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Journal of Coloproctology (Rio de Janeiro)

Print version ISSN 2237-9363On-line version ISSN 2317-6423


ALVES FILHO, Eduardo Fonseca; COSTA, Paulo Frederico de Oliveira  and  CARVALHO, Alexandre Lopes de. TAMIS with partial excision of mesorectum and primary closure of rectal wound using vloc. J. Coloproctol. (Rio J.) [online]. 2015, vol.35, n.2, pp.100-105. ISSN 2317-6423.


Transanal Minimally Invasive Surgery has proven to be a viable alternative in the treatment of rectal tumors; however, rectal wound closure can be challenging. We describe our experience with this procedure using the vloc suture device.


Eight successful Transanal Minimally Invasive Surgery with primary wound closure using vloc were performed in 5 men, 62 years mean age; all cases had pre-operative diagnosis of adenoma with high-grade dysplasia. The surgical anatomic-pathologic results showed 6 adenomas with high-grade dysplasia and 2 well differentiated adenocarcinomas, limited to the upper third of the submucosa (pT1SM1) without lymphatic or vascular invasion. All lesions were resected with negative margins. No patient reported during follow-up rectal pain, fecal incontinence or bleeding.


The use of vloc in rectal wound closure during Transanal Minimally Invasive Surgery is secure and facilitates the procedure.

Keywords : TES TAMIS; Rectal cancer; Vloc; Partial excision of mesorectum.

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