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CC BY-NC-ND 4.0 · Journal of Coloproctology 2023; 43(04): e251-e255
DOI: 10.1055/s-0043-1774736
Original Article

Eight Years Experience of Transanal Endoscopic Microsurgery

Seyed Vahid Hosseini
1   Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
,
Mohammad Rezazadehkermani 
1   Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
,
Ali Abdulridha Abbas Algharah
2   Karbala University, Medical College, Karbala, Iraq
,
Alimohammad Bananzadeh
1   Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
,
Seyedeh Saeideh Shahidinia
1   Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
,
Mehrdad Haghazali
3   Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
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Abstract

Introduction Transanal Endoscopic Microsurgery (TEM) is a minimally invasive method for management of different proctologic conditions. Despite widespread use of this method, it is not used widely in Iran. This report is about to describe the application of TEM in managing different proctologic conditions in a tertiary colorectal referral center in Iran regarding methods and complications.

Methods All of the patients' documents such as procedure, method, early postop complications and further operations were actively reviewed and the data were entered in to the database.

Results Since 2012 till the end of 2020 chart review was done and 150 cases of TEM operation were found. The most frequent procedure that was done was resection procedure. Using different energy devices during surgery or suturing versus not suturing the defect were not associated with complication. There was a case of in hospital mortality and one case delayed perianal fistula following TEM. Measurement of lesion distance from anal verge was not significantly different using TEM or colonoscopy. Villous adenomas detected in colonoscopy were mostly associated with malignancy. In evaluated resected lesions most of cases had free base and distance from anal verge or using different energy devices were not associated with obtaining free base.

Conclusion TEM is a safe minimal invasive procedure with acceptable complications that could be helped in managing different proctologic conditions and the results of reviewing our patients revealed the same results that is reported from other colorectal centers.

Keywords

transanal endoscopic microsurgery - postoperative complications - suture techniques - cautery - fistula - colonic polyp


Publication History

Received: 09 June 2023

Accepted: 14 August 2023

Article published online:
30 October 2023

© 2023. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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