the Risks of Hernia Mesh Failure and Absorption - Urology

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If the suture of the hernia sac internal ring breaks?


I am currently 33 years old.
When I was about 16, I underwent a traditional high ligation surgery for an inguinal hernia on the right side, resulting in a scar approximately 11 centimeters long.
The scar has always felt a bit firm.
A few days ago, I massaged the lower part of the scar by applying pressure in a circular motion with my fingers, using a bit of force.
After a while, I suddenly heard a sound similar to a "pop," which I thought might be the sound of a suture breaking, but I couldn't tell if it was from my pants, underwear, or the hernia sutures.

1.
I would like to ask if the breaking of the suture that was used to ligate the hernia sac could potentially lead to a recurrence of the hernia?
2.
Additionally, is it possible for the suture material to be absorbed by the body after so many years? I found conflicting information online regarding this.

Thank you for your response, doctor.

KEN, 30~39 year old female. Ask Date: 2020/05/03

Dr. Du Shixi reply Urology


Hello: The situation you described is unlikely.
Generally, any retained materials from surgery will integrate with the body's tissues rather than existing separately as one might imagine.
Whether the body absorbs these materials depends on their composition.
Typically, such rings will be encapsulated by the body's tissues and may feel somewhat firm to the touch.
Wishing you good health.

Reply Date: 2020/05/03

More Info


Hernia repair surgery, particularly using mesh, is a common procedure aimed at preventing the recurrence of hernias. However, understanding the risks associated with hernia mesh failure and absorption is crucial for patients who have undergone this surgery.

1. Potential for Hernia Recurrence: If the sutures or mesh used during the initial surgery were to fail or break, there is indeed a possibility of hernia recurrence. The sound you described, akin to a “pop,” could be concerning, especially if it was accompanied by any unusual sensations or pain in the area. While it’s not definitive that the sound was related to the sutures, if the sutures that hold the mesh or tissue together were compromised, it could lead to a weakening of the abdominal wall and potentially allow a hernia to recur. It is essential to monitor for any signs of a hernia returning, such as a bulge in the groin area, pain, or discomfort, especially during physical activities or straining.

2. Absorption of Sutures: Regarding the absorption of sutures, it depends on the type of sutures used during your surgery. Many modern sutures are made from materials that are designed to be absorbable, meaning they are gradually broken down and absorbed by the body over time. However, non-absorbable sutures, which are often used in hernia repairs, are intended to remain in the body indefinitely. If absorbable sutures were used, they typically dissolve within a few weeks to months after surgery. However, the body’s response to these materials can vary, and in some cases, the sutures may not fully dissolve, leading to potential complications.

3. Long-term Effects and Monitoring: It’s important to note that scar tissue can form around the surgical site, which may feel hard or tight. This is a normal part of the healing process, but if you notice changes in the scar or experience new symptoms, it’s advisable to consult with your surgeon or a healthcare professional. They may recommend imaging studies, such as an ultrasound or CT scan, to assess the integrity of the repair and determine if there are any complications.

4. Next Steps: If you have concerns about the integrity of your hernia repair, especially after experiencing a sound or sensation that is unusual, it is crucial to seek medical advice. A healthcare professional can provide a thorough evaluation and determine if further intervention is necessary. They can also discuss the risks and benefits of any potential treatments, including surgical options if a recurrence is confirmed.

In conclusion, while the sound you heard may not necessarily indicate a problem, it is essential to remain vigilant about any changes in your body following hernia repair surgery. Regular follow-ups with your healthcare provider can help ensure that any issues are addressed promptly, and you can maintain your health and well-being.

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