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Updated: Feb 1, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
[ONSTEP procedure for inguinal hernia repair]
A V Smirnov1, D Yu Petrov2, A V Panin3
1Vishnevsky Institute of Surgery of Healthcare Ministry of Russia, Moscow, Russia.
Aim:
To evaluate early and long-term outcomes of ONSTEP procedure including their comparison with those of Liechtenstein hernia repair.
Material And Methods:
The study consists of 2 parts - retrospective and prospective. There were 472 patients in retrospective part. Prospective analysis included 30 patients after ONSTEP hernia repair and 30 patients after Liechtenstein procedure.
Results:
Postoperative complications and chronic pain syndrome occurred in 2.9% and 0.4% of cases after ONSTEP surgery, respectively. Moreover, ONSTEP procedure was followed by 2 cases or recurrence. There were no any significant differences between ONSTEP and Liechtenstein procedures.
Conclusion:
ONSTEP technique is highly effective and safe procedure that can be used in inguinal hernia management.
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