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The Lap-Band is a prosthetic device made out of silastic, an inert material that has been used in medical devices for decades. It does not break down or detoriate over time and can be safely left inside the body for life. The Lap-Band is designed not to leak and has not shown deterioration in any report studies.
if the balloon is where the leak is, then yes the band needs to be replaced. but if the leak is somewhere else, its basically just the source of the leak that needs to be fixed or replaced. sometimes the connections are not tight, or commonly the leak is at or near the port
If the leak is from the balloon part of the Band, the band needs to be replaced. There are only two causes of this type of leakage; the most common cause would be damage during placement of the band (needle puncture). The other would be a manufacturing defect (highly unlikely).