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Cellis Abdominal

Cellis Abdominal is an acellular dermal matrix made from porcine collagen dermis. It is indicated for the reconstruction of soft tissue in complex abdominal wall surgery.

The gentle purification process used in the production of Cellis implants preserves the essential qualities of the extracellular matrix whilst removing its genetic elements (cells, DNA, RNA, epitopes). This allows optimal support throughout the tissue regeneration process.

Naturally cross linked
Cellis is gently purified leaving a naturally cross linked collagen framework which is recognised by the body as a native matrix ready to be populated.

Preservative free
The naturally cross linked collagen matrix is freeze-dried without the use of preservatives. Cellis does not elicit a foreign body reaction as it is does not contain chemicals such as Polysorbate-20 which, if present, could lead to implant degradation.

Competitively priced
Cellis is around half the price of leading competitors on the market allowing use of a biologic implant without the associated high cost.

Excellent suturing and handling properties

SIZE

PRODUCT CODE

THICKNESS

SHAPE

 

10 cm x 15 cm

 

C1015E

 

1.4mm

 

Abdominal

15 cm x 20 cm

C1520E

1.4mm

Abdominal

18 cm x 25 cm

C1825E

1.4mm

Abdominal

20 cm x 30 cm

C2030E

1.4mm

Abdominal

30 cm x 30 cm

C3030E

1.4mm

Abdominal

20 cm x 50 cm

C2050E

1.4mm

Abdominal

30 cm x 40 cm

C3040E

1.4mm

Abdominal

 

 

 

 

8 cm x 8 cm

CS88F

0.9mm

Stoma

10 cm x 10 cm

CS1010F

0.9mm

Stoma

 

 

 

 

8 cm x 8 cm

CH88E

1.4mm

Hiatus

10 cm x 10 cm

CH1010E

1.4mm

Hiatus

Bioprosthetic Mesh reinforcement during temporary stoma closure decreases the rate of incisional hernia: A blinded, case matched study in 94 patients with rectal cancer
Léon Maggiori MD, David Moszkowicz, MD, Magaly Zappa, MD, Cécile Mongin, MD, and Yves Panis, MD, PHD, Clichy, France


Background: This case matched study aimed to assess the feasibility and potential benefits of the placement of a prophylactic collagen porcine dermis mesh during the closure of a temporary ileostomy after total mesorectal excision (TME) for rectal cancer.


Results: On 1 year follow up, incisional hernia at the site of the stoma closure was less in the mesh group compared with the controlled group. Reoperation for incisional hernia was performed in 8 patients from the control group, whereas no patient from the mesh group required reoperation.

Conclusion: Prophylactic placement of a collagen porcine dermis mesh during closure of the temporary ileostomy after laparoscopic TME for rectal cancer seems to decrease the chance of hernia formation, at least at one year follow up.


Click here to view the full article

 

Prospective study of single-stage repair of contaminated hernias using a biologic porcine tissue matrix: The RICH Study
Kamal M. F. Itani, MD, FACS, Michael Rosen, MD, FACS, Daniel Vargo, MD, FACS, Samir S. Awad, MD, FACS, George DeNoto III, MD, FACS, Charles E. Butler, MD, FACS, and the RICH Study Group

Technique: Open single staged repair of a grade 3 or 4 ventral hernia using Strattice. Hernia size = less than or equal to 9cm2 by physical examination and reparable using a single sheet (up to 20x20 cm).
Number of patients – 80
Number where facia to facia closure was achieved – 64
Number of patients who were bridged - 16
Number of Grade 3's – 60
Number of Grade 4's – 20

Results:

 

12 months

24 months

Fascial closure (Total 64)

 

15 (23%)

Bridging (Total 16)

6 (36%)

7(44%)

Fascia-to-fascia closure (reinforced repair) was achieved in the majority of cases but after 24 months 23% of patients had their hernia recur.
In the group that were bridged, 6 out of 16 patients (36%) had their hernia recur in 12 months and by 24 months 44% of patients had.


Discussion: Fascia-to-fascia closure (reinforced repair) was achieved in the majority of patients in the study; however, patients who had inadequate abdominal wall muscle or fascia to obtain fascial closure were bridged, and such patients experienced a greater rate of hernia recurrence.

The study found that over a 24 month period, the risk or recurrence almost doubles when using the bridge technique opposed to getting closure of the midline.

Click here to view the full article

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Related products:

› IFABond Laparoscopic Hernia Glue

› 4D Ventral Mesh

› MotifMESH™

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tel. 0844 412 0020

fax. 0844 412 0021

int. +44 (0) 1488 649 829

email. info@elementalhealthcare.co.uk