SWING-SYSTEM
16Pages

Urologic & Gynecologic Surgery

Swing-system® is a full range of implants designed for women pelvic floor correction. Rectangular-holed sealed knitted mesh made of polypropylene (PP) monofilament. The mesh is permeable, translucent and atraumatic in two versions (light and ultralight). With an excellent biostability, this material promotes good initial and long-term colonization suitable for pelvic floor surgery. SURGICAL CONCEPT Surgical concept of 10 years clinical history, Swing-system* is a prolapse or urinary incontinence treatment by vaginal or laparoscopic approach surgeries : - Correction of deficient fascias by...

A D V A N T A G E S - Easy access and adjustment of the sling - Protective tube preserving tape asepsis - Immediate initial fixation - Single-use or reusable instruments, whatever the surgical technique. SB3/SB4 Ultra light and light “No ToUCh” Swing-band® device has a low elasticity coefficient and specific treatment for perfect biostability, which make it suitable for surgical treatment of female stress urinary incontinence. DESCRIPTION Suburethral polypropylene (PP) prosthesis SB3 Weight : 28 g/m2 - Pore size : 1,06 x 1,01 mm Porosity : 60 % - Thickness : 0,33 mm - Stiffness : 0,5 N/mm...

Introduction of the guide down to the ischiopubic ramus. - Placement of the protective tube near the vaginal incision. - Removal of the protective tube cap. - Insertion of the sling through the obturator foramen. - The green thread loop is inserted in the eye of the needle. - Transobturator is crossed by the needle from inside to outside (IN-OUT). - Adjustment of the tension - The correct adjustment should allow the tip of the scissors to pass between the sling and the urethra. Skin incision opposite needle’s tip and recovery of the green thread. - Cross-section of the arm of the sling...

A D V A N T A G E S - Both sides adjustable mini-sling - Precise adjustment of sling tension - Innovative system with fixation to the obturator membrane, avoiding external incisions - Single mini incision surgery - Decreased risk of infection - After inserting a urethral catheter, perform anterior midline dissection. - Possible X-rays control SVS “Secured Vaginal Sling” DESCRIPTION Mini-sling made of polypropylene monofilament, Titanium mini-anchors assembled with a thread, with a sliding knot and a knot pusher to adjust sling tension on both sides, Fast-clip disposable spiral needles. The...

- Dissect laterally to vagina, on both urethral sides towards ischiopubic ramus. - Adjust mini-sling tension by pushing tube to sliding knot and then pull distal loop thread progressively and alternately on both sides. - Adjustment is done when mini sling is in contact with urethra - Introduce helicoidal spiral needle laterally towards ischiopubic ramus from inside to - Mini-sling may be loosened by pulling with dissection scissors. - Insert needle through obturator membrane to release anchor in obturator membrane. - Gradually rotate instrument backwards in order to withdraw anchor from...

A D V A N T A G E S - Vesical reservoir prolapse correction - Restoration of the vesicovaginal septum - Single-use or reusable instrumentation designed for transobturator approach. - For cases of urinary incontinence, a Swing-band® sling may also be fitted in second instance CS3/CS4 Ultra light and light “TENSioN frEE” Cysto-swing® device is designed for vesicovaginal positioning with "tension-free" fixation via transobturator approach with 2 arms or 4 arms prosthesis. DESCRIPTION Precut polypropylene (PP) prosthesis Mean values given as an indication CS3 Weight : 28 g/m2 - Thickness : 0,33...

ICAL TECHNIQUE Vesicouterine detachment. Vesicouterine detachment to the level Laterovesical detachment to the level of the bladder neck. of the obturator foramen. Installation of the prosthesis via obturator The prosthesis is placed on the posterior edge of the Closure of the vaginal scar without colpectomy. foramen. vesicovaginal wall and stitched onto the anterior aspect of the ischium using absorbable sutures.

A D V A N T A G E S - Perfect correction of the rectocele - Fits all morphologies - Can be used to fix the uterus in case of hysterocele rS3/rS4 Ultra light and light Recto-swing® prosthesis is flat and precut for rectovaginal positioning, secured to the sacrospinous ligaments by suturing or stapling. Conservative posterior vulvar incision in the posterior vaginal wall. SUrGiCAl APProACh : - Rectovaginal approach (shifted vaginal incision) - Sacropinous ligaments fixation DESCRIPTION Precut polypropylene (PP) prosthesis Mean values given as an indication RS3 Weight : 28 g/m2 - Thickness :...

Separation of the non-detaehable area of Complete separation of the wall to the Douglas Opening of the two ischiorectal fossae and view of the rectum monitored by an intrarectal finger up pouch. the two sacrospinous ligaments. Installation of the prosthesis The cephalic segment of the prosthesis can rest Closure of the vaginal scar without colpectomy. in the rectovaginal wall. against the uterine isthmus to correct any cor- responding hysterocele.

A D V A N T A G E S - Perfect correction of the rectocele - Fits all morphologies - Can be used to fix the uterus in case of hysterocele - Single-use or reusable instrumentation rS3/rS4 Ultra light and light SUrGiCAl APProACh : Version of the prosthesis for spinal fixation designed for transgluteal approach in “tension free” - Rectovaginal approach - Transgluteal approach in “tension free” D ES CRIP TI ON Precut polypropylene (PP) prosthesis Mean values given as an indication RS3 Weight : 28 g/m2 - Thickness : 0,33 mm Mean bursting strength : 396 kPa* Pore size : 1,06 x 1,01 mm - Porosity :...

- The needle passes through the ileococcygeal muscle. - The guide wire on the prosthesis is threaded onto the needle and pulled backwards. Positioning of the transgluteal prosthesis through the buttock in “tension free”.