COMPETITION

Question 1

ALLERGAN

Answer 1

BIG BIOLOGIC COMPETITION
PRODUCT NAME:
STRATTICE- NON CROSS LINKED PORCINE DERMIS
STRATTICE 
STRATTICE PERFORATED
STRATTICE THICK
STRATTICE LAP

ADV:
PLIABLE
CLAIM BACTERIAL CLEARANCE
SURGEONS COMFORTABLE WITH BC THEY LEARNED WITH. GOLD STANDARD.

DIS ADV:
LOSES STRENGTH FAST
DENSE- NO TISSUE INGROWTH
ONLY SELL A BIOLOGIC
OURS OPEN COLLEGEAN

Question 2

ETHICON

Answer 2

XCM

Non cross linked porcine dermis

Question 3

TEI

Answer 3

SurgiMend

Non cross linked Bovine dermis

Question 4

Cook

Answer 4

Surgisis BioDesign

Non cross linked porcine small intestine submucosa

Question 5

ACell

Answer 5

Gentrix Surgical Matrix
Gentrix Surgical Thin
Gentrix Surgical Thick
Gentrix Surgical Plus

Non cross linked Porcine Urinary Bladder Matrix

Question 6

Medtronic

Answer 6

Cross linked Porcine Dermis

Permacol

Question 7

Davol

Answer 7

Permanent Synthetic
Soft Mesh
Polypro

Question 8

Novus

Answer 8

Bioresorbable
TIGR
PGA and TMC

Question 9

ETHICON

Answer 9

Bioresorbable
Vicryl
PGLA

Question 10

ALLERGAN

Answer 10

Bioresorbable
Seri Scaffold
Silk

Question 11

Cook

Answer 11

Hybrid
Discontinued
Zenapro
ECM + Polypro

Question 12

Ways to Prevent a Seroma

Answer 12

Drains
Wound Vac
Abdominal Binder

Question 13

What factors can effect graft remodeling

Answer 13

Infection
Seroma
Contamination

Question 14

TAR

Answer 14

Retro rectus no flaps

Question 15

Gore (BIO-A)

Answer 15

Bioresorbable
BIO- A
PGA + TMC

Question 16

Gore (Enform)

Answer 16

Bioresorbable
ENFORM
PGA + TMC

Question 17

GORE

Answer 17

HYBRID
SYNECOR
PGA/TMC FILM PTFE KNIT

Question 18

TELA- BIO

Answer 18

HYBRID
OVIOTEX (PERMINANT)
ECM POLYPROPYLENE POLYMER

Question 19

TELA- BIO

Answer 19

BIORESORBABLE
OVITEX
ECM POLYGLYCOLIC AND POLYMER

Question 20

SIS

Answer 20

SMALL INTESTINE SUBMUCOSA

Question 21

SSO

Answer 21

SURGICAL SIGHT OCCURRENCE

SEROMA
WOUND DIHISCEINCE
REOCCURRENCE
INFECTION

Question 22

Who has 2,3,4, mm thick graft

Answer 22

SurgiMend

Question 23

Phasix ST

Answer 23

ONLY fully resorbable scaffold

Composed of p4hb, open monofilament Bioresorbable mesh

It doesn’t go away- it gets remodeled over 12-18 months and leaves behind stronger tissue

Exposed to Bacteria- strength remains the same, broken down via hydrolysis not enzymatic degradation

Question 24

Phasix

Answer 24

Launched in 2013
Poly-4- hydroxybutyrate
Breaks down from hydrolysis which is water and turns into water and CO2
Very predictable - stays 12-18 months

Present during critical healing phase and creates a strong functional tissue repair at 52 weeks

Question 25

Gram +

Answer 25

Outside the body

Question 26

Gram -

Answer 26

Inside the body

Question 27

Phasix 3 key factors

Answer 27

Repairs
Remodels
Restores

Question 28

How to spell P4HB

Answer 28

Poly 4 Hydroxybutyrate

Question 29

Someone who wouldn’t want to use permanent or synthetic mesh

Answer 29

Children
Infection
Younger women who wants kids
Lawsuits

Question 30

Buttress

Answer 30

Rectus sheath brought together

Question 31

Bridge

Answer 31

Rectus not brought back together

Question 32

Why is using a biologic as a bridge not ideal?

Answer 32

No blood supply to the graft

Question 33

What are the placement options for a biologic implant?

Answer 33

All of the planes

Question 34

What is the goal of doing a component separation technique?

Answer 34

Close midline

Question 35

How much release are you expecting for an anterior component separation

Answer 35

8-10 cm release each side or one finger breath lateral to make incision

Question 36

Describe the Open component separation technique. List pros and cons.

Answer 36

Create skin Flaps with anterior rectus release. 1 cm or 1 finger breathe lateral from rectus muscle. Bring midline together. Place mesh any plane you want. Close rectus muscle and skin.

Pros:
Close midline
Allows for max tissue advancement (16-20cm)

Cons:
Kills good abdominal tissue
Creates lateral weakness in the abdominal
Has skin flaps