TiLOOP® LLS Dubuisson and LLS H Dubuisson

The titanised mesh implant TiLOOP® LLS Dubuisson is used for laparoscopic lateral suspension (LLS) for uterus preservation and the TiLOOP® LLS H Dubuisson after hysterectomy. Laparoscopic lateral suspension (LLS) according to Dubuisson results in safe, successful defect therapy in both the apical and anterior compartments. LLS offers an alternative to sacrocolpopexy.
Benefits
Safe Compared to sacrocolpopexy, anchoring the mesh at the Os sacrum is no longer required. Therefore, the risk of injury in this area is avoided.1,2
- No foreign material on the periosteum, no danger of periostitis
- Lumbar pain is avoided
- Iliac blood vessels, aorta, vena cava and ureter in the region of the promontory are not injured
- Minimised risk of irritations or injuries of the hypogastric plexus
- Minimal risk of gut-mesh adhesion
- Minimal risk of erosion (Image: 1)
Anatomically and symptomatically successful
- Cranial central rather than posterior apex suspension: physiological suspension compared to sacrocolpopexy
- Tension-free lateral suspension without anchoring
- In the anterior and apical compartments, 93.6 % success rate1 (Image: 2)
- Minimal dyspareunia rate1,3
- Positive effect on obstipation problems
Simple, standardised surgical technique
- Minimal opening of the peritoneum
- Simple sub peritoneal tunnelling, no anchoring of the mesh arms to ligamentous structures
- No preparation of the sacral promontory or other ligamentous connections
- Individual, tension-free adjustment of the mesh after lateral, extraperitoneal positioning of the mesh arms
Details
- Titanised type 1a polypropylene mesh
- Microporous: 1 mm pore size
- Lightweight: 65g/m²
- Monofilament fabric
- Laser-cut, atraumatic edges
- Non-resorbable
Practice
Knowledge
In addition to the skills of the surgeon, the quality of the mesh material used determines the quality of a lasting and anatomically stable descensus repair. TiLOOP® mesh implants are made of type 1a polypropylene mesh (microporous & monofilaments) with a titanised, hydrophilic surface. Compared to simple polypropylene, this offers many advantages, which are already known in the use of titanised mesh implants for hernia surgery:
Application Range
- Prolapse in the central and/or apical compartment
- Central cystocele
- Hysterocele
- Prolapsed uterus
- Vaginal prolapse after hysterectomy
- Up to Grade IV
Ordering Information
REF | Marking | Application | Length | VPE |
---|---|---|---|---|
6000745 | TiLOOP® LLS Dubuisson | For uterus preservation | 51.5 cm | 1 |
6001358 | TiLOOP® LLS H Dubuisson | After hysterectomy | 51.5 cm | 1 |
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Literature
1 Veit-Rubin, N., et al., Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients. Int Urogynecol J, 2017. 28(11): p. 1685-1693
2 Dubuisson, J.B., et al., Treatment of genital prolapse by laparoscopic lateral suspension using mesh: a series of 73 patients. J Minim.Invasive.Gynecol., 2008. 15(1): p. 49-55
3 Dubuisson, J., et al., Laparoscopic repair of vaginal vault prolapse by lateral suspension with mesh. Arch Gynecol Obstet, 2013. 287(2): p. 307-12