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APPLICATION FORM TRANSVAAL ENDOSCOPIC MICROSURGERY MASTERCLASS Colchester Medical Education Center, Colchester, West Sussex 28th & 29th April 2015 SURNAME: DR×MR/MRS×MISS FIRST NAME: HOSPITAL: ADDRESS:

How to fill out transanal endoscopic microsurgery

How to fill out transanal endoscopic microsurgery:

1. Prepare the patient: Prior to the procedure, the patient should undergo a thorough evaluation and assessment to determine their eligibility for transanal endoscopic microsurgery (TEM). This may involve medical history review, physical examination, and potential preoperative tests such as blood work.
2. Anesthesia administration: TEM can be performed under general anesthesia or local anesthesia with sedation. Depending on the patient's condition and the surgeon's preference, the appropriate anesthesia method will be determined and administered.
3. Patient positioning: The patient is positioned in the lithotomy position, similar to how they would be positioned for a rectal examination. This allows optimal access for the surgeon and provides a clear view of the rectum and anal canal.
4. Insufflation of the rectum: Carbon dioxide gas is commonly used to inflate the rectum, which provides better visualization during the procedure. The gas is introduced through a special insufflation system and helps create a working space for the surgeon.
5. Insertion of the endoscope: A flexible endoscope equipped with a camera and surgical instruments is gently inserted into the rectum. The endoscope allows the surgeon to visualize the internal structures and identify any abnormalities or lesions.
6. Lesion identification and marking: The surgeon carefully inspects the rectal lining to identify any lesions or tumors that require removal or further examination. If a lesion is deemed suitable for TEM, it is marked with a surgical dye or other suitable marker to aid in its removal.
7. Precise dissection and removal: Using specialized microsurgical instruments, the surgeon performs the dissection of the lesion, ensuring an adequate margin of healthy tissue is also removed. The lesion is excised and captured for further examination or sent for pathological analysis.
8. Hemostasis and closure: Hemostasis, or the control of bleeding, is crucial during transanal endoscopic microsurgery. The surgeon uses various techniques, such as electrocautery or suturing, to achieve hemostasis. After the lesion is removed, the site may be closed with sutures if necessary.
9. Assessing completeness and follow-up: Once the procedure is completed, the surgeon evaluates the completeness of the resection and ensures hemostasis. The patient will be closely monitored during the recovery period, and a follow-up plan will be arranged to assess the outcome and guide any necessary further treatment.

Who needs transanal endoscopic microsurgery:

1. Individuals with early-stage rectal tumors or lesions that are easily accessible through the rectum may be suitable candidates for transanal endoscopic microsurgery. This may include certain cases of rectal adenomas or early-stage rectal carcinomas.
2. Patients who wish to avoid a more invasive surgery, such as traditional open surgery or transanal resection, may opt for transanal endoscopic microsurgery as a minimally invasive alternative.
3. Transanal endoscopic microsurgery may be considered for patients who are not suitable candidates for major surgery due to underlying health conditions, advanced age, or other factors that increase the risks associated with more invasive procedures.

Please note that the decision to undergo transanal endoscopic microsurgery should be made in consultation with a qualified surgeon who can assess the individual's specific condition and provide personalized recommendations.

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What is transanal endoscopic microsurgery?

Transanal endoscopic microsurgery (TEMS) is a minimally invasive surgical procedure used to remove abnormal growths or tumors in the rectum.

Who is required to file transanal endoscopic microsurgery?

Transanal endoscopic microsurgery is performed by trained surgeons and is typically recommended for patients with rectal tumors or polyps.

How to fill out transanal endoscopic microsurgery?

TEMS is performed by inserting a specialized endoscope through the anus to visualize and remove abnormal tissue in the rectum.

What is the purpose of transanal endoscopic microsurgery?

The purpose of transanal endoscopic microsurgery is to remove rectal tumors or polyps without the need for a major abdominal surgery, reducing recovery time and risks.

What information must be reported on transanal endoscopic microsurgery?

Information reported on transanal endoscopic microsurgery may include patient demographics, details of the procedure, and pathology reports.