Inguinal Products/Key Facts Flashcards
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What % of hernias are inguinal?
80%
What % of inguinal hernias are indirect?
70%
What % of inguinal hernias are direct?
30%
Why is there a weakness in the groin for direct hernias?
Internal oblique and transverse abd. don’t cover down to inguinal ligament
Why is there a weakness in the groin for indirect hernias?
The internal ring is not closed all the way due to a congenital defect.
Indirect hernias occur _____ to the epigastrics while direct hernias occur ____ to it.
lateral; medial
Only type of hernia that is recommend on the classic technique.
Femoral
Direct hernias primarily occur in ______.
men over 40.
What are the open repair technique options?
Lichetenstein
Plug Repair
MK Technique
What are the lap techniques?
TAPP
TEP
What are Ethicon’s 3 synthetic mesh products and what are they made of:
- Prolene
- Prolene Soft Mesh
- Prolene Hernia System
monofilament poly
Is Prolene mesh, PHS, and Prolene Soft Mesh permanent or partially absorbable?
permanent
What Ethicon products have their standard prolene mesh with monocryl (3)?
UltaPro Hernia System (UHS)
Ultrapro Advance
UltraPro Plug
What is monocryl and what is its purpose?
- resorbable polyglycaprone 25 - the absorbable portion
- to leave less foreign substance in the body
What company uses monocryl in their products?
Ethicon
Who has BDE?
MATTHEW FUCKING MASSA
What are the advantages of ethicon?
more flexible; inexpensive; conforms easily to anatomy
What are some disadvantages of ethicon?
can be difficult to “plug” in indirect hernias; no ring or pockets
What are Medtronic products made of? (with the exception of Duatene)
polyester
Who promotes themselves as a “one-stop-shop”?
Medtronic
What is Duatene made of?
Macroporous polypropylene
What are Medtronic synthetic products?
Parietex
Parietex Anatomical
Which of Medtronic’s products are semi-resorabable?
ProGrip Open
ProGrip Lap
Paritex Plug
What are some characteristics of ProGrip (open and lap)
PLA hooks (velcro-like)
eliminate the need for sutures
market leader
How can you sell against ProGrip? (disadvantages of ProGrip)
- once mesh has been in touch with tissue it’s hard to re position
- expensive
- 40% still need to suture
- multifilament - high infection right
- cannot fixate to hard structures like cooper’s ligament
How many days does it take for monocryl to absorb in the body?
84 days
Atrium’s selling strategy is?
“me too” products - the walmart of meshes; cheap
What are disadvantages of polyester?
high infections; multifilament
More inflammatory response
What is atrium made of?
monofilament polypropylene
Covidian and ____ are the same company.
medtronic
Which atrium products have omega-3 on them?
C-QUR Fx
C-QUR CentriFX
Prolite Mesh and Prolite Ultra Mesh are products of ___.
Atrium.
ProGrip is a product of ____.
Medtronic/Covidian
Prolene and UHS are products of _____.
Ethicon
C-Qur are products of ____.
Atrium
