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Updated: Jan 21, 2026

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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
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Transanal Minimally Invasive Surgery in a Regional Centre: A 10 Year Experience.
Cain Anderson1, Ben Cribb1, Mark Omundsen1
1Tauranga Hospital, Tauranga, New Zealand.
ANZ Journal of Surgery
|January 20, 2026
Summary
Transanal Minimally Invasive Surgery (TAMIS) is safe and effective for rectal lesions in regional hospitals. This technique offers good outcomes for various conditions with acceptable complication rates.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Transanal Minimally Invasive Surgery (TAMIS) offers advantages over traditional rectal lesion excision.
- Most TAMIS data come from tertiary centers, limiting understanding of its use in regional settings.
Purpose of the Study:
- To evaluate the outcomes of TAMIS performed at a regional New Zealand hospital.
- To assess the safety and efficacy of TAMIS for diverse rectal pathologies in a non-tertiary setting.
Main Methods:
- Retrospective analysis of 65 patients undergoing TAMIS at Tauranga Hospital (Dec 2014 - Oct 2025).
- Data collected included demographics, operative details, histopathology, morbidity, and 30-day mortality.
- Complications were classified using the Clavien-Dindo system.
Main Results:
- Successful R0 resection achieved in 97% of polyps and 85% of adenocarcinomas.
- Mean length of stay was 1.5 days; 11% experienced Clavien-Dindo grade II complications and 6% grade III.
- One postoperative mortality (1.6%); no adenocarcinoma recurrence observed.
Conclusions:
- TAMIS is a safe and effective procedure for regional centers.
- It provides acceptable morbidity and mortality rates for treating a broad spectrum of rectal pathologies.
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