SILS™-port was originally designed for laparoscopic surgery. However some years ago our team, as did many others, found it very useful as a tool for transanal endoscopic microsurgery. Now we use it for almost all TEM procedures instead of the originally designed commercially available TEM-set. I would like to know whether SILS™-port changed your practice too?
I think many have used a SILS port, with some success. Also, people have used a proctoscope sealed with a glove over the end. I have recently used TAMIS (kit made by applied medical), which I have found works quickly and effectively, and certainly is better for me then TEMS, which which I have had prior experience
We have used the standard TEM the SILS port (covidien) and the TAMIS platform we like the TAMIS and SILS ports because we can use standard laparoscopic instruments and energy devices. The SILS limitations have be with keeping the port inside and keeping insufflation. The TAMIS works very well and has a kit that is available for practice and teaching of residents. The ability to move between platforms has worked best for our patients but the TAMIS port seems to be the easiest to use.
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