[Côme]

Update : so it seems that Monomax isn’t suitable for inguinal hernia because its elasticity is too high, it is used to abdominal wall closure. Therefor it seems that, at this moment, only polydioxanone (PDS) is suitable as an absorbable thread for inguinal hernia.

Did anyone had polydioxanone sutures ? Feedback ?

[Côme]

Thank you for your answer.

Based on what I’ve read, the recurrence risk is pretty much the same. There isn’t much recent study, but from the 4 studies I could find, one states clearly comparing non-absorbable polypropylene or absorbable polydioxanone suture threads : “Recurrence rates in both groups were higher than expected, but there was no difference between the two groups.” ( https://pubmed.ncbi.nlm.nih.gov/10365834 )

I’m still hesitating on that. And while most studies seem reassuring, most surgeons seem to be afraid of that, so it creates a gap between surgeon’s feedbacks and scientifical studies, make it hard to decide.

Here too, not directly about inguinal hernia but for abdominal closure : “Conclusion Primary and secondary outcomes manifested that PD Synth and PDS slowly
absorbed polydioxanone sutures are clinically equivalent, and can be
used for abdominal fascial closure following midline laparotomy.” https://pubmed.ncbi.nlm.nih.gov/38205458/

And of course the Desarda study of polydioxanone suture with no reccurence : https://pubmed.ncbi.nlm.nih.gov/19568520/

I found the old study (1996) that states 5.22% reccurence (but not sure if it is Polyglycolic sutures or PDS sutures) rate compared to iron wires in Shouldice, but since then most studies seem to prove otherwise compared to prolene sutures…

My surgeon told me he would let me choose as long as I understand the risk. But this divergence between studies and surgeons make it hard to decide.