Early strength and long-term comfort

The 4DMesh concept lies in the 75% Poly-L-Lactic Acid (PLLA) resorption which initially provides maximal strength to prevent early recurrences and in the long-term, leaves a small amount of material and persistent tensile strength for patient comfort.

‍Partially resorbable:‍

• 75% PLLA / 25% Polypropylene
• 75% resorption rate

Optimised fibrosis

PLLA combined with polypropylene leads to an absence of mesh shrinkage and lower inflammation. This provides a better tolerance in comparison to 100% polypropylene meshes. The in-vivo animal study also shows earlier and higher amounts of collagen fibres being developed, providing early support for abdominal wall repair.

Easy to place...

...specifically in laparoscopy, thanks to the hydrophilic attribute of PLLA that holds the mesh in place against the abdominal wall.

Ease of placement:

• Transparent with landmark
• Lightweight
• Hydrophilic material with gripping effect

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Unique anatomical design:

• Optimal stability
• Requires less fixation

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Clinical papers include:

TanakaK., Mutter D., Inoue H., Lindner V., Bouras G., Forgione A., Leroy J.,Aprahamian M., Marescaux J. In Vivo evaluation of a new composite mesh 10%Polypropylene/90% Poly-L-Lactic Acid for Hernia Repair. J Mater Sci: Mater Med2007 ; 18 : 991-999. Animal study.

Preliminary results from ongoing multicenter 4DMesh® clinicalstudy - Club Hernie registry.

Manufactured by: Cousin Biotech

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Complementary ranges include:

• IFABond Laparoscopic Surgical Glue
• Cousin Hernia Meshes
• Cellis Biological Matrix