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Transanal endoscopic microsurgery (TEM)

Preparation

    • Thorough preoperative bowel emptying is necessary. Oral laxative is administered the day before the surgery and water enema the day of surgery.
    • Thrombosis- and antibiotic prophylaxis are administered. The patient needs a urinary catheter.
    • The patient is positioned on the operating table depending on the location of the tumor around the circumference. The position does not change during the procedure, but the operating table can be tilted if necessary.
    • The operation is usually performed under general anesthesia and with full muscle relaxation. Exceptionally the operation is performed under spinal anesthesia.

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