Self-fixating mesh

ProGrip™ laparoscopic self-fixating mesh

<p>ProGrip™ laparoscopic self-fixating mesh is indicated for the reinforcement of soft tissues during repair of inguinal hernia defects by laparoscopic approach.</p>

Ordering information
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Features

Self-fixating

  • Superior fixation strength compared to Bard 3DMax™* light textile with SorbaFix™* tacks or fibrin sealant§,12,13
  • When used for repair of inguinal hernias without fixation, showed zero recurrence at 12 months follow up3,4

Less pain

  • Eliminates the pain associated with additional tack fixation3,4
  • Results in a low occurrence of chronic postoperative inguinal pain (CPIP)4
  • Around 40% of the mesh weight resorbs reducing foreign material presence in patient over time◊,1,14,15
  • Resorbable microgrips that reduce trauma to tissue‡,◊,9,16,17

Easy to use

  • Doesn’t stick to itself, making it easy to handle and unfold laparoscopically◊,2,18,19
  • Faster than using additional fixations‡,8,9
  • Easy to orient with green medial marking18,19

Lower cost 

  • Combines the functionality of mesh and fixation into one device‡,9,13,17,20
  • Reduces the cost associated with traditional tack fixation and/or glues‡,9–11,17,20,21
  • Less postoperative pain may result in lower cost of pain management therapy22

Specifications

Textile material23 Monofilament polyethylene terephthalate (PET)
Microgrip material23 Monofilament polylactic acid (PLA)
Fast resorbing film composition23 Non-oxidized porcine collagen + glycerol
Weight before absorption (g/m2)23 81
Weight after absorption (g/m2)23 47
Pore size (mm) (height by width)23 1.8 x 1.7
Sterilization method23 Ethylene oxide
Shelf-life23 36 months

Frequently asked questions

Yes, the mesh needs to be hydrated for a few seconds in a sterile saline solution before use.

The mesh can be re-cut to size provided a sufficient overlap is kept on all sides of the defect. If the mesh is re-cut, the use of additional fixation has to be considered depending on size and type of hernia and patient's condition. If an anatomical mesh is trimmed, special care should be taken to preserve the sewing of the flap to limit the risk of recurrence.

No, but to limit the risk of recurrence, if the mesh is trimmed, the use of additional fixation should be considered depending on size and type of hernia and the patient’s condition.

Ordering information

Item number Side Size (cm) Units per box
LPG1309AL Left 13 × 09 1
LPG1309AR Right 13 × 09 1
LPG1510 — 10 × 15 1
LPG1510X2 — 10 × 15 2
LPG1510AL Left 10 × 15 1
LPG1510AR Right 10 × 15 1
LPG1612 — 12 × 16 1
LPG1612AL Left 12 × 16 1
LPG1612AR Right 12 × 16 1
LPG1614 — 16 × 14 1

Resources

ProGrip™ laparoscopic self-fixating mesh testimonial (03:36)

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

† Based on preclinical animal studies and benchtop studies. Animal data and benchtop testing are not necessarily indicative of human clinical outcomes.

‡ ProGrip™ laparoscopic self-fixating mesh and ProGrip™ self-gripping polyester mesh have equivalent gripping and mechanical properties.  

§ Based on preclinical animal studies and benchtop studies. Animal data and Benchtop testing are not necessarily indicative of human clinical outcomes.

◊ Based on benchtop studies. Benchtop testing are not necessarily indicative of human clinical outcomes.

  1. Based on design validation report 0902CR118a. October 2012.
  2. Based on internal test report 0902CR122, June 2012.
  3. Muysoms FE, Vanlander A, Ceulemans R, et al. A prospective, multicenter, observational study on quality of life after laparoscopic inguinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument. Surgery. 2016;160(5):1344–1357.
  4. Klobusicky P, Hoskovec D. Use of an anatomical self-gripping Progrip™ laparoscopic mesh in TAPP hernia repair. Possible standard? Preliminary results of a prospective study. European Surgery. 2016. 48:149–154.l.
  5. Engan C, Engan M, Bonilla V, Dyer DC, Randall BR. Description of robotically assisted single-site transabdominal preperitoneal (RASS-TAPP) inguinal hernia repair and presentation of clinical outcomes. Hernia. 2015;19(3):423–428.
  6. Gonzalez-Hernandez J, Prajapati P, Ogola G, Burkart RD, Le LD. Surgical training in robotic surgery: surgical experience of robotic-assisted transabdominal preperitoneal inguinal herniorrhaphy with and without resident participation. J Robot Surg. 2018;12(3):487–492.
  7. Based on internal report RAT201a, Robotically-assisted laparoscopic inguinal hernia repair and Progrip™ laparoscopic self-fixating mesh. April 2018.
  8. Pielaciński K, Puła B, Wróblewski T, Kuryłowicz M, Szczepanik AB. Totally extraperitoneal inguinal hernia repair with or without fixation leads to similar results. Outcome of randomized prospective trial. Wideochir Inne Tech Maloinwazyjne. 2020;15(1):1–10.
  9. Based on internal test report RAT196a, Detailed comparison of ProGrip™ laparoscopic self-fixating mesh and ProGrip™ self-gripping polyester mesh. July 2017.
  10. Edwards C. Self-fixating mesh is safe and feasible for laparoscopic inguinal hernia repair: Surgical endoscopy and other interventional techniques. Presented at 2011 Scientific Session of the Society of American Gastrointestinal and Endoscopic Surgeons, SAGES San Antonio, TX, United States (30.03.2011–02.04.2011). 25: S324.
  11. Estimate derived from the use of information under license from the following IMS Health information service: Hospital Supply Index for the period September 2006–June 2012. IMS expressly reserves all rights, including rights of copying, distribution and republication. Based on typical prices of anatomical mesh and absorbable fixation in the United States.

  1. Based on internal test report 0902CR114, Bard™* soft mesh and Bard 3DMax™* light mesh have the same textile base. October 2011.
  2. Guérin G, Bourges X, Turquier F. Biomechanical evaluation of three fixation modalities for preperitoneal inguinal hernia repair: a 24-hour postoperative study in pigs. Med Devices (Auckl). 2014;7:437–444.
  3. Based on internal test report TEX-FP-064. Progrip™ laparoscopic self-fixating mesh finished product textile characterization. September 2020.
  4. Based on TEX-FP-074, Progrip™ laparoscopic self-fixating mesh finished product textile characterization without PLA grips or loops and without collagen film. September 2020.
  5. Based on internal test report 0902CR113a, Design verification. October 2012.
  6. Fumagalli Romario U, Puccetti F, Elmore U, Massaron S, Rosati R. Self-gripping mesh versus staple fixation in laparoscopic inguinal hernia repair: a prospective comparison. Surg Endosc. 2013;27(5):1798–1802.
  7. Based on internal test 0902CR134a, Surgeon trial design validation. July 2012.
  8. Based on internal test 0902CR118a, Design validation. October 2012.
  9. Piccinni G, De Luca GM, Giungato S, et al. Mid-term follow-up of TAPP hernia repair without staples and glue: an audit of the data. Surg Technol Int. 2015;26:151–154.
  10. Ozmen J, Choi V, Hepburn K, Hawkins W, Loi K. Laparoscopic totally extraperitoneal groin hernia repair using a self-gripping mesh: clinical results of 235 primary and recurrent groin hernias. J Laparoendosc Adv Surg Tech A. 2015;25(11):915–919.
  11. Jacob, B, Morseon, M. Post inguinal hernia repair pain management costs: survey of physicians regarding costs of pain management strategies. IHS; 2012.
  12. Based on internal report TEX001, List of meshes/textiles. July 2023.