Table 1. ADMs and synthetic meshes commonly used in IBBR.
Category | Product name | Source/material | Details |
---|---|---|---|
ADM | Alloderm | Human dermis | Freeze-dried, aseptic, requires refrigeration and rehydration prior to use |
Alloderm RTU | Sterile, pre-hydrated, two-minute soak only | ||
Alloderm contour fenestrated | Sterile, pre-hydrated, crescent shape to ease use and fenestrated to allow passage of any periprosthetic fluid | ||
FlexHD | Pre-hydrated | ||
DermaMatrix | Freeze-dried aseptic, requires rehydration | ||
CGDerm | Freeze dried, requires 20 minutes’ rehydration | ||
CGCryoDerm | Frozen but not dried, only required three minutes’ soak in saline | ||
Strattice | Porcine dermis | Sterile | |
Protexa | Porcine dermis | Sterile | |
Surgimend | Bovine dermis | Sterile | |
Other biologics | Veritas Meso BioMatrix |
Bovine pericardium Porcine preitoneum |
Fenestrated mesh made of decellularised pericardium Derived from porcine mesothelium |
Synthetic mesh | TiLOOP bra | Titanised polypropelene | Non-absorbable mesh |
TIGR mesh | Absorbable mesh | Macropourous mesh made of two types of co-polymer fibres | |
Vicryl Mesh | Absorbable mesh | Dissolves rather than integrates into tissue | |
Other materials | SERI silk | Multifilament silk mesh | Behaves like an ADM in vivo allowing in-growth of new tissue |