Speedboat Inject used to its full potential by using the large blade size to accelerate dissection during tunnelling, alongside superb understanding and use of microwave coagulation. 

Dr Teran and team, Hospital Universitario de Marques de Valdecilla, Spain

During the procedure

Tissue bed

Very large vessels were successfully coagulated in an excellent demonstration of microwave energy for hemostasis

View down the endoscope

After removal

After removal, the rectal lesion was assessed to be a LST Granular nodular mixed, JNET 2B, Paris O-IIa-Is, size 45mmx32mm

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