Outcome of transvaginal excision of large rectal adenomas.
OBJECTIVE
The purpose is to recommend a new approach-transvaginal excision-for large rectal adenomas and audit its results after being performed by dedicated surgeons at a specialized colorectal unit.


METHODS
The surgical outcome of 11 patients undergoing transvaginal excision between July 1995 and March 2000 was reviewed. Data were collected retrospectively and no patients were lost to follow-up.


RESULTS
Eleven patients underwent the procedure during the study period. Follow-up ranged from 7 to 75 months. There were complications in two patients. One had urinary retention, the other developed a rectal stenosis, which was resolved with multiple balloon dilatations. There was only one recurrence detected. None of the patients died.


CONCLUSIONS
Transvaginal local excision is an alternative and feasible technique for the treatment of selected large sessile rectal adenomas that carries low mortality and complication rates.
Fu
Tao
T
Department of General Surgery, Daping Hospital and Field Surgery Institution, Third Military Medical University, Chongqing, China. futao1975@tom.com
Liu
Baohua
B
Zhang
Lianyang
L
Wen
Yayuan
Y
D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*