CRPatch®

CYSTOCELE REPAIR PATCH®

SURGICAL BACKGROUND

Pelvic organic support, described by J. DeLancey, (J.O.L. DELANCEY 1994) identifies in the level II the anchorage of the medial portion of the vaginal walls through the pubo-cervical fascia, which is fixed to the tendinous arch of the endo-pelvic fascia. Therefore, the anatomic integrity is the main mandatory condition to the functional restore of pelvic organs.

STANDARD PELVIC SURGERY

Standard pelvic floor surgery, main phases:
  • I.
    Anterior Vagina wall Incision «reverse T» form the vesical neck to the portio, bilaterally, or to the vaginal cupola, in case of previous hysterectomy
  • II.
    Pubic-vesical fascia separation or “Alban’s fascia” from the vagina wall to the ischium-pubic branch
  • III.
    Pubic-vesical fascia duplication thorough monofilament long term absorbable suture Cal. 2/0 (Assufil Monofilament® FU395M) separate stich technique.
  • IV.
    Vaginal wall recentation
  • V.
    Vaginal Breach closure thought continuous stitch technique thorough barbed long term absorbable suture (Filbloc® FQ07GHHAD).

FUNCTIONAL TISSUE ENGINEERING SURGERY

CRPatch® Cystocele Repair Patch® is made of pure collagen of bovine pericardium tissue, non crosslinked, which favorites tissue remodeling process through the physical organic interaction with the vaginal wall. With its anti-infectious properties, it guarantees an absence of complications generally found in the use of synthetic prostheses (safety)*.

FUNCTIONAL ANATOMIC REPAIR

CRPatch® Cystocele Repair Patch® has a specific design developed to optimize the surgical strategies oriented to the functional anatomy in terms of resolution of the specific defect. The shape has been designed to recreate the anatomy of DeLancey’s level II, reinforcing specifically the damaged tissues, fixing the patch’s wings to the tendinous arch of the endo-pelvic fascia. The sub-urethral positioning and the CRPatch®‘s medial body perform the repair of the central defect of the cystocele, the lateral wings are used to solve the lateral defect by functional anchorage. The specific procedure is the same compared to the standard surgery for the first 3 steps, then, the paravesical spaces are prepared, for a depth of about 3 cm, towards the tendinous arch, allocating the lateral wings in this site, immediately after the sub-urethral positioning. The fixation to the pubo-cervical fascia is performed with Cal. 2/0 monofilament long term absorbable suture (Assufil Monofilament® FU395M) with separate stich technique.
CODEDESCRIPTION/SIZESIZE
AEPB050-086S
CRPatch® Cystocele Repair Patch®
5X8,6 cm

ASSUT EUROPE S.p.A.

assuteurope.com

info@assuteurope.com

Via G. Gregoraci, n.12
00173 Roma
Tel. +39 06 72677348
Fax +39 06 72675380

Italy
UK
Brazil

INSIGHTRA MEDICAL INC.

insightra.com

info@insightra.com

141 Hatcher Lane
Clarksville TN 37043 USA
Tel. (888) 709-5939
Fax (931) 919-2953

USA
Portugal
Spain
Iran
Saudi Arabia
United Arab Emirates
India

BIOCER ENTWICKLUNGS-GMBH

biocer-gmbh.de

info@biocer-gmbh.de

Ludwig-Thoma-Str. 36c
95447 Bayreuth, Germany
Tel. +49 (0)921 78 77 70 0
Fax. +49 (0)921 78 77 70 79

Germany
Austria
Switzerland
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