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Transanal Endoscopic Microsurgery
Transanal endoscopic microsurgery (TEM) was developed by Professor Gerhard Buess from Tübingen, Germany and it became available for widespread use in 1983 (Fig. 1).
A surgeon’s ability to remove rectal lesions transanally is limited by access and exposure with conventional instruments usually restricting the surgeon to the distal
6–7 cm of rectum.

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Transanal Endoscopic Microsurgery

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