G Baatrup1, R Svensen, V S Ellensen. 1. Department of Surgery, Haukeland University Hospital, Bergen, Norway. gunnar.baatrup@helse-bergen.no
Abstract
OBJECTIVE: Six cases of management of rectal strictures by transanal endoscopic microsurgery (TEM) are described. METHOD: Patients are placed in the lithotomy - Trendelenburg position and the stricture is resected from 4-8 o'clock through the entire thickness of the fibrosis. The upper resection edge is mobilized including all layers of the rectal wall and the defect is sutured along the circumference. RESULTS: Satisfactory anatomical and functional long-term results were obtained in 5 of 6 patients. CONCLUSION: TEM resection of benign strictures is feasible in some patients and should be tested in a randomized study against known procedures.
OBJECTIVE: Six cases of management of rectal strictures by transanal endoscopic microsurgery (TEM) are described. METHOD:Patients are placed in the lithotomy - Trendelenburg position and the stricture is resected from 4-8 o'clock through the entire thickness of the fibrosis. The upper resection edge is mobilized including all layers of the rectal wall and the defect is sutured along the circumference. RESULTS: Satisfactory anatomical and functional long-term results were obtained in 5 of 6 patients. CONCLUSION: TEM resection of benign strictures is feasible in some patients and should be tested in a randomized study against known procedures.
Authors: X Serra-Aracil; L Mora-Lopez; M Alcantara-Moral; C Corredera-Cantarin; C Gomez-Diaz; S Navarro-Soto Journal: Tech Coloproctol Date: 2013-06-28 Impact factor: 3.781
Authors: M Jakubauskas; V Jotautas; E Poskus; S Mikalauskas; G Valeikaite-Tauginiene; K Strupas; T Poskus Journal: Tech Coloproctol Date: 2018-09-28 Impact factor: 3.781