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:
Anterior Vagina wall Incision «reverse T» form the vesical neck to the portio, bilaterally, or to the vaginal cupola, in case of previous hysterectomy
Pubic-vesical fascia separation or “Alban’s fascia” from the vagina wall to the ischium-pubic branch
Pubic-vesical fascia duplication thorough monofilament long term absorbable suture Cal. 2/0 (Assufil Monofilament® FU395M) separate stich technique.
Vaginal wall recentation
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.
CRPatch® Cystocele Repair Patch®
ASSUT EUROPE S.p.A.
Via G. Gregoraci, n.12 00173 Roma Tel. +39 06 72677348 Fax +39 06 72675380
INSIGHTRA MEDICAL INC.
141 Hatcher Lane Clarksville TN 37043 USA Tel. (888) 709-5939 Fax (931) 919-2953