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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Updated: Mar 28, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
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Trans-anal endoscopic microsurgery for internal rectal prolapse.

A L A Bloemendaal1, M De Schepper2, A Mishra2

  • 1Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK. bobbloemendaal@gmail.com.

Techniques in Coloproctology
|December 23, 2015
PubMed
Summary
This summary is machine-generated.

Trans-anal endoscopic microsurgery offers a new surgical option for internal rectal prolapse, especially for high take-off cases where other methods are difficult. This approach addresses obstructed defecation and incontinence in select patients.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Surgical Innovation

Background:

  • Internal rectal prolapse is a condition causing obstructed defecation, fecal incontinence, and pain.
Keywords:
Internal rectal prolapseTrans-anal endoscopic microsurgeryTrans-anal endoscopic rectal prolapse procedure

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  • Perineal approaches like Delorme's or STARR are common for frail or complex patients.
  • Very high take-off prolapse presents challenges for standard surgical techniques.