PURPOSE: The study was undertaken to evaluate the clinical usefulness of endoscopic transanal decompression with a newly developed drainage tube for the treatment of acute colonic obstruction. After tube placement, the obstructed colon was aspirated, decompressed, and cleaned with a 50 ml syringe and saline solution. The drainage tube was kept inserted and the colon was irrigated two or three times per day using to 1, ml of saline until there were no contents in the colon. The colon was almost empty at the time of operation. The success rate, benefits, and complications of this technique were evaluated. Immediately after aspiration and decompression, symptoms related to obstruction were relieved in 21 patients
Transanal endoscopic microsurgery (TEMS)
Transanal total mesorectal excision: full steam ahead | SpringerLink
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Please take this quick survey to tell us about what happens after you publish a paper. Techniques in Coloproctology. While it may seem as if transanal TME materialized overnight, in actuality, its foundation had been quietly in development for three decades. The seeming sudden ascent of transanal TME is analogous to a building under construction. Developing a proper foundation is a time-intensive and critical first step.
TEM is performed by specially trained colorectal cancer surgeons to remove certain non-cancerous rectal tumors and early stage rectal cancers. Previously, removing rectal tumors warranted a major surgery with a large abdominal incision, followed by a lengthy hospital stay and recovery. TEM does not require any surgical incisions; it is performed through the rectum with specially designed microsurgical instruments that can remove lesions high inside the rectum. Traditionally, these lesions were accessible only with major abdominal surgery.