The ONSTEP inguinal hernia repair technique

Česká verze

Authors: L. Kohoutek ¹; J. Musil ¹; P. Plecháčová ¹; A. Gryga ²
Authors place of work: Chirurgické oddělení, Nemocnice Frýdlant, s. r. o., primář: MUDr. L. Kohoutek ¹; Chirurgické oddělení, Nemocnice Prostějov, a. s., primář: MUDr. A. Gryga, CSc. ²
Published in the journal: Rozhl. Chir., 2015, roč. 94, č. 4, s. 152-155.
Category: Souhrnné sdělení

Summary

The ONSTEP (Open New Simplified Totally Extraperitoneal) inguinal/femoral hernia repair technique is an innovative procedure presented by Portuguese surgeons Augusto Lourenço and Rui Soares da Costa within the EHS/AHS Congress in March 2012.

The first institutions to perform this kind of hernia surgery in the Czech Republic are the Department of Surgery at Prostejov Hospital and the Department of Surgery at Frydlant Hospital.

The ONSTEP technique represents a minimally traumatizing frontal approach to inguinal hernia repair using a special self-expanding mesh patch (an oval, anatomically-shaped moderate-pore polypropylene mesh with the circumferential memory-ring consisting of polyethylene terephthalate). The main advantages of this method are: short duration of surgery, the possibility of performing the procedure under local anaesthesia, short recovery time and rapid return to daily activities, low incidence of chronic post-operative groin pain, low recurrence rate, short hospital stay, good cosmetic effect and a low price. It is suitable for institutions performing outpatient surgery.

Key words:
inguinal hernia − repair technique − ONSTEP

Zdroje

1. Zeman M, et al. Speciální chirurgie, 1. vyd. Praha, Galén 2001:209−16.

2. Ústav zdravotnických informací a statistiky ČR. Hospitalizovaní v nemocnicích ČR 2012.

3. Lourenço A, da Costa RS. The ONSTEP hernia repair technique: initial clinical experience of 693 patients, in two institutions. Hernia 2013;17:357–64.

4. Andresen K, Burcharth J, Rosenberg J. The initial experience of introducing the Onstep technique for inguina hernia repair in a general surgical department [online]. Scand J Surg 2015 [cit. 2015-02-03]. Dostupný z http://sjs.sagepub.com/content/early/2014/04/22/1457496914529930.full.

5. Koning GG, Keus F, Koeslag L, et al. Randomized clinical trial of chronic pain after the transinguinal preperitoneal technique compared with Lichtenstein’s method for inguinal hernia repair. Br J Surg 2012; 99:1365–73.

6. Eklund AS, Montgomery AK, Rasmussen IC, et al. Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomised, multicenter trial with 5-year follow-up. Ann Surg 2009;249:33–8.

7. Amid PK. The Lichtenstein repair in 2002: an overview of causes of recurrence after Lichtenstein tension-free hernioplasty. Hernia 2003;7:13–6.

8. Douek M, Smith G, Oshowo A, et al. Prospective randomised controlled trial of laparoscopic versus open inguinal hernia mesh repair, five year follow up. BMJ 2003;326:1012–3.

9. O‘Reilly EA, Burke JP, O‘Connell PR. A meta-analysis of surgical morbidity and recurrence after laparoscopic and open repair of primary unilateral inguinal hernia. Ann Surg 2012;255:846−53.

10. Faraj D, Ruurda JP, Olsman JG, et al. Five-year results of inguinal hernia treatment with the Prolene Hernia System in a regional training hospital. Hernia 2010;14:155−8.

11. Awad SS, Yallampalli S, Srour AM, et al. Improved outcomes with the Prolene Hernia System mesh compared with time-honored Lichtenstein onlay mesh repair for inguinal hernia repair. Am J Surg 2007;193:697–701.

12. Schumpelick V, Fitzgibbons RJ. Hernia repair sequelae, Berlin, Heidelberg, Springer 2010:51–3.

13. Rollino R, Pagella R, Maimone MR. Experience with the Trabucco tension-free sutureless hernioplasty. Hernia 2000;4:290–1.

14. Ripetti V, La Vaccara V, Greco S, et al. Randomised trial comparing Lichtenstein vs Trabucco vs Valenti techniques in hernia repair. Hernia 2014;18:205–12.