Transanal endoscopic microsurgery: a new technique for completion proctectomy.

@article{Liyanage2013TransanalEM,
  title={Transanal endoscopic microsurgery: a new technique for completion proctectomy.},
  author={Chandika Anuradha Habarakada Liyanage and Andrew Ramwell and Gordon J. Harris and Baruch Levy and J. N. L. Simson},
  journal={Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland},
  year={2013},
  volume={15 9},
  pages={e542-7}
}
AIM Following subtotal colectomy, the retained rectal stump is a potential source of morbidity. Although restorative ileal pouch-anal anastomosis is the gold standard for ulcerative colitis, up to 14% of patients will opt for a permanent ileostomy and undergo completion proctectomy, traditionally by an abdomino-perineal approach, which itself carries significant morbidity. We describe a new technique of perineal proctectomy using transanal endoscopic microsurgery (TEMS) equipment. To our… CONTINUE READING

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