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
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.|
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.