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Benign rectal strictures managed with transanal resection--a novel application for transanal endoscopic microsurgery
G Baatrup1, R Svensen, V S Ellensen
1Department of Surgery, Haukeland University Hospital, Bergen, Norway. gunnar.baatrup@helse-bergen.no
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.
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