Tao Fu1, Baohua Liu, Lianyang Zhang, Yayuan Wen. 1. Department of General Surgery, Daping Hospital and Field Surgery Institution, Third Military Medical University, Chongqing, China. futao1975@tom.com
Abstract
PURPOSE: The purpose is to recommend a new approach-transvaginal excision-for large rectal adenomas and audit its results after being performed by dedicated surgeons at a specialized colorectal unit. METHODS: The surgical outcome of 11 patients undergoing transvaginal excision between July 1995 and March 2000 was reviewed. Data were collected retrospectively and no patients were lost to follow-up. RESULTS: Eleven patients underwent the procedure during the study period. Follow-up ranged from 7 to 75 months. There were complications in two patients. One had urinary retention, the other developed a rectal stenosis, which was resolved with multiple balloon dilatations. There was only one recurrence detected. None of the patients died. CONCLUSIONS: Transvaginal local excision is an alternative and feasible technique for the treatment of selected large sessile rectal adenomas that carries low mortality and complication rates.
PURPOSE: The purpose is to recommend a new approach-transvaginal excision-for large rectal adenomas and audit its results after being performed by dedicated surgeons at a specialized colorectal unit. METHODS: The surgical outcome of 11 patients undergoing transvaginal excision between July 1995 and March 2000 was reviewed. Data were collected retrospectively and no patients were lost to follow-up. RESULTS: Eleven patients underwent the procedure during the study period. Follow-up ranged from 7 to 75 months. There were complications in two patients. One had urinary retention, the other developed a rectal stenosis, which was resolved with multiple balloon dilatations. There was only one recurrence detected. None of the patients died. CONCLUSIONS: Transvaginal local excision is an alternative and feasible technique for the treatment of selected large sessile rectal adenomas that carries low mortality and complication rates.
Authors: Dirk R Bulian; Norbert Runkel; Jens Burghardt; Wolfram Lamade; Michael Butters; Markus Utech; Klaus-Peter Thon; Rolf Lefering; Markus M Heiss; Heinz J Buhr; Kai S Lehmann Journal: Int J Colorectal Dis Date: 2014-05-07 Impact factor: 2.571