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Principles of Intramural Surgery.

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Principles of Intramural Surgery.

Surg Clin North Am. 2020 Dec;100(6):1169-1182

Authors: Tat C, Barajas-Gamboa JS, Kroh M

Abstract
Intramural surgery is a minimally invasive surgical technique based on flexible endoscopy. The first step involves the initial mucosal incision for entry point. Then a submucosal tunnel is dissected to the site of the target anatomy. The procedure performed may include myotomy or lesion removal. When complete, the initial mucosal incision is closed. This technique separates the mucosal flap from the surgical site, minimizing the risk of full-thickness perforation and gastrointestinal leakage. Peroral endoscopic myotomy is the most studied application of intramural surgery but other procedures have emerged. This article explores principles of intramural surgery and summarizes its applications.

PMID: 33128886 [PubMed - as supplied by publisher]

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