.

Indication

Monosyn® is indicated for use where surgical procedure involves general soft tissue. Typical use cases: general surgery, gynaecology, oral surgery, and skin closure. It is not used on cardiovascular, ophthalmic or neurological tissues.

Typical applications are:

• Subcutaneous and intracutaneous sutures.
• Mesh fixation in general surgery.
• Gastro-intestinal anastomosis.
• Ovarian, uterus or vaginal mucosa closure.

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Features

• 50% Tensile Strength Retention: 35 days for bigger USP 3/0
• 50% Tensile Strength Retencion: 28 days for smaller USP 4/0
• Complete Mass Absorption: 180 up to 210 days.

Note

Sizes available USP 7/0 (metric 0.5) up to USP 2 (metric 5)

Manufacturer: B. Braun

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Features

• Extra-long term absorption: Monomax loses its relative tensile strength slower than polydioxanone sutures (slower tensile strength degradation profile compared to polydioxanone sutures). 
• Elasticity and elongation: Monomax® elongates twice as much as polydioxanone sutures. 
• Sizes available USP 2/0 (metric 3) up to USP 1 (metric 4).
• It dissolve by hydrolysis and enzymatic reaction.

ESTOIH Study

The major long term complication of abdominal wall closure after a median laparotomy is the development of an incisional hernia.

The ESTOIH-Study was designed to investigate the influence of the stitch length on the occurrence of incisional hernia for two different materials: the synthetic suture material; and the absorbable, elastic, monofilament suture.

It was discovered that synthetic suture material which have become available over the last decades have the advantage that they are degraded by the body system and fully absorbed within 70-180 days. However, they loss 50% of their initial strength after 14-30 days. For this reason, they may not be the optimal suture material for abdominal wall closure. But the new suture material – Monomax® performed better. It has an extra-long absorption profile, high elasticity and superior initial strength.

Manufacturer: B. Braun

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