Inguinal Products/Key Facts

Question 1

What % of hernias are inguinal?

Answer 1

80%

Question 2

What % of inguinal hernias are indirect?

Answer 2

70%

Question 3

What % of inguinal hernias are direct?

Answer 3

30%

Question 4

Why is there a weakness in the groin for direct hernias?

Answer 4

Internal oblique and transverse abd. don’t cover down to inguinal ligament

Question 5

Why is there a weakness in the groin for indirect hernias?

Answer 5

The internal ring is not closed all the way due to a congenital defect.

Question 6

Indirect hernias occur _____ to the epigastrics while direct hernias occur ____ to it.

Answer 6

lateral; medial

Question 7

Only type of hernia that is recommend on the classic technique.

Answer 7

Femoral

Question 8

Direct hernias primarily occur in ______.

Answer 8

men over 40.

Question 9

What are the open repair technique options?

Answer 9

Lichetenstein
Plug Repair
MK Technique

Question 10

What are the lap techniques?

Answer 10

TAPP

TEP

Question 11

What are Ethicon’s 3 synthetic mesh products and what are they made of:

Answer 11

1. Prolene
2. Prolene Soft Mesh
3. Prolene Hernia System

monofilament poly

Question 12

Is Prolene mesh, PHS, and Prolene Soft Mesh permanent or partially absorbable?

Answer 12

permanent

Question 13

What Ethicon products have their standard prolene mesh with monocryl (3)?

Answer 13

UltaPro Hernia System (UHS)
Ultrapro Advance
UltraPro Plug

Question 14

What is monocryl and what is its purpose?

Answer 14

• resorbable polyglycaprone 25 - the absorbable portion

- to leave less foreign substance in the body

Question 15

What company uses monocryl in their products?

Answer 15

Ethicon

Question 16

Who has BDE?

Answer 16

MATTHEW FUCKING MASSA

Question 17

What are the advantages of ethicon?

Answer 17

more flexible; inexpensive; conforms easily to anatomy

Question 18

What are some disadvantages of ethicon?

Answer 18

can be difficult to “plug” in indirect hernias; no ring or pockets

Question 19

What are Medtronic products made of? (with the exception of Duatene)

Answer 19

polyester

Question 20

Who promotes themselves as a “one-stop-shop”?

Answer 20

Medtronic

Question 21

What is Duatene made of?

Answer 21

Macroporous polypropylene

Question 22

What are Medtronic synthetic products?

Answer 22

Parietex

Parietex Anatomical

Question 23

Which of Medtronic’s products are semi-resorabable?

Answer 23

ProGrip Open
ProGrip Lap
Paritex Plug

Question 24

What are some characteristics of ProGrip (open and lap)

Answer 24

PLA hooks (velcro-like)
eliminate the need for sutures
market leader

Question 25

How can you sell against ProGrip? (disadvantages of ProGrip)

Answer 25

• 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

Question 26

How many days does it take for monocryl to absorb in the body?

Answer 26

84 days

Question 27

Atrium’s selling strategy is?

Answer 27

“me too” products - the walmart of meshes; cheap

Question 28

What are disadvantages of polyester?

Answer 28

high infections; multifilament

More inflammatory response

Question 29

What is atrium made of?

Answer 29

monofilament polypropylene

Question 30

Covidian and ____ are the same company.

Answer 30

medtronic

Question 31

Which atrium products have omega-3 on them?

Answer 31

C-QUR Fx

C-QUR CentriFX

Question 32

Prolite Mesh and Prolite Ultra Mesh are products of ___.

Answer 32

Atrium.

Question 33

ProGrip is a product of ____.

Answer 33

Medtronic/Covidian

Question 34

Prolene and UHS are products of _____.

Answer 34

Ethicon

Question 35

C-Qur are products of ____.

Answer 35

Atrium