title: [Transanal microsurgery].
abstract: The system for TEM consists of a rectoscope of 40 mm diameter, stereoscopic optics and up to four surgical instruments for simultaneous application. Operation is performed under automatic gas distension. Since 1983 we have operated upon 332 patients, 280 of whom were analyzed in a prospective clinical trial. The complication rate was below 10%, mortality 0.3% and the recurrence rate ot the adenomas 4%. Compared to the conventional surgical procedures, postoperative pain is significantly lower and hospital stay and rehabilitation time are shorter.
authors.affiliation: Chirurgische Universitätsklinik, Tübingen, Bundesrepublik Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Buess
mesh_terms: D004867:Equipment Design; D006801:Humans; D011127:Polyps / Q000473:pathology / Q000601:surgery*; D020700:Proctoscopes; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000473:pathology; D013536:Suture Techniques / Q000295:instrumentation
vernacular_title: Transanale Mikrochirurgie.