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Bard 3D Max vs ProGrip Polyester and Polypropylene?
After doing much research, I have found that most surgeons in my area use mostly use Bard 3D Max or ProGrip when it comes to a laparoscopic approach.
What are the pros and cons of each? And is the polypropylene version of ProGrip more preferred than its polyester version?
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3 Replies
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Looking at Medtronic’s webpage on the advantages of ProGrip, are they substantiated? It seems no fixation required as compared to Bard 3D Max, and almost half is reabsorbed along with the microgrips. But does the microgrips cause more inflammation? I suppose this is the acommodation that is required. Thus, would ProGrip be technically more preferable overall? Thoughts?
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Polypropylene Progrip is not indicated for laparoscopic repair by Medtronic. So you can only really compare Bard 3D Max with polyester Progrip.
Unfortunately, you can find supposed “studies” around the medical research world that will support either over the other.
Also, many of the studies are not actually comparisons of the materials but studies of fixation versus no fixation. Even though BD’s own literature says that fixation in not necessary for 3D MAx.
Sorry. There is no simple answer.
https://www.bd.com/en-us/products-and-solutions/products/product-families/3dmax-mesh#overview
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I am with Chuck on this one, when I go back for revision surgery Dr.Billings advised that if a repair is needed he will do it via open surgery instead of Lap as well. He said a tissue repair/Sutures is better done via open incision instead of lap.
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