Abstract
The ONSTEP technique for inguinal hernia repair was developed by two surgeons from Portugal, Lorenzo and da Costa [1]. For several years there has been a trend toward placing the mesh in the preperitoneal space rather than below the external aponeurosis as in the Lichtenstein repair. The reason for this has been reports of reduced pain after surgery, especially levels of chronic pain, with the preperitoneal mesh replacement as in laparoscopic repair [2].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Lourenço A, da Costa RS. The ONSTEP inguinal hernia repair technique: initial clinical experience of 693 patients, in two institutions. Hernia. 2013;17:357–64.
Sevonius D, Montgomery A, Smedberg S, Sandblom G. Chronic groin pain, discomfort and physical disability after recurrent groin hernia repair: impact of anterior and posterior mesh repair. Hernia. 2016;20:43–53.
Pélissier EP, Ngo P, Gayet B. Transinguinal preperitoneal patch (TIPP) under local anesthesia with sedation. Am Surg. 2011;77:1681–4.
Lange JF, Lange MM, Voropai DA, et al. Trans rectus sheath extra-peritoneal procedure (TREPP) for inguinal hernia: the first 1,000 patients. World J Surg. 2014;38:1922–8.
Andresen K, Burcharth J, Rosenberg J. Lichtenstein versus Onstep for inguinal hernia repair: protocol for a double-blinded randomised trial. Dan Med J. 2013;60:A4729.
Andresen K, Burcharth J, Rosenberg J. Onstep versus laparoscopy for inguinal hernia repair. A protocol for a randomized clinical trial. Dan Med J. 2015;62:A5169.
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):681–5.
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. article ID 5209095.
Andresen K, Burcharth J, Rosenberg J. The initial experience of introducing the Onstep technique for inguinal hernia repair in a general surgical department. Scand J Surg. 2015;104:61–5.
Marinis A, Psimitis I. The open new simplified totally extra-peritoneal (ONSTEP) inguinal hernia repair: initial experience with a novel technique. Hell Cheirourgike. 2014;86:362–7.
Kohoutek L, Musil J, Plechâcovâ P, Gryga A. Operace tfïselné kyly technikou ONTEP [The ONSTEP inguinal hernia repair technique]. Rozhl Chir. 2015;94:152–5.
World Health Organization. International Clinical Trials Registry Platform. http://apps.who.int/trialsearch. Accessed 21 Dec 2015.
Andresen K, Burcharth J, Fonnes S, et al. Short-term outcome after Onstep versus Lichtenstein technique for inguinal hernia repair: results from a randomized clinical trial. Hernia. 2015;19:871–7.
Andresen K, Burcharth J, Fonnes S, et al. Sexual dysfunction after inguinal hernia repair with Onstep versus Lichtenstein technique: a randomized clinical trial. Hernia. 2016;161(6):1690–5.
Rosenberg J, Andresen K, Laursen J. Team training (training at own facility) versus individual surgeon’s training (training at trainer’s facility) when implementing a new surgical technique: example from the ONSTEP inguinal hernia repair. Surg Res Pract. 2014;2014:762761.
Andresen K, Laursen J, Rosenberg J. Difficulties and problematic steps in teaching the Onstep technique for inguinal hernia repair - results from a focus group interview. Surg Res Pract. 2016;2016:4787648.
Medical Research Council Laparoscopic Groin Hernia Trial Group. Cost-utility analysis of open versus laparoscopic groin hernia repair: results from a multicentre randomized clinical trial. Br J Surg. 2001;88:653–61.
Rosenberg J, Bisgaard T, Kehlet H, et al. Danish Hernia Database recommendations for the management of inguinal and femoral hernia in adults. Dan Med Bull. 2011;58:C4243.
Miserez M, Peeters E, Aufenacker T, et al. Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2014;18:151–63.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Rosenberg, J., Andresen, K. (2018). Open New Simplified Totally Extraperitoneal (ONSTEP) Technique for Inguinal Hernia Repair. In: Campanelli, G. (eds) The Art of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-72626-7_30
Download citation
DOI: https://doi.org/10.1007/978-3-319-72626-7_30
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-72624-3
Online ISBN: 978-3-319-72626-7
eBook Packages: MedicineMedicine (R0)