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Anal endoscopic microsurgery trans

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Rectal adenocarcinoma and transanal endoscopic microsurgery. Follow the preparation directions supplied closely. If you have heart problems, you may need clearance from a cardiologist who may order additional tests. Surg Clin North Am. This margin should be 5 mm from the macroscopic tumor edge for benign lesions and 10 mm in cases of invasive carcinoma. Colorectal Cancer [monograph on the Internet] [cited Mar 12]. TEM benefits include decreased morbidity, shorter hospital length of stay, and faster recovery.

National Center for Biotechnology Information , U. Most patients are discharged from the hospital when the anesthetic has worn off, about three to four hours after the surgery. Procedure Some patients may require an endorectal ultrasound or a CT scan to determine how deeply a tumor has spread into the bowel wall or whether the disease has spread to lymph nodes or distant sites such as the liver or lungs. The most common problem in men is difficulty urinating after the procedure. Advantages of the Procedure TEM is an attractive alternative to abdominal surgery. You will need to complete a bowel preparation on the day before surgery to clean out the colon and rectum in order to reduce the risk of infection. The longitudinal muscular fibres are clearly seen.

Transanal Endoscopic Microsurgery (TEM)

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Transanal Endoscopic Microsurgery

    A return visit in 3 for a proctoscopic examination is generally recommended. However, in case of very high take-off prolapse, these procedures are challenging if not unsuitable. If the lesion is in the front of the rectum in a woman, it is possible to develop a fistula tunnel into the vagina. Procedure Some patients may require an endorectal ultrasound or a CT scan to determine how deeply a tumor has spread into the bowel wall or whether the disease has spread to lymph nodes or distant sites such as the liver or lungs. Recovery Most patients are discharged from the hospital when the anesthetic has worn off, about three to four hours after the surgery. An operating proctoscope a 2 inch wide tube is placed through the anus and positioned over the lesion. Red area shows the circular muscular layer, and arrows depict direction of plication. Infection is a possible complication but is quite rare.

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