Open New Simplified Totally Extraperitoneal (ONSTEP) Technique for Inguinal Hernia Repair
The ONSTEP technique for inguinal hernia repair was developed by two surgeons from Portugal, Lorenzo and da Costa . For several years there has been a trend toward placing the mesh in the preperitoneal space rather than below the external aponeurosis as in the Lichtenstein repair. The reason for this has been reports of reduced pain after surgery, especially levels of chronic pain, with the preperitoneal mesh replacement as in laparoscopic repair .
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