Proctology
Rectoscopy and proctoscopy are established methods for diagnosing and treating rectal disease. The combination with video endoscopic technologies permits extraordinarily good visualization as well as clear documentation of findings and extends the range of indications to complex minimally invasive procedures such as transanal rectal surgery.
For these indications, KARL STORZ offers a wide range of products to hospitals and offices, ranging from instruments for rectal biopsies and polyp removal, optical forceps, and instruments for treating hemorrhoids to video endoscopic instruments for transanal endoscopic operation (TEO) and video-assisted anal fistula treatment (VAAFT).
Highlights
TEO® – Transanal Endoscopic Operations
The minimally invasive transanal platform for the treatment of rectal neoplasia
Transanal Endoscopic Operations (TEO®) combines the minimal invasiveness of an intervention via a natural body orifice (NOTES) with the precision of resection under endoscopic microsurgery.
Special Features:
- Available in lengths of 7.5, 15 and 20 cm
- Compatible with all standard camera systems for laparoscopy
- Mechanical holding arm enables the platform to be placed in a very stable position
Transanal Endoscopic Operation for Benign Rectal Lesions and T1 Carcinoma
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2017 Jan-Mar
Importance of Resection Margins in the Treatment of Rectal Adenomas by Transanal Endoscopic Surgery
What is the best tool for transanal endoscopic microsurgery (TEM)? A case-matched study in 74 patients comparing a standard platform and a disposable material
Human Medicine
Proctology
International Journal of Colorectal Disease 2017 Jul
Transanal endoscopic resection with peritoneal entry: a word of caution
Hybrid NOTES: TEO for transanal total mesorectal excision: intracorporeal resection and anastomosis
TEO® Platform with Flexible Working Attachment and High-Flow Adaptor – B-PORT
TEO® (transanal endoscopic operations) combines the minimal invasiveness of procedures performed via a natural body orifice (NOTES) with the precision of controlled resection under optical magnification. The TEO® platform for taTME (transanal total mesorectal excision) has been optimized in collaboration with Prof. Luigi Boni, Milan, Italy.
Special features:
- Flexible working attachment
- Instruments up to size 15 mm can be used
- High-flow insufflation adapter
- Straight distal end
- Suitable for taTME
ENDOFLATOR® 50 and S-PILOT® – The Solution for Your Insufflation and Surgical Smoke Management
The ENDOFLATOR® 50 with gas heater offers:
- Gas flow up to 50 l/min with KARL STORZ HICAP® trocars
- Gas heating to body temperature
- Two insufflation modes for high flow and pediatric applications
- SECUVENT® safety system for reducing any intracavitary overpressure
- Communication with IMAGE1 S™ camera platform for control from the sterile field
- Procedure list: Own procedures can be stored
The ENDOFLATOR® 50 is used in transanal treatment and endoscopic vessel harvesting. It can be combined with the S-PILOT®, which ensures the controlled evacuation and filtering of surgical smoke during endoscopic procedures.
Additional information on the specialty

TEO® Transanal Endoscopic Operations - The method of choice for minimally invasive removal of rectal tumors
TRAINERS AND SIMULATORS
PROCTOLOGY
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Transanal Endoscopic Operation for Benign Rectal Lesions and T1 Carcinoma
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2017 Jan-Mar
Importance of Resection Margins in the Treatment of Rectal Adenomas by Transanal Endoscopic Surgery
What is the best tool for transanal endoscopic microsurgery (TEM)? A case-matched study in 74 patients comparing a standard platform and a disposable material
Human Medicine
Proctology
International Journal of Colorectal Disease 2017 Jul
Transanal endoscopic resection with peritoneal entry: a word of caution
Hybrid NOTES: TEO for transanal total mesorectal excision: intracorporeal resection and anastomosis
Long term efficacy of Video-Assisted Anal Fistula Treatment (VAAFT) for complex fistula-in-ano: a single-centre Australian experience
Video-assisted anal fistula treatment
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2014 Jul-Sep
VAAFT: Video Assisted Anal Fistula Treatment; Bringing revolution in Fistula treatment
A Systematic review and meta-analysis of the efficacy and safety of video-assisted anal fistula treatment (VAAFT)
Comparative study of clinical efficacy between video-assisted anal fistula treatment and traditional fistula resection plus seton in treatment of complex anal fistula
Human Medicine
Proctology
Chinese Journal of Gastrointestinal Surgery 2018 July
Symptom amelioration in Crohn's perianal fistulas using video assisted anal fistula treatment (VAAFT)
Video-assisted anal fistula treatment in the management of complex anal fistula: a single-center experience
Short-term efficacy and safety of three novel sphincter-sparing techniques for anal fistulae: a systematic review
Enterocutaneous fistula: a novel video-assisted approach
Human Medicine
Proctology
Wideochirurgia I inne techniki maloinwazyjne 2017 Sept
Video-Assisted Anal Fistula Treatment (VAAFT) for Complex Anal Fistula: A Preliminary Evaluation in China
Human Medicine
Proctology
Medical Science Monitor: International Medical Journal of Experimetal and Clinical Research 2017 Apr
Endoscopic pilonidal sinus treatment (EPSiT)Endoskopische Pilonidalsinus Therapie (EPSiT): First single-center experience with an effective method for treating pilonidal sinus
Endoscopic Pilonidal Sinus Treatment: A Tertiary Care Academic Center Experience
Brazilian and argentinean multicentric study in the surgical minimally invasive treatment of pilonidal cyst
Short-term outcomes of endoscopic pilonidal sinus treatment
Human Medicine
Proctology
Annals of the Royal College of Surgeons of England 2019 Aug
The endoscopic treatment of pilonidal sinus disease: a short-term case-series study
Preliminary report on endoscopic pilonidal sinus treatment in children: results of a multicentric series
Outcomes of endoscopic pilonidal sinus treatment (EPSiT): a systematic review
Endoscopic pilonidal sinus treatment versus total excision with primary closure for sacrococcygeal pilonidal sinus disease in the pediatric population
Endoscopic Pilonidal Sinus Treatment: Long-Term Results of a Prospective Series
Human Medicine
Proctology
Journal of the Society of Laparoendoscopic Surgeons 2017 Jul-Sep
Endoscopic pilonidal sinus treatment: a prospective multicentre trial
Human Medicine
Proctology
Colorectal Disease: The Official Journal of the Association of Coloproctology of Great Britain and Ireland 2016 May