Dr Bruce Farnsworth

Pelvic Reconstructive Surgeon

 

 

 

  

 

            CR Mesh for Cystocoele and Rectocoele

CR Mesh 

 

Declaration of Pecuniary Interest: The A.M.I. Advanced Pelvic Floor System available in Europe and many other parts of the world has been developed by Dr Bruce Farnsworth at the Centre for Pelvic Reconstructive Surgery at Sydney Adventist Hospital based on his personal experience with implantation of over 1500 patients with prostheses in pelvic surgery since 1996. 

CR Mesh 

CR Mesh has been designed to restore fascial support to either the anterior or posterior vaginal compartment. It has a number of features which have been designed to make it less likely to cause mesh related complications after surgery. These features are advances from previous techniques that have proven to be successful in reducing the risk of mesh related complications. They include:

  • lightweight low density monofilament mesh structure - the main body of the mesh is made up of a very low density wide weave macroporous monofilament polypropylene. This mesh has already been shown to have a reduced risk of mesh related complications.
  • strong non distensible upper vaginal slings for lateral attachment
  • independent attachment of mesh components - no glue, sutures or rivets left within the patient
  • high apical suspension accurately recreates the uterosacral ligaments - the origin of the uterosacral ligaments is recreated by attaching the apical support to a point at the medial end of the sacrospinous ligament within a few millimetres of the sacrum on each side
  • firm lateral attachments with permanent muscle fixation - lateral fixation to the obturator foramen anteriorly and the levator complex posteriorly ensures that upper vaginal support is restored
  • independent bladder neck and perineal reconstruction - both the bladder neck and perineal body are directly reattached to the sacrum
  • complete flexibility and adjustability to customise mesh for each patient - mesh length is adjusted as a part of the procedure. The mesh is tailored to fit the patient rather than the patient is made to fit the mesh
  • reusable instrumentation - fully autoclavable steel trocars can be used indefinitely
  • specialised instrument for multiple apical fixations

CR Mesh received approval in the European Community when the CE Mark was obtained in November 2007. The CR Mesh achieved TGA Approval in Australia in August 2008.

CR Mesh is manufactured by A.M.I. GmbH Feldkirch Austria. 

It is a component of the A.M.I. Advanced Pelvic Floor Repair System.