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Preoperative Preparation

  • Garnet J. Blatchford
  • N. Anh Tran
Chapter

Transanal endoscopic microsurgery (TEM) is a technique which offers exceptionally good visualization combined with the ability to precisely excise lesions throughout the rectum. One of the greatest advantages of TEM excision is that even large lesions can be removed intact and both deep and radial margins can be assessed. TEM requires careful preoperative preparation in order to avoid complications and maximize patient benefits.

Consent

Informed consent for TEM should include a discussion about the nature of the procedure and its potential risks and complications. These include, but are not limited to, incontinence, bleeding, perforation, rectovaginal fistula, incomplete resection, and inability to resect the lesion. Our approach has been to inform patients the TEM equipment provides us with the ability to do an excisional or “superbiopsy” of the lesion. It should be made clear to the patients that this may be only the first step in the diagnosis of their problem and they may require...

Keywords

Bowel Preparation Transanal Endoscopic Microsurgery Dentate Line Endorectal Ultrasound Rectal Lesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Kreis M, Ekkehard C, Haug V, Manncke K, Buess G. Functional Results After Transanal Endoscopic Microsurgery. Dis Colon Rectum 1996;39:1116–1121.CrossRefPubMedGoogle Scholar
  2. 2.
    Saclarides T, Smith L, Ko S, Orkin B, Buess G. Transanal Endoscopic Microsurgery. Dis Colon Rectum 1992;35:1183–91.CrossRefPubMedGoogle Scholar
  3. 3.
    Mentges B, Buess G, Schafer D, Manncke K, Becker H. Local Therapy of Rectal Tumors. Dis Colon Rectum 1996;39:886–892.CrossRefPubMedGoogle Scholar
  4. 4.
    Geerts W, Pineo G, Heit J, et al. Preventiion of Venous Thromboembolism: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 2004;126:338S–400S.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Garnet J. Blatchford
    • 1
  • N. Anh Tran
    • 1
  1. 1.Creighton UniversityOmaha, NE, University of Nebraska Medical CenterOmahaUSA

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