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Smirnov A.V.

Volgograd State Medical University, Volgograd, Russia

Petrov D.Iu.

Kafedra khirurgii fakul'teta fundamental'noĭ meditsiny Moskovskogo gosudarstvennogo universiteta im. M.V. Lomonosova

Panin A.V.

Clinical Hospital "Lapino"

Dubrovsky A.V.

Chair of Surgery, Faculty of Basic Medicine, M.V. Lomonosov Moscow State University;
Clinical Hospital "Lapino" Odintsovo, Moscow region

Nemkova A.I.

Lomonosov Moscow State University, Faculty of Fundamental Medicine, Department of Surgery, Moscow, Russia

ONSTEP procedure for inguinal hernia repair

Authors:

Smirnov A.V., Petrov D.Iu., Panin A.V., Dubrovsky A.V., Nemkova A.I.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2018;(10): 12‑17

DOI: 10.17116/hirurgia201810112

Views: 1703

Downloaded: 41

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Table of contents

ONSTEP PROCEDURE FOR INGUINAL HERNIA REPAIR
ONSTEP PROCEDURE FOR INGUINAL HERNIA REPAIR

To cite this article:

Smirnov AV, Petrov DIu, Panin AV, Dubrovsky AV, Nemkova AI. ONSTEP procedure for inguinal hernia repair. Pirogov Russian Journal of Surgery. 2018;(10):12‑17. (In Russ.)
https://doi.org/10.17116/hirurgia201810112

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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Aim. To evaluate early and long-term outcomes of ONSTEP procedure including their comparison with those of Liechtenstein hernia repair. Material and methods. The study consists of 2 parts — retrospective and prospective. There were 472 patients in retrospective part. Prospective analysis included 30 patients after ONSTEP hernia repair and 30 patients after Liechtenstein procedure. Results. Postoperative complications and chronic pain syndrome occurred in 2.9% and 0.4% of cases after ONSTEP surgery, respectively. Moreover, ONSTEP procedure was followed by 2 cases or recurrence. There were no any significant differences between ONSTEP and Liechtenstein procedures. Conclusion. ONSTEP technique is highly effective and safe procedure that can be used in inguinal hernia management.

Keywords:

inguinal hernia
ONSTEP hernia repair
preperitoneal hernia repair
Liechtenstein procedure

Authors:

Smirnov A.V.

Volgograd State Medical University, Volgograd, Russia

Petrov D.Iu.

Kafedra khirurgii fakul'teta fundamental'noĭ meditsiny Moskovskogo gosudarstvennogo universiteta im. M.V. Lomonosova

Panin A.V.

Clinical Hospital "Lapino"

Dubrovsky A.V.

Chair of Surgery, Faculty of Basic Medicine, M.V. Lomonosov Moscow State University;
Clinical Hospital "Lapino" Odintsovo, Moscow region

Nemkova A.I.

Lomonosov Moscow State University, Faculty of Fundamental Medicine, Department of Surgery, Moscow, Russia

List of references:

  1. HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018.
  2. Nguyen DK, Amid PK, Chen DC. Groin Pain After Inguinal Hernia Repair. Adv Surg. 2016;50(1):203-220.
  3. Andresen K, Rosenberg J. Open preperitoneal groin hernia repair with mesh: A qualitative systematic review. Am J Surg. 2017;213(6):1153-1159.
  4. Lourenço A, da Costa RS. The ONSTEP inguinal hernia repair technique: initial clinical experience of 693 patients, in two institutions. Hernia. 2013;17(3):357-364.
  5. Andresen K, Burcharth J, Fonnes S, Hupfeld L, Rothman JP, Deigaard S, Winther D, Errebo MB, Therkildsen R, Hauge D, Sørensen FS, Bjerg J, Rosenberg J. Chronic pain after inguinal hernia repair with the ONSTEP versus the Lichtenstein technique, results of a double-blinded multicenter randomized clinical trial. Langenbecks Arch Surg. 2017;402(2):213-218.
  6. Andresen K, Burcharth J, Fonnes S, Hupfeld L, Rothman JP, Deigaard S, Winther D, Errebo MB, Therkildsen R, Hauge D, Sørensen FS, Bjerg J, Rosenberg J. Sexual dysfunction after inguinal hernia repair with the Onstep versus Lichtenstein technique: A randomized clinical trial. Surgery. 2017;161(6):1690-1695.
  7. Rosenberg J, Andresen K. The Onstep Method for Inguinal Hernia Repair: Operative Technique and Technical Tips. Surg Res Pract. 2016;2016:6935167.
  8. Andresen K, Burcharth J, Fonnes S, Hupfeld L, Rothman JP, Deigaard S, Winther D, Errebo MB, Therkildsen R, Hauge D, Sørensen FS, Bjerg J, Rosenberg J. Short-term outcome after Onstep versus Lichtenstein technique for inguinal hernia repair: results from a randomized clinical trial. Hernia. 2015;19(6):871-877.
  9. Öberg S, Andresen K, Rosenberg J. How to Surgically Remove the Permanent Mesh Ring after the Onstep Procedure for Alleviation of Chronic Pain following Inguinal Hernia Repair. Case Rep Surg. 2016;2016:5209095.
  10. Öberg S, Andresen K, Hauge D, Rosenberg J. Recurrence mechanisms after inguinal hernia repair by the Onstep technique: a case series. Hernia. 2016;20(5):681-685.
  11. Ivanov YuV, Panchenkov DN, Afonina NS, Chugunov VS, Zinovsky MV. Medico-economic approaches to the choice of the method of surgical treatment of inguinal hernias in modern conditions of insurance medicine. Bulletin of Experimental and Clinical Surgery. 2016;IX:1:10-18. (In Russ.)

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