The Experts below are selected from a list of 534 Experts worldwide ranked by ideXlab platform

S. Bianchi - One of the best experts on this subject based on the ideXlab platform.

  • Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar Resectoscope: a retrospective comparative study
    Gynecological Surgery, 2014
    Co-Authors: G. Bigatti, S. Franchetti, M. Rosales, A. Baglioni, S. Bianchi
    Abstract:

    From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS® or the Versapoint® bipolar Resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS® and 51 with the Versapoint®. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS® has been able to treat respectively 93.5 % ( p  = 0.3753) and 62.5 % ( p  = 0.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS® Group than in the Versapoint® Group ( p  = 0.0067). Although no significative difference in terms of time of resection, the IBS® has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS® can be considered a valid alternative to the conventional Resectoscope.

  • Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar Resectoscope : a retrospective comparative study
    'Springer Science and Business Media LLC', 2014
    Co-Authors: G. Bigatti, S. Franchetti, M. Rosales, A. Baglioni, S. Bianchi
    Abstract:

    From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS\uae or the Versapoint\uae bipolar Resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS\uae and 51 with the Versapoint\uae. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS\uae has been able to treat respectively 93.5 % (p 08= 080.3753) and 62.5 % (p 08= 080.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS\uae Group than in the Versapoint\uae Group (p 08= 080.0067). Although no significative difference in terms of time of resection, the IBS\uae has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS\uae can be considered a valid alternative to the conventional Resectoscope

  • ibs integrated bigatti shaver versus conventional bipolar resectoscopy a randomised comparative study
    Gynecological Surgery, 2012
    Co-Authors: G. Bigatti, M. Rosales, A. Baglioni, C Ferrario, S. Bianchi
    Abstract:

    Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS®) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon’s learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90° optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar Resectoscope with 50 cases performed with the IBS®. Several types of major intrauterine pathologies such as polyps and submucosal myomas (according to ESGE classification) were included in the study. Two cases of via falsa were reported. In one case, the procedure was immediately stopped with no further complication for the patient, whereas in the second patient, the complication did not compromise the operative course. Dilatation time, overall procedure time, resection time and fluid balance were carefully monitored during each procedure in the two groups. The aim of the study was to compare the two techniques to confirm several advantages offered by the IBS® such as reduced dilatation of the cervix, better visualization during the procedure because tissue chips are removed at the same time as the resection, no need for coagulation or cutting current, utilization of normal saline and a much faster learning curve.

  • IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscopy : a randomised comparative study
    'Springer Science and Business Media LLC', 2012
    Co-Authors: G. Bigatti, M. Rosales, A. Baglioni, C Ferrario, S. Bianchi
    Abstract:

    Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS\uae) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon's learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90\ub0 optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar Resectoscope with 50 cases performed with the IBS\uae. Several types of major intrauterine pathologies such as polyps and submucosal myomas (according to ESGE classification) were included in the study. Two cases of via falsa were reported. In one case, the procedure was immediately stopped with no further complication for the patient, whereas in the second patient, the complication did not compromise the operative course. Dilatation time, overall procedure time, resection time and fluid balance were carefully monitored during each procedure in the two groups. The aim of the study was to compare the two techniques to confirm several advantages offered by the IBS\uae such as reduced dilatation of the cervix, better visualization during the procedure because tissue chips are removed at the same time as the resection, no need for coagulation or cutting current, utilization of normal saline and a much faster learning curve

G. Bigatti - One of the best experts on this subject based on the ideXlab platform.

  • Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar Resectoscope: a retrospective comparative study
    Gynecological Surgery, 2014
    Co-Authors: G. Bigatti, S. Franchetti, M. Rosales, A. Baglioni, S. Bianchi
    Abstract:

    From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS® or the Versapoint® bipolar Resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS® and 51 with the Versapoint®. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS® has been able to treat respectively 93.5 % ( p  = 0.3753) and 62.5 % ( p  = 0.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS® Group than in the Versapoint® Group ( p  = 0.0067). Although no significative difference in terms of time of resection, the IBS® has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS® can be considered a valid alternative to the conventional Resectoscope.

  • Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar Resectoscope : a retrospective comparative study
    'Springer Science and Business Media LLC', 2014
    Co-Authors: G. Bigatti, S. Franchetti, M. Rosales, A. Baglioni, S. Bianchi
    Abstract:

    From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS\uae or the Versapoint\uae bipolar Resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS\uae and 51 with the Versapoint\uae. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS\uae has been able to treat respectively 93.5 % (p 08= 080.3753) and 62.5 % (p 08= 080.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS\uae Group than in the Versapoint\uae Group (p 08= 080.0067). Although no significative difference in terms of time of resection, the IBS\uae has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS\uae can be considered a valid alternative to the conventional Resectoscope

  • ibs integrated bigatti shaver versus conventional bipolar resectoscopy a randomised comparative study
    Gynecological Surgery, 2012
    Co-Authors: G. Bigatti, M. Rosales, A. Baglioni, C Ferrario, S. Bianchi
    Abstract:

    Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS®) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon’s learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90° optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar Resectoscope with 50 cases performed with the IBS®. Several types of major intrauterine pathologies such as polyps and submucosal myomas (according to ESGE classification) were included in the study. Two cases of via falsa were reported. In one case, the procedure was immediately stopped with no further complication for the patient, whereas in the second patient, the complication did not compromise the operative course. Dilatation time, overall procedure time, resection time and fluid balance were carefully monitored during each procedure in the two groups. The aim of the study was to compare the two techniques to confirm several advantages offered by the IBS® such as reduced dilatation of the cervix, better visualization during the procedure because tissue chips are removed at the same time as the resection, no need for coagulation or cutting current, utilization of normal saline and a much faster learning curve.

  • IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscopy : a randomised comparative study
    'Springer Science and Business Media LLC', 2012
    Co-Authors: G. Bigatti, M. Rosales, A. Baglioni, C Ferrario, S. Bianchi
    Abstract:

    Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS\uae) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon's learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90\ub0 optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar Resectoscope with 50 cases performed with the IBS\uae. Several types of major intrauterine pathologies such as polyps and submucosal myomas (according to ESGE classification) were included in the study. Two cases of via falsa were reported. In one case, the procedure was immediately stopped with no further complication for the patient, whereas in the second patient, the complication did not compromise the operative course. Dilatation time, overall procedure time, resection time and fluid balance were carefully monitored during each procedure in the two groups. The aim of the study was to compare the two techniques to confirm several advantages offered by the IBS\uae such as reduced dilatation of the cervix, better visualization during the procedure because tissue chips are removed at the same time as the resection, no need for coagulation or cutting current, utilization of normal saline and a much faster learning curve

A. Baglioni - One of the best experts on this subject based on the ideXlab platform.

  • Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar Resectoscope: a retrospective comparative study
    Gynecological Surgery, 2014
    Co-Authors: G. Bigatti, S. Franchetti, M. Rosales, A. Baglioni, S. Bianchi
    Abstract:

    From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS® or the Versapoint® bipolar Resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS® and 51 with the Versapoint®. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS® has been able to treat respectively 93.5 % ( p  = 0.3753) and 62.5 % ( p  = 0.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS® Group than in the Versapoint® Group ( p  = 0.0067). Although no significative difference in terms of time of resection, the IBS® has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS® can be considered a valid alternative to the conventional Resectoscope.

  • Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar Resectoscope : a retrospective comparative study
    'Springer Science and Business Media LLC', 2014
    Co-Authors: G. Bigatti, S. Franchetti, M. Rosales, A. Baglioni, S. Bianchi
    Abstract:

    From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS\uae or the Versapoint\uae bipolar Resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS\uae and 51 with the Versapoint\uae. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS\uae has been able to treat respectively 93.5 % (p 08= 080.3753) and 62.5 % (p 08= 080.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS\uae Group than in the Versapoint\uae Group (p 08= 080.0067). Although no significative difference in terms of time of resection, the IBS\uae has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS\uae can be considered a valid alternative to the conventional Resectoscope

  • ibs integrated bigatti shaver versus conventional bipolar resectoscopy a randomised comparative study
    Gynecological Surgery, 2012
    Co-Authors: G. Bigatti, M. Rosales, A. Baglioni, C Ferrario, S. Bianchi
    Abstract:

    Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS®) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon’s learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90° optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar Resectoscope with 50 cases performed with the IBS®. Several types of major intrauterine pathologies such as polyps and submucosal myomas (according to ESGE classification) were included in the study. Two cases of via falsa were reported. In one case, the procedure was immediately stopped with no further complication for the patient, whereas in the second patient, the complication did not compromise the operative course. Dilatation time, overall procedure time, resection time and fluid balance were carefully monitored during each procedure in the two groups. The aim of the study was to compare the two techniques to confirm several advantages offered by the IBS® such as reduced dilatation of the cervix, better visualization during the procedure because tissue chips are removed at the same time as the resection, no need for coagulation or cutting current, utilization of normal saline and a much faster learning curve.

  • IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscopy : a randomised comparative study
    'Springer Science and Business Media LLC', 2012
    Co-Authors: G. Bigatti, M. Rosales, A. Baglioni, C Ferrario, S. Bianchi
    Abstract:

    Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS\uae) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon's learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90\ub0 optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar Resectoscope with 50 cases performed with the IBS\uae. Several types of major intrauterine pathologies such as polyps and submucosal myomas (according to ESGE classification) were included in the study. Two cases of via falsa were reported. In one case, the procedure was immediately stopped with no further complication for the patient, whereas in the second patient, the complication did not compromise the operative course. Dilatation time, overall procedure time, resection time and fluid balance were carefully monitored during each procedure in the two groups. The aim of the study was to compare the two techniques to confirm several advantages offered by the IBS\uae such as reduced dilatation of the cervix, better visualization during the procedure because tissue chips are removed at the same time as the resection, no need for coagulation or cutting current, utilization of normal saline and a much faster learning curve

M. Rosales - One of the best experts on this subject based on the ideXlab platform.

  • Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar Resectoscope: a retrospective comparative study
    Gynecological Surgery, 2014
    Co-Authors: G. Bigatti, S. Franchetti, M. Rosales, A. Baglioni, S. Bianchi
    Abstract:

    From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS® or the Versapoint® bipolar Resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS® and 51 with the Versapoint®. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS® has been able to treat respectively 93.5 % ( p  = 0.3753) and 62.5 % ( p  = 0.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS® Group than in the Versapoint® Group ( p  = 0.0067). Although no significative difference in terms of time of resection, the IBS® has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS® can be considered a valid alternative to the conventional Resectoscope.

  • Hysteroscopic myomectomy with the IBS® Integrated Bigatti Shaver versus conventional bipolar Resectoscope : a retrospective comparative study
    'Springer Science and Business Media LLC', 2014
    Co-Authors: G. Bigatti, S. Franchetti, M. Rosales, A. Baglioni, S. Bianchi
    Abstract:

    From June 2011 to June 2013, all hysteroscopic myoma resections at the Ospedale San Giuseppe of Milan were performed using either the IBS\uae or the Versapoint\uae bipolar Resectoscope. Dilatation time of the cervical canal, resection time, fluid balance, and complete single-stage removal of the myoma have been studied. The outcome was stratified for groups of myomas larger and smaller than 3 cm. Seventy-six myomectomies were performed with the IBS\uae and 51 with the Versapoint\uae. Both groups had a similar distribution of difficult cases like G2 and larger than 3 cm myomas. The results show no difference in terms of cervical dilatation, resection time, and fluid deficit between the two groups, but, for myomas less than 3 cm and G2 myomas, the IBS\uae has been able to treat respectively 93.5 % (p 08= 080.3753) and 62.5 % (p 08= 080.5491) of cases in a single step procedure. The overall number of necessary second procedures has been statistically significantly less in the IBS\uae Group than in the Versapoint\uae Group (p 08= 080.0067). Although no significative difference in terms of time of resection, the IBS\uae has proven to be able to approach all kind of submucosal myomas in a single-step procedure and in a very precise and easy way. The IBS\uae can be considered a valid alternative to the conventional Resectoscope

  • ibs integrated bigatti shaver versus conventional bipolar resectoscopy a randomised comparative study
    Gynecological Surgery, 2012
    Co-Authors: G. Bigatti, M. Rosales, A. Baglioni, C Ferrario, S. Bianchi
    Abstract:

    Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS®) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon’s learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90° optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar Resectoscope with 50 cases performed with the IBS®. Several types of major intrauterine pathologies such as polyps and submucosal myomas (according to ESGE classification) were included in the study. Two cases of via falsa were reported. In one case, the procedure was immediately stopped with no further complication for the patient, whereas in the second patient, the complication did not compromise the operative course. Dilatation time, overall procedure time, resection time and fluid balance were carefully monitored during each procedure in the two groups. The aim of the study was to compare the two techniques to confirm several advantages offered by the IBS® such as reduced dilatation of the cervix, better visualization during the procedure because tissue chips are removed at the same time as the resection, no need for coagulation or cutting current, utilization of normal saline and a much faster learning curve.

  • IBS® Integrated Bigatti Shaver versus conventional bipolar resectoscopy : a randomised comparative study
    'Springer Science and Business Media LLC', 2012
    Co-Authors: G. Bigatti, M. Rosales, A. Baglioni, C Ferrario, S. Bianchi
    Abstract:

    Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS\uae) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon's learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90\ub0 optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar Resectoscope with 50 cases performed with the IBS\uae. Several types of major intrauterine pathologies such as polyps and submucosal myomas (according to ESGE classification) were included in the study. Two cases of via falsa were reported. In one case, the procedure was immediately stopped with no further complication for the patient, whereas in the second patient, the complication did not compromise the operative course. Dilatation time, overall procedure time, resection time and fluid balance were carefully monitored during each procedure in the two groups. The aim of the study was to compare the two techniques to confirm several advantages offered by the IBS\uae such as reduced dilatation of the cervix, better visualization during the procedure because tissue chips are removed at the same time as the resection, no need for coagulation or cutting current, utilization of normal saline and a much faster learning curve

Stefan Furstenberg - One of the best experts on this subject based on the ideXlab platform.

  • experience of endoscopic transanal resections with a urologic Resectoscope in 131 patients
    Diseases of The Colon & Rectum, 2006
    Co-Authors: Jon A Tsai, Mats Hedlund, Urban Sjoqvist, Ulrik Lindforss, Leif Torkvist, Stefan Furstenberg
    Abstract:

    Endoscopic transanal resection of rectal adenomas and other presumably benign lesions is not widespread. The purpose of this study was to evaluate the efficacy and the safety of endoscopic transanal resection. Patients who underwent endoscopic transanal resection at three Stockholm hospitals between 1993 and 2004 were studied retrospectively with respect to patient and lesion characteristics, complications, follow-up time, and recurrence rates. One hundred eighty endoscopic transanal resection procedures were performed in 131 patients. The tissue diagnosis was adenoma in 160 operative cases, cancer in 12 operative cases, and hyperplasia, fibrosis, or normal mucosa in the remaining 8 operative cases. Among the patients with rectal adenomas, one endoscopic transanal resection was sufficient in 77 cases and in 16 cases the surgery was performed in more than one session because of the large size of the adenoma. In 27 cases there were recurrences that needed additional endoscopic transanal resection or other surgery. The median time until recurrence was seven months, but there were no recurrent rectal carcinomas. In 16 operative cases there were complications. Two patients had to undergo a Hartman's procedure as a result of a bowel perforation, and one patient had to be reoperated on because of bleeding. There were no perioperative deaths. The median follow-up time without recurrence was 32 (range, 0–67) months. Endoscopic transanal resection is a feasible and oncologically safe option for treatment of rectal adenomas, especially in cases where conventional transanal resection or transanal endoscopic microsurgery are unavailable or unsuitable because of the characteristics and localization of the lesion.

  • experience of endoscopic transanal resections with a urologic Resectoscope in 131 patients
    Swedish Surgical Week, 2006
    Co-Authors: Jon A Tsai, Mats Hedlund, Urban Sjoqvist, Ulrik Lindforss, Leif Torkvist, Stefan Furstenberg
    Abstract:

    PURPOSE: Endoscopic transanal resection of rectal adenomas and other presumably benign lesions is not widespread. The purpose of this study was to evaluate the efficacy and the safety of endoscopic transanal resection. METHODS: Patients who underwent endoscopic transanal resection at three Stockholm hospitals between 1993 and 2004 were studied retrospectively with respect to patient and lesion characteristics, complications, follow-up time, and recurrence rates. RESULTS: One hundred eighty endoscopic transanal resection procedures were performed in 131 patients. The tissue diagnosis was adenoma in 160 operative cases, cancer in 12 operative cases, and hyperplasia, fibrosis, or normal mucosa in the remaining 8 operative cases. Among the patients with rectal adenomas, one endoscopic transanal resection was sufficient in 77 cases and in 16 cases the surgery was performed in more than one session because of the large size of the adenoma. In 27 cases there were recurrences that needed additional endoscopic transanal resection or other surgery. The median time until recurrence was seven months, but there were no recurrent rectal carcinomas. In 16 operative cases there were complications. Two patients had to undergo a Hartman's procedure as a result of a bowel perforation, and one patient had to be reoperated on because of bleeding. There were no perioperative deaths. The median follow-up time without recurrence was 32 (range, 0-67) months. CONCLUSIONS: Endoscopic transanal resection is a feasible and oncologically safe option for treatment of rectal adenomas, especially in cases where conventional transanal resection or transanal endoscopic microsurgery are unavailable or unsuitable because of the characteristics and localization of the lesion.