TAMIS management of large peritoneal entry for recurrent rectal polyp: A video vignette

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dc.check.date2022-11-22
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorFlanagan, Michael
dc.contributor.authorRyan, Jessica M.
dc.contributor.authorConnelly, Tara
dc.contributor.authorCooke, Fiachra
dc.contributor.authorMcCullough, Peter
dc.contributor.authorNeary, Peter
dc.date.accessioned2021-11-30T13:56:33Z
dc.date.available2021-11-30T13:56:33Z
dc.date.issued2021-11-22
dc.date.updated2021-11-30T13:44:53Z
dc.descriptionVideo vignetteen
dc.description.abstractFactors which influence decision making in choice of approach for rectal tumours include patient factors, oncologic factors and size and location of the tumour. In the setting of recurrent polyps, transanal excision is an appropriate modality of treatment. We present a video vignette of transanal minimally invasive surgery (TAMIS) for an anterior recurrent rectal poylp and management of a massive peritoneal entry. The polyp was 4cm in size and 8cm from the anal verge. With the patient in the prone jackknife position, we insert a GelPOINTâ„¢ Path Transanal Access Platform (Applied Medical, Rancho Santa Margarita, CA, USA) in combination with the AirSealâ„¢ insufflation system (Conmed, Niagara. Falls, ON, Canada) to maintain pneumorectum. Breach into the peritoneal cavity was repaired with continuous V-Loc suture and checked transabdominally with an air leak test performed laparoscopically. The patient was discharged home well post operative day 1. Final histology revealed tubulovillous adenoma with low grade dysplasia and 5 benign reactive lymph nodes in the adjacent fat. TAMIS is a cost effective and safe treatment modality for patients with large recurrent rectal polyps. We demonstrate in this video the effective management of a large peritoneal entry using TAMIS.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFlanagan, M., Ryan, J. M., Connelly, T., Cooke, F., McCullough, P. and Neary, P. (2021) 'TAMIS management of large peritoneal entry for recurrent rectal polyp: A video vignette', Colorectal Disease. doi: 10.1111/codi.15996en
dc.identifier.doi10.1111/codi.15996en
dc.identifier.eissn1463-1318
dc.identifier.issn1462-8910
dc.identifier.journaltitleColorectal Diseaseen
dc.identifier.urihttps://hdl.handle.net/10468/12289
dc.language.isoenen
dc.publisherJohn Wiley & Sons Inc.en
dc.rights© 2021, Wiley Periodicals LLC. This is the peer reviewed version of the following item: Flanagan, M., Ryan, J. M., Connelly, T., Cooke, F., McCullough, P. and Neary, P. (2021) 'TAMIS management of large peritoneal entry for recurrent rectal polyp: A video vignette', Colorectal Disease, doi: 10.1111/codi.15996, which has been published in final form at https://doi.org/10.1111/codi.15996. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en
dc.subjectPolypen
dc.subjectTAMISen
dc.titleTAMIS management of large peritoneal entry for recurrent rectal polyp: A video vignetteen
dc.typeVideoen
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