SERASYNTH® MESH

Reduce the tension in abdominal wall closure.

Special Features

  • Fully absorbable over time
  • Dual elasticity
  • Stable when cut, adapts well
  • No wicking, due to the monofilament threads
  • Optimised stretch
  • Ideal absorption in the follow-up period:
    half-life: 28-42 days
    complete absorption: 180-210 days

Technical Data

Material A
Polypropylene
dyed / monofilament / non-absorbable
Material B
Polypropylene/polyglycolic acid-caprolactone
dyed / monofilament / partially absorbable
Absorption profile
A: non-absorbable
B: The PGACL portion is absorbed within 90-120 days

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General information

SERASYNTH® MESH is intended for use as a temporary surgical support and for bridging and/or strengthening body structures when a long-term (up to six weeks) absorbable textile implant is indicated.

SERASYNTH® MESH is made from monofilament polydioxanone threads that have a half-life of 28–42 days and are completely absorbed after 180–210 days. Thanks to an optimised mesh structure, the mesh stretches appropriately to the anatomical and functional requirements.

Examples of use

An optimal flexible covering for the treatment of “burst abdomen” (abdominal wound dehiscence) has been the subject of research for many years. Working together with Prof. Tido Junghans MD from Bremerhaven, SERAG-WIESSNER has now succeeded in developing SERASYNTH® MESH, a fully absorbable monofilament mesh implant, which meets these very requirements.

To prevent fascial retraction, the fascial defect can initially be bridged with a cost-effective monofilament polypropylene mesh. However, once it becomes clear that the fascia cannot be closed (after two weeks at the latest), SERASYNTH® MESH is recommended as an alternative, or an addition, to vacuum-assisted closure.

Procedure

1. Depending on the healing process and the surgeon’s assessment of the situation, fix SERASYNTH® MESH over the wound at the appropriate time using either an onlay or a sublay technique. Hold in place with retention sutures, leaving a generous 1 - 2 cm border, and cover with a film dressing. We recommend using 150 cm USP 0 SERASYNTH® thread (Article no. 9I405148) for the sutures. “Edge-to-edge” fixation is not recommended as this may result in the mesh detaching itself on both sides. When fixing the mesh, cut to size first on one side and then the other, according to the patient’s anatomy.

2. If necessary, stabilise the mesh with a midline tuck. Do not gather in too much initially, as intra-abdominal pressure may increase in the first few days. If the pressure becomes excessive, let the tuck out again. This allows the fascial edges to be gently adapted/tensioned by the mesh, thereby preventing the development of compartment syndrome.

3. To perform lavage, divide the mesh in the midline, letting out any tucks. When cutting the mesh, take great care to leave a margin of at least 2 cm from the wound edge at the top and bottom of the mesh. After lavage, repair the slit in the mesh with a continuous suture. Repeat as often as necessary. 

4. With decreasing intra-abdominal pressure, tighten the mesh a little after every lavage, by shortening it in the middle each time, until the fascial layers of the abdominal wall can be finally fully closed. Leave any residual mesh from the sublay technique in the body. It will be absorbed within 180-210 days. Remove any mesh left after the onlay technique. An incisional hernia may develop, but this can be treated with a partially absorbable polypropylene/polyglycolic acidcaprolactone mesh implant such as SERAMESH® PA.

Onlay technique

SERASYNTH<sup>®</sup> MESH Onlay-technique 1
Fix SERASYNTH® MESH loosely to the abdominal wall with a continuous suture. Stabilise/tension with a tuck, if necessary.
SERASYNTH<sup>®</sup> MESH Onlay-technique 2
Divide the SeraSYNTH® MESH in the midline, leaving a margin of at least 2-3 cm from the upper and lower edges of the wound. After lavage, close and re-tension the mesh with a purse-string suture. Repeat as often as necessary until the abdominal wall is closed.
SERASYNTH<sup>®</sup> MESH Onlay-technique 3
Once the fascia has adapted sufficiently, close with interrupted sutures.

Sublay technique

SERASYNTH<sup>®</sup> MESH Sublay-technique 1
Slide the SERASYNTH® MESH beneath the fascial margins and fix loosely with a tacking stitch. Stabilise/tension with a tuck, if necessary.
SERASYNTH<sup>®</sup> MESH Sublay-technique 2
Divide the SERASYNTH® MESH in the midline, leaving a margin of at least 2-3 cm from the upper and lower edges of the wound. After lavage, close and re-tension the mesh with a purse-string suture. Repeat as often as necessary until the abdominal wall is closed.
SERASYNTH<sup>®</sup> MESH Sublay-technique 3
Once the fascia has adapted sufficiently, close with interrupted sutures. Any residual mesh can remain in the body and will be fully absorbed within 180-210 days.

SERASYNTH® MESH delivery programme

SERASYNTH® MESH - , ,
Symbol Bezeichnung Art.-Nr. PU
SERASYNTH MESH
28 x 35 cm
resorbierbar
VE 1 Stück
SN5011
SERASYNTH MESH
10 x 15 cm
resorbierbar
VE 3 Stück
SN5033
SERASYNTH MESH
10 x 15 cm
resorbierbar
VE 1 Stück
SN503501
SERASYNTH MESH
15 x 15 cm
resorbierbar
VE 3 Stück
SN5043
SERASYNTH MESH
15 x 15 cm
resorbierbar
VE 1 Stück
SN504501
SERASYNTH MESH
17,5 x 35 cm
resorbierbar
VE 3 Stück
SN5053
SERASYNTH MESH
17,5 x 35 cm
resorbierbar
VE 1 Stück
SN505501

© SERAG-WIESSNER GmbH & Co. KG Zum Kugelfang 8-12 95119 Naila Germany Telefon: +49 (0) 9282 937-0