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• Rectal bleeding
• Feeling of incomplete evacuation and tenesmus.
• Abdominal pain
• Bowel obstruction
• Pelvic pain
• Diarrhea
• Constipation
• Rectal tumor
• Rectal polyp
RISK ASSESSMENT
• Old age
• Bleeding disorders
• Hyper tension
• Diabetes
• Heart diseases
• Allergy to the medication
• Allergy to the anesthesia
• Blood tests
• Urine tests
• EKG/ECG
• Barium enema
• Fecal occult blood test
• Rigid Proctosigmoidoscopy
• Endorectal ultrasound
• Endorectal surface-coil MRI
• Chest radiograph
• CT scan
• MRI
• CEA scan
• Preoperative antibiotics were administered to the patients with
diseases of the heart valves.
• Oral feeding was stopped for ____hrs before the procedure.
• Aspirin and other blood-thinning medications were stopped several
days before the surgery
• Laxative was administered
• Enema was given
• Part was prepared and draped in sterile fashion
• Antibiotic bowel preparation was done
ANESTHESIA:
General anesthesia
Prone position
THE PROCEDURE
TRANSANAL EXCISION
AFTER PROCEDURE:
DURATION
_______hrs
POSTOPERATIVE CARE
COMPLICATIONS
• Infection
• Bleeding
• Intestinal injury
• Anastomotic leak
• Bladder and sexual function alterations
• Constipation
• Outlet obstruction
• Myocardial infarction
• Pulmonary embolus
• Deep vein thrombosis
• Hernia
• Tumor regrowth
FOLLOW UP
_________ days after surgery