alexa Long-Term Follow-Up of a Large Series of Patients Following ONSTEP Inguinal Hernia Repair
ISSN: 2167-0870

Journal of Clinical Trials
Open Access

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Research Article

Long-Term Follow-Up of a Large Series of Patients Following ONSTEP Inguinal Hernia Repair

Augusto Lourenço1,2* and RS da Costa2,3
1Faculty of Healthcare Sciences, Beira Interior University, Covilhã, Portugal
2General Surgery Department, Sousa Martins Hospital, Guarda, Portugal
3Ambulatory Surgery Unit, São João Hospital Centre, Medical College of Porto University, Porto, Portugal
*Corresponding Author : Augusto Lourenço
General Surgery Department, Sousa Martins Hospital
Av. Raínha D. Amélia, 6300 Guarda, Portugal
Tel: 00351914866384
E-mail: [email protected]
Received date: January 11, 2016; Accepted date: March 05, 2016; Published date: March 12, 2016
Citation: Lourenço A, da Costa RS (2016) Long-Term Follow-Up of a Large Series of Patients Following ONSTEP Inguinal Hernia Repair. J Clin Trials 6:256. doi:10.4172/2167-0870.1000256
Copyright: © 2016 Lourenço A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Purpose: Long-term (3-5 years) results following inguinal hernia repair in a large series of patients using a novel technique-the ONSTEP approach-are presented. In particular, the recurrence rate, long-term complications and patient satisfaction with the procedure are discussed.
Methods: Adult patients underwent ONSTEP inguinal hernia repair using a PolySoft™ hernia patch. All procedures were performed by one of two surgeons. Patients were followed up for 3-5 years for recurrences and complications, including chronic and residual pain. Patients were also asked to rate their satisfaction with the procedure.
Results: Data were available from 398 hernia repair procedures in 314 patients at the 3-5-year follow-up. The overall recurrence rate was 2.0% (8/398). Additionally, there were 14 cases (3.5%; 14/398) of residual pain and 5 cases (1.3%; 5/398) of wound infection. No patients experienced chronic pain and there were no cases of mesh infection. Patient satisfaction with the ONSTEP procedure was high, with 94.9% of patients rating it as excellent, very good or good.
Conclusions: ONSTEP inguinal hernia repair produced consistent results in the long term, and was associated with a low recurrence rate, only minor complications and no chronic pain. The procedure offers an alternative approach to both Lichtenstein and laparoscopic repair.

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