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The creation of a peritoneal defect in transanal endoscopic microsurgery does not increase complications
Colorectal Disease, 10/19/09

Ramwell A et al. – Full thickness excision of lesions in the intraperitoneal rectum with endoscopic suture of the defect is a safe procedure. Lesions in the upper rectum should not be excluded from TEMS excision because of the chance of peritoneal breach.

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