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Procedure Spotlight
Insert and Position the Mesh

ULTRAPRO ADVANCED™
Advanced design to help optimize patient outcomes and ease of use in inguinal and ventral hernia repair.

Fixate the Mesh

ETHICON SECURESTRAP® Absorbable Strap Fixation Device
Market-leading fixation device provides superior acute fixation at various deployment angles.1* Allows for appropriate tissue capture and penetration to provide superior acute fixation holding at various deployment angles.2-5†

Close the Peritoneum, If Required

STRATAFIX™ Spiral Knotless Tissue Control Device
STRATAFIX™ Spiral & Spiral Plus offer a broad range of unidirectional and bidirectional devices, offers the smooth glide of a traditional suture.6-10

Apply Topical Skin Adhesive to Port Site

DERMABOND ADVANCED® Topical Skin Adhesive
DERMABOND ADVANCED Adhesive is a wound closure device that adds strength when used in conjunction with deep dermal stitches after surgery, provides a protective barrier11,12 and demonstrated in vitro inhibits bacteria13.

Related Procedures
References
*As shown in benchtop in porcine flank tissue.
†As shown in a preclinical study.
1. May 2013 – Fixation Share Update.
2. Cardinale M. Angle fire competitive test. AST 2010-0199.
3. Shnoda P. 28 day mesh fixation study of the ETHICON SECURESTRAP™ Fixation Device to evaluate mesh migration and tissue response using a swine model. PSE Accession: 09_0132, project: 67547.
4. AbsorbaTack Instructions for Use. Covidien.
5. SorbaFix Instructions for Use. Bard Davol.
6. Moran ME, Marsh C, Perrotti M. Bidirectional-barbed sutured knotless running anastomosis v classic Van Velthoven suturing in a model system. J Endourol. 2007;21(10):1175-1178.
7. Vakil JJ, O’Reilly MP, Sutter EG, Mears SC, Belkoff SM, Khanuja HS. Knee arthrotomy repair with a continuous barbed suture: a biomechanical study. J Arthroplasty. 2011;26(5):710-713.
8. Eickmann T, Quane E. Total knee arthroplasty closure with barbed sutures. J Knee Surg. 2010;23(3):163-167.
9. Levine BR, Ting N, Della Valle CJ. Use of a barbed suture in the closure of hip and knee arthroplasty wounds. Orthopedics. 2011;34(9):e473-e475. doi: 10.3928/01477447-20110714-35.
10. Einarsson JI, Chavan NR, Suzuki Y, Jonsdottir G, Vellinga TT, Greenberg JA. Use of bidirectional barbed suture in laparoscopic myomectomy: evaluation of perioperative outcomes, safety, and efficacy. J Minim Invasive Gynecol. 2011;18 (1):92-95.
11. Quinn J, Wells G, Sutcliffe T, et al. A randomized trial comparing octylcyanoacrylate tissue adhesive and sutures in the management of lacerations. JAMA. 1997;277(19):1527-1530.
12. Singer AJ, Perry LC, Allen RL. In vivo study of wound-bursting strength and compliance of topical skin adhesives. Acad Emerg Med. 2008;15(12):1290-1294.
13. Bhende S, Rothenburger S, Spangler DJ, Dito M. In vitro assessment of microbial barrier properties of DERMABOND® Topical Skin Adhesive. Surg Infect (Larchmt). 2002;3(3):251-257.
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.