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Monofilament mesh

Parietene™ macroporous mesh

<p>Parietene™ macroporous mesh is intended for reinforcement of abdominal wall soft tissue where a weakness exists, involving abdominal wall hernia repairs.</p>

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Features

Parietene™ macroporous mesh is a high-porosity polypropylene textile6–8 that balances softness and rigidity, allowing for easy mesh handling and abdominal wall comformability.1⁠,⁠9

Compatible with open and laparoscopic surgical approaches including robotic hernia repair,†,1–5 its features and benefits include:

  • Large pores that favor good tissue integration.‡,10,11
  • Higher or equivalent mechanical strength compared to similar meshes.§,12
  • A variety of sizes up to 50 × 50 cm for a full range of coverage.6
  • A low recurrence rates when used in open and robotic transversus abdominis release (TAR) procedures.◊,13
  • Good patient-reported outcomes,9,14 with a low incidence of chronic pain9,15 and improved quality of life.¶,16
  • Overall positive clinical outcomes expressed by low hernia recurrance rate.9,17,18

Ordering information

Item number Dimensions Quantity
Flat sheet for laparoscopic repairs
PPM1106X3 11 × 6 3
PPM1508X3 15 × 7.5 3
PPM1510X3 15 × 10 3
PPM1515X3 15 × 15 3
PPM2020 20 × 20 1
PPM3030 30 × 30 1
PPM4530 45 × 30 1
PPM5050 50 × 50 1
Pre-cut for open repairs (with keyhole)
PPMK1106X3 11 × 6 3
PPMK1508X3 15 × 7.5 3

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Mesh complications may include but are not limited to acute and chronic pain, extrusion/erosion, hematoma, infection, inflammation, recurrence and/or seroma. Depending on surgical techniques and patient conditions, the use of mesh size 50 cm × 50 cm may be associated with central mesh fracture, leading to a risk of hernia recurrence. In any case, every effort should be made to close the defect.

TM* Third-party brands are trademarks of their respective owners.

† Based on benchtop data. Benchtop data are not necessarily indicative of human clinical outcomes. It is recommended to use a trocar of at least 8 mm internal diameter to introduce a mesh of size up to 20 × 20 cm and to use a trocar of at least 10 mm internal diameter to introduce a mesh of size 30 × 30 cm or above. Do not force the mesh through the trocar. Inappropriate insertion may lead to textile damage. The pre-cut versions are not designed for trocar passage.

‡ Based on preclinical animal studies, results not necessarily indicative of human clinical outcomes.

§ Based on comparison with reduced weight meshes: Ultrapro™* mesh, Mersilene™* mesh, Parietene™ lightweight mesh, Prolene™* soft mesh, and Optilene™* mesh.

◊ Based on two expert reports.

¶ Based on a study comparing a heavyweight polypropylene mesh to a polypropylene large-pore lightweight mesh(types of mesh not disclosed). The lightweight, large pore size mesh was associated with significantly good pain scores, patient comfort and sexual function.

  1. Based on internal report T2291CR037, Parietene™ macroporous mesh evaluation by surgeons for design validation. June 2014.
  2. Based on internal report CDP-0029614_CR011, robotically assisted laparoscopic groin and extraperitoneal ventral hernia repair: a review. June 2022.
  3. Based on internal report CDP-0029614_CR012, robotically-assisted laparoscopic ventral hernia repair & Parietene™ macroporous mesh. March 2022.
  4. Based on internal report CDP-0029614_CR013c, robotically-assisted laparoscopic ventral hernia surgery with Parietene™ macroporous mesh — impact on usability engineering.  September 2023.
  5. Based on internal report TEX-FP-026c, Parietene™ macroporous mesh — trocar passage compatibility. April 2022.

  1. Based on internal report TEX-FP-088d, finished products characterization. July 2023.
  2. Based on internal report T2291CR026, design verification report. October 2014.
  3. Bilsel Y, Abci I. The search for ideal hernia repair; mesh materials and types. Int J Surg. 2012;10(6):317–321.
  4. Pohlen, U. Follow-up of 331 patients with inguinal and femoral hernia and treatment with TAPP and Parietene™ macroporous mesh. Expert report. March 2018.
  5. Weyhe D, Cobb W, Lecuivre J, et al. Large pore size and controlled mesh elongation are relevant predictors for mesh integration quality and low shrinkage — Systematic analysis of key parameters of meshes in a novel minipig hernia model. Int J Surg. 2015;22:46–53.
  6. Lake SP, Ray S, Zihni AM, Thompson DM Jr, Gluckstein J, Deeken CR. Pore size and pore shape — but not mesh density — alter the mechanical strength of tissue ingrowth and host tissue response to synthetic mesh materials in a porcine model of ventral hernia repair. J Mech Behav Biomed Mater. 2015;42:186–197.
  7. Based on internal report T2291CR044, physical and mechanical properties of Parietene™ macroporous mesh. September 2014.
  8. Based on internal report CDP-0038209-CR036, memorandum — Evaluation of Parietene™ macroporous mesh safety and effectiveness in ventral hernia repair using a transversus abdominis release approach. May 2024.
  9. Pohlen, U. Evaluation of clinical outcomes associated with the use of Parietene™ macroporous mesh in patients with incisional hernia repair. Expert report. Feb 2017.
  10. Bringman S, Wollert S, Osterberg J, Smedberg S, Granlund H, Heikkinen TJ. Three-year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. Br J Surg. 2006;93(9):1056–1059.
  11. Agarwal BB, Agarwal KA, Mahajan KC. Prospective double-blind randomized controlled study comparing heavy- and lightweight polypropylene mesh in totally extraperitoneal repair of inguinal hernia: early results. Surg Endosc. 2009;23(2):242–247.
  12. Based on unpublished report, herniamed registry extraction (Köckerling F). Parietene™ macroporous mesh (Medtronic) in inguinal hernia repair (5 years). July 2023.
  13. Based on unpublished report, herniamed registry extraction (Köckerling F). Parietene™ macroporous mesh (Medtronic) in ventral hernia repair (1 year). November 2023.