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Completion Surgery in Unfavorable Rectal Cancer after Transanal Endoscopic Microsurgery: Does It Achieve Satisfactory Sphincter Preservation, Quality of Total Mesorectal Excision Specimen, and Long-term Oncological Outcomes?
[BACKGROUND] Unfavorable adenocarcinoma after transanal endoscopic microsurgery requires "completion surgery" with total mesorectal excision. The literature on this procedure is very limited. [OBJECTIVE] This study aims to assess the perce…
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Transanal Endoscopic Microsurgery: An Alternative Perineal Approach to Treat Rectal Prolapse: A Video Vignette.
[PURPOSE] Laparoscopic ventral rectopexy is the most favored surgical treatment for rectal prolapse. Perineal approaches are recommended for frail patients and those with major comorbidities, and in young men to avoid genitourinary disorder…
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Management of intra- and postoperative complications during TEM/TAMIS procedures: a systematic review.
[INTRODUCTION] Transanal endoscopic microsurgery (TEM) is a safe procedure and the rates of intra- and postoperative complications are low. The information in the literature on the management of these complications is limited, and so their …
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T1 Rectal Adenocarcinoma: a Different Way to Measure Tumoral Invasion Based on the Healthy Residual Submucosa with Its Prognosis and Therapeutic Implications.
[BACKGROUND] Surgical treatment of early rectal cancer T1 is either local excision or total mesorectal excision. The choice of surgery is based on the risk of metastatic lymph node involvement. The most important factor to consider is the d…
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Is obesity a factor of surgical difficulty in transanal endoscopic surgery?
[BACKGROUND] The aim of this study is to assess the feasibility of transanal endoscopic surgery (TES) in obese patients. [METHODS] Observational descriptive study evaluating the feasibility of TES in obese rectal tumors between June 2004 a…
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Botulinum toxin A as an adjunct to giant inguinal hernia reparation.
La toxina botulínica se ha aplicado en la reparación de defectos ventrales, pero la literatura sobre su aplicación en hernias inguinoescrotales es escasa. Presentamos el caso de un paciente con hernia inguinoescrotal gigante. Se realiza tom…