Endoscopic transanal resection of rectal lesions: facilitation by adaptation of Lord's dilator.
A wide variety of techniques are available to remove lesions within the anal canal and rectum. Endoscopic transanal resection is a well tolerated procedure which achieves good palliation. Leakage of glycine from the rectum during the procedure can be problematic. To overcome this problem a Lord's dilator has been specially adapted to enable the passage of a urological resectoscope so preventing leakage of glycine during the procedure and improving operator acceptability. This technique of transanal resection with the adapted Lord's dilator provides a cheap and effective way of treating some rectal lesions largely utilizing existing equipment.
Courtney
S P
SP
Department of General Surgery, Frenchay Hospital, Bristol, UK.
Nankivell
C
C
Davidson
C M
CM
D001003:Anal Canal; D005762:Gastroenterology / Q000295:instrumentation*; D006801:Humans; D011351:Proctoscopy; D012004:Rectal Neoplasms / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods