3DMAX™ Mesh

3DMax Mesh

Unique three dimensional mesh is designed specifically for the laparoscopic repair of inguinal hernias.

Benefits:

  • Designed for laparoscopic surgeons by a laparoscopic surgeon.
  • Preformed mesh contours precisely to the inguinal anatomy.
  • Three dimensional design allows for easy positioning.
  • May be placed without fixation.

Mesh Design

3DMax Mesh was developed by Dr. Philippe Pajotin, a prominent laparoscopic surgeon. After years of performing a transabdominal preperitoneal (TAPP) repair, Dr. Pajotin came to the realization that a flat sheet of mesh may not be the ideal configuration for a laparoscopic repair. After all, the inguinal anatomy was anything but the two-dimensional image seen on the monitor. So, after careful cadaver research and molding, Dr. Pajotin developed what he believed to be the ideal prosthetic--one that was anatomically formed and shaped to the inguinal anatomy.

3DMax Mesh is constructed of Bard® Mesh, a knitted monofilament polypropylene. The knit construction allows the mesh to be stretched in both directions in order to accommodate and reinforce tissue defects. It allows a prompt fibroblastic response through the interstices of the mesh.††

  • Available in left & right orientations

Due to its precise anatomical form, 3DMax Mesh is offered in left and right orientations. This allows for precise and specific mesh positioning for any inguinal hernia.

  • Designed for easier placement

A reinforced edge helps to maintain the curved, three-dimensional shape of 3DMax Mesh. Additionally, this edge allows for easier mesh positioning. The shape allows the surgeon to ensure the mesh is properly aligned with key anatomical landmarks. A medial marker aids orientation.

The Bard 3DMax Mesh Advantage

Flat polypropylene mesh has many shortcomings when compared to 3DMax Mesh, due to its two-dimensional construction.

3DMax Mesh:

  • Is three-dimensional and anatomically designed

Flat mesh, even lightweight, does not conform to the inguinal anatomy. It must be cut and trimmed and manipulated to fit to the three-dimensional structures in the preperitoneal space.

  • Is easy to place

Since flat mesh is not designed to fit the anatomy, it is often difficult to place within the inguinal canal. Excessive folding and wrinkling is not uncommon when trying to place flat polypropylene mesh.

  • Eliminates the need for fixation, which may reduce patient pain.

Due to its non-anatomical form, flat mesh must often be fixated with mechanical fixation. This increases costs and it is well known that avoiding mesh fixation prevents nerve entrapment.†††


† Pajotin.“Laparoscopic Groin Hernia Repair Using a Curved Prosthesis Without Fixation.” Le Journal de Celio – Chirurgie. 1998:28:64-68.

†† Lichtenstein, I. L., Hernia Repair without Disability, 2nd Edition, St. Louis, 1986, Ishiyaker Euro America Inc.

††† Ferzli G.S., et al, "Prospective Randomized Study of Stapled versus Unstapled Mesh in a Laparoscopic Preperitoneal Inguinal Hernia Repair", J. Am Coll of Surgeons, Vol. 188, No. 5, May 1999.

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