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This 3 day TEM course is a unique combination of a practical hands-on course aimed at providing delegates with the technical skills to perform TEM surgery and observed real-time operating in the Edinburgh Colorectal Unit. The assembled faculty includes consultants with a vast experience in rectal and TEM surgery supported by Frau Mailaender, specialist tutor for TEM from the The University of Tübingen. We will discuss and impart the skills required to treat both early rectal cancer and large rectal adenomas by a minimally invasive approach. The course is strongly supported by Richard Wolf UK Ltd who will provide 8 TEM stations for 8 delegates to allow TEM operating on realistic surgical models under the guidance of sizeable faculty ensuring close supervision and mentoring. Please note that a discount is available for those also booked for the EICF 2014. Target Audience Senior Specialty Trainees and Consultants in Colorectal Surgery Learning Style Hands-on practical course with expert tuition, plus live surgery demonstration. Aims & Objectives To provide an introduction and competency in Trans-anal Endoscopic Micro-Surgery and Equipment Handling Learning Outcomes. After attending this course delegates should be able to: 1)Identify the instrumentation required and set-up for TEM surgery. 2)Perform under supervision a full thickness excision /closure. 3)Perform under supervision a SM resection / full thickness. 4) List the pitfalls of TEM surgery and describe how these can be addressed.

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