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This session will be about transanal minimally invasive surgery for rectal polyps and cancer, and some tips to improve in terms of prevention and identification of this cases. It is very important to diagnose in the early steps of the disease to treat it faster. 


Rectal polyps present with complications such as bleeding or rectal obstruction. Every symptom must be a warning signal, and the patient must perform a quick examination. The doctor highlights the importance of the preoperative steps. The surgical procedure is a complex intervention where there are many crucial steps. The main common postoperative complication is hemorrhage that is self-contained, starts bleeding spontaneously, and in some cases requires operating on the patient again.  


In these cases, mesorectum infection requires intravenous administration of antibiotics during the surgery and one week after. 


To sum up, it is essential to prevent rectal polyps because, depending on the size of the polyps, the surgical approach will vary. Most polyps are removed by performing a colonoscopy. 

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Dr. Alejandro Moreira MD, PhD, Chief of the Gastroenterological Surgery Division, Hospital de Clínicas José de San Martín, Argentina Gastroenterology
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