2021 Volume 41 Issue 6 Pages 495-498
A 36-year-old woman had undergone laparoscopic hernia repair for a broad ligament hernia at our hospital 1 year and 1 month ago. During the surgery, a defect was found in the right broad ligament of the uterus, which was closed by continuous suture with an absorbable thread. Subsequently, the patient was admitted to our hospital complaining of sudden abdominal pain, and an abdominal CT revealed a broad ligament hernia. Emergency laparoscopic repair was performed again under the diagnosis of recurrent broad ligament hernia. As at the previous surgery, a defect was found again in the right broad ligament of the uterus, and no evidence of the absorbable thread used in the previous operation could be found. The operation was completed by closure with a continuous suture using non-absorbable thread. Defects in the broad ligament causing uterine herniation are mainly closed, as in the case of other internal hernias, using absorbable sutures. However, there have been reports of recurrence following closure with an absorbable thread, as in this case, so that there is some doubt about the certainty of the technique; one possible reason is failure of adhesion of the apposed serosal surfaces of the uterine ligament even after suture using an absorbable thread. Therefore, we believe that non-absorbable thread should be used for the suture.
