Another benefit of TEM is that the need for a colostomy is rare and unlikely. Other risks associated with an abdominal incision are avoided, such as wound infection, and pulmonary infection. If during the course of the operation the surgeon needs to make a traditional incision to safely complete the operation, this should not be seen as a failure but as a wise decision to prevent dangerous complications. Bleeding and infection are risks associated with any surgical procedure. These complications may necessitate a colostomy being performed to prevent or treat infections.
Most colostomies are reversible, and can be corrected after a healing period.
Studies have shown that the anal sphincter can be stretched by the scope. There are a few reports of this causing weakness of the sphincter muscle. There are no reports of complete loss of bowel control or incontinence. If you are interested in finding out more about our Transanal Endoscopic Microsurgery, please consult with your primary physician.