ArticleHernia : the journal of hernias and abdominal wall surgery2013
The ONSTEP inguinal hernia repair technique: initial clinical experience of 693 patients, in two institutions.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04138329 (Comparison of Postoperative Inguinal Pain Between the Onstep Technique and the Lichtenstein Technique), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of Postoperative Inguinal Pain Between the Onstep Technique and the Lichtenstein Technique: A Randomized Controlled Study.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Open new simplified totally extraperitoneal (ONSTEP) versus Lichtenstein repair for primary inguinal hernias.Annals of the Royal College of Surgeons of England · 2021Trial
- Postoperative inguinal pain and disability after Lichtenstein versus ONSTEP hernia repair: analysis of responses to the inguinal pain questionnaire in Spanish.Surgery today · 2021Trial
- Chronic pain after inguinal hernia repair with the ONSTEP versus the Lichtenstein technique, results of a double-blinded multicenter randomized clinical trial.Langenbeck's archives of surgery · 2017Trial
- Short-term outcome after Onstep versus Lichtenstein technique for inguinal hernia repair: results from a randomized clinical trial.Hernia : the journal of hernias and abdominal wall surgery · 2015Trial
- Groin Hernia Repair, the History of the Open Pre-Peritoneal Route Towards a Minimally Invasive Approach. Narrative Review.Journal of abdominal wall surgery : JAWS · 2025Review
- Comparison and Standardisation of Various Open Preperitoneal Techniques in Inguinal Hernia Surgery-Results of a Review and Consensus.Journal of abdominal wall surgery : JAWS · 2025Review
- Novel modification of Marcy operation for indirect inguinal hernia reconstituting deep inguinal ring shutter action.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- A registry-based 2-year follow-up comparative study of two meshes used in transinguinal preperitoneal (TIPP) groin hernia repair.Langenbeck's archives of surgery · 2021Article
- A Rare Case of a Migrating Inguinal Hernia Mesh Presenting as Acute Appendicitis.Case reports in surgery · 2021Article
- Reply to comment to: Recurrence mechanisms after inguinal hernia repair by the Onstep technique: a case series.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Comment to: Recurrence mechanisms after inguinal hernia repair by the Onstep technique: a case series.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- [Inguinal and femoral hernia surgery : Open mesh procedure. Video article].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Article
- Recurrence mechanisms after inguinal hernia repair by the Onstep technique: a case series.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- How to Surgically Remove the Permanent Mesh Ring after the Onstep Procedure for Alleviation of Chronic Pain following Inguinal Hernia Repair.Case reports in surgery · 2016Article
- Difficulties and Problematic Steps in Teaching the Onstep Technique for Inguinal Hernia Repair, Results from a Focus Group Interview.Surgery research and practice · 2016Article
- 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.Surgery research and practice · 2014Review
Corrections and comments
- Commented on by
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeExperience with a novel hernioplasty procedure--the ONSTEP approach--for inguinal hernia repair in a large series of patients performed by two surgeons at two institutions is described, focusing in particular on the duration of surgery, the time taken to return to normal activities, chronic pain, complication and recurrence rates.
methodsAdult patients underwent inguinal hernia repair using the ONSTEP approach. The hernia defect was repaired using a PolySoft™ hernia patch. Patients were followed up for 1 year for pain, complications and recurrences.
resultsA total of 693 patients underwent ONSTEP inguinal hernia repair. The mean duration of surgery (± SD) was 17 ± 6 min; the time to discharge from hospital was less than 24 h in all patients; and the mean time to return to normal daily activities was 6.1 ± 3.0 days. The overall complication rate was 1.0 % and the overall recurrence rate was 0.6 %. Residual pain was present in 4 patients at 6 months and was cured by removal of the memory ring in 3 patients and disappeared spontaneously in one case, so that there was no case of chronic pain at 1 year.
conclusionsThe ONSTEP inguinal hernia repair technique described is simple, quick to perform, produces consistent results and is associated with very low overall complication, chronic pain and recurrence rates. It may offer an alternative to both Lichtenstein and laparoscopic inguinal hernia repair.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.