Middle East Experience With Transanal Endoscopic Microsurgery (TEM)
conditions. Big deal of this procedure is avoiding of open abdominal surgeries or better exposure in transanal approches.Objectives: The purpose of this study was to present a single institutional experience in Shiraz, Iran regarding the application of Transanal Endoscopic Microsurgery (TEM). To our...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2014-03-01
|
| Series: | Iranian Journal of Colorectal Research |
| Subjects: | |
| Online Access: | https://colorectalresearch.sums.ac.ir/article_45852_d1da65053cbd2565b633964c19d92076.pdf |
| _version_ | 1818402618094911488 |
|---|---|
| author | Seyed Vahid Hosseini Hosseini Reza Roshanravan Salar Rahimikazerooni Mastoureh Mohammadipour Ali Saberi Hossein Shabahang Ali Reza Safarpour Leila Ghahramani |
| author_facet | Seyed Vahid Hosseini Hosseini Reza Roshanravan Salar Rahimikazerooni Mastoureh Mohammadipour Ali Saberi Hossein Shabahang Ali Reza Safarpour Leila Ghahramani |
| author_sort | Seyed Vahid Hosseini Hosseini |
| collection | DOAJ |
| description | conditions. Big deal of this procedure is avoiding of open abdominal surgeries or better exposure in transanal approches.Objectives: The purpose of this study was to present a single institutional experience in Shiraz, Iran regarding the application of Transanal Endoscopic Microsurgery (TEM). To our knowledge this is the first report from the Middle East.Patients and Methods: Between 2009 and 2012, thirty patients underwent TEM in our center. We assessed complications and recurrence rate. Patients with fewer than six months of follow-up were excluded.Results: Patients included 17 men and 13 women with a mean age of 44.4 years (ranged 17-80). The mean tumor distance from the anal verge was 9.8 cm. One patient with adenomatous polyp experienced recurrence 14 months postoperatively. Regarding procedure-related complications, one case developed hemorrhage and another case fever and infection in the site of operation. Two patients experienced incontinence for about 3 weeks after TEM surgery.Conclusions: Considering the cultural and religious context of the Middle East, we recommend TEM procedure in specialized centers in this region of the world. |
| first_indexed | 2024-12-14T08:11:13Z |
| format | Article |
| id | doaj.art-c83fcfe1bc8145d4b4bc9924e1b3dae2 |
| institution | Directory Open Access Journal |
| issn | 2783-2430 |
| language | English |
| last_indexed | 2024-12-14T08:11:13Z |
| publishDate | 2014-03-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Colorectal Research |
| spelling | doaj.art-c83fcfe1bc8145d4b4bc9924e1b3dae22022-12-21T23:10:04ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302014-03-01211345852Middle East Experience With Transanal Endoscopic Microsurgery (TEM)Seyed Vahid Hosseini Hosseini0Reza Roshanravan1Salar Rahimikazerooni2Mastoureh Mohammadipour3Ali Saberi4Hossein Shabahang5Ali Reza Safarpour6Leila Ghahramani7Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR IranDepartment of Colorectal Surgery, Shiraz University of Medical Sciences, Shiraz, IR IranDepartment of Colorectal Surgery, Shiraz University of Medical Sciences, Shiraz, IR IranDepartment of Colorectal Surgery, Mashhad University of Medical Sciences, Mashhad, IR IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR IranColorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iranconditions. Big deal of this procedure is avoiding of open abdominal surgeries or better exposure in transanal approches.Objectives: The purpose of this study was to present a single institutional experience in Shiraz, Iran regarding the application of Transanal Endoscopic Microsurgery (TEM). To our knowledge this is the first report from the Middle East.Patients and Methods: Between 2009 and 2012, thirty patients underwent TEM in our center. We assessed complications and recurrence rate. Patients with fewer than six months of follow-up were excluded.Results: Patients included 17 men and 13 women with a mean age of 44.4 years (ranged 17-80). The mean tumor distance from the anal verge was 9.8 cm. One patient with adenomatous polyp experienced recurrence 14 months postoperatively. Regarding procedure-related complications, one case developed hemorrhage and another case fever and infection in the site of operation. Two patients experienced incontinence for about 3 weeks after TEM surgery.Conclusions: Considering the cultural and religious context of the Middle East, we recommend TEM procedure in specialized centers in this region of the world.https://colorectalresearch.sums.ac.ir/article_45852_d1da65053cbd2565b633964c19d92076.pdfrectal neoplasmscolorectal surgerymicrosurgeryendoscopytherapeutics |
| spellingShingle | Seyed Vahid Hosseini Hosseini Reza Roshanravan Salar Rahimikazerooni Mastoureh Mohammadipour Ali Saberi Hossein Shabahang Ali Reza Safarpour Leila Ghahramani Middle East Experience With Transanal Endoscopic Microsurgery (TEM) Iranian Journal of Colorectal Research rectal neoplasms colorectal surgery microsurgery endoscopy therapeutics |
| title | Middle East Experience With Transanal Endoscopic Microsurgery (TEM) |
| title_full | Middle East Experience With Transanal Endoscopic Microsurgery (TEM) |
| title_fullStr | Middle East Experience With Transanal Endoscopic Microsurgery (TEM) |
| title_full_unstemmed | Middle East Experience With Transanal Endoscopic Microsurgery (TEM) |
| title_short | Middle East Experience With Transanal Endoscopic Microsurgery (TEM) |
| title_sort | middle east experience with transanal endoscopic microsurgery tem |
| topic | rectal neoplasms colorectal surgery microsurgery endoscopy therapeutics |
| url | https://colorectalresearch.sums.ac.ir/article_45852_d1da65053cbd2565b633964c19d92076.pdf |
| work_keys_str_mv | AT seyedvahidhosseinihosseini middleeastexperiencewithtransanalendoscopicmicrosurgerytem AT rezaroshanravan middleeastexperiencewithtransanalendoscopicmicrosurgerytem AT salarrahimikazerooni middleeastexperiencewithtransanalendoscopicmicrosurgerytem AT mastourehmohammadipour middleeastexperiencewithtransanalendoscopicmicrosurgerytem AT alisaberi middleeastexperiencewithtransanalendoscopicmicrosurgerytem AT hosseinshabahang middleeastexperiencewithtransanalendoscopicmicrosurgerytem AT alirezasafarpour middleeastexperiencewithtransanalendoscopicmicrosurgerytem AT leilaghahramani middleeastexperiencewithtransanalendoscopicmicrosurgerytem |