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Journal of Coloproctology (Rio de Janeiro)

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

Abstract

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.  http://dx.doi.org/10.1016/j.jcol.2015.02.001.

Background:

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.

Resume:

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.

Conclusion:

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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