Transanal Excision / TAMIS / TEM
Minimally invasive transanal techniques for larger rectal polyps and early rectal tumours - excellent direct access and en-bloc complete specimen excision through the anal canal with no abdominal incisions.
What is Transanal Excision / TAMIS / TEM?
Transanal Minimally Invasive Surgery (TAMIS) and Transanal Endoscopic Microsurgery (TEM) are advanced surgical techniques for removing larger polyps, adenomas, and early rectal tumours (T1) through the anal canal without any abdominal incisions. A specialised port is introduced transanally, providing laparoscopic-quality visualisation and instrument access to the entire rectum.
Dr. Samhitha Reddy offers TAMIS at Lux Hospitals, Hyderabad for rectal polyps too large for endoscopic removal, sessile adenomas, and selected early rectal cancers. As part of the best polypectomy doctor in Hyderabad programme, the technique allows en-bloc full-thickness excision with clear margins - the optimal oncological specimen. It is one of the most advanced minimally invasive polypectomy techniques available in Hyderabad.
TAMIS/TEM provides en-bloc full-thickness excision - generating an optimal histological specimen. For invasive cancers beyond T1, formal rectal resection (anterior resection or proctectomy) is required.
How the Procedure Works
Pre-operative Assessment
MRI pelvis confirms polyp or tumour depth (T staging), absence of lymph node involvement, and maps lesion location relative to the anal verge.
TAMIS Platform Insertion
The TAMIS port (GelPOINT Path or similar) is inserted transanally. CO2 insufflation distends the rectum to create an excellent working space.
Lesion Identification & Marking
The lesion is identified under direct laparoscopic vision. Electrocautery marks the planned excision margin 1 cm around the lesion.
Full-Thickness Excision
Using laparoscopic instruments, the lesion is excised en-bloc with a full-thickness disc of rectal wall - achieving wide, clear margins.
Defect Closure
The rectal wall defect is closed transversally with absorbable sutures. The specimen is pinned, oriented, and sent for histological assessment.
Outcomes
Who Needs This Treatment?
- →No abdominal incisions - all surgery performed through the anal canal
- →En-bloc full-thickness excision - superior specimen for margin assessment
- →Excellent access to the entire rectum, including polyps up to 20 cm from the anal verge
- →Significantly less morbidity than formal rectal resection for appropriately selected lesions
- →Short hospital stay - day-care for small lesions, 1-2 days for larger excisions
- →Available at Lux Hospitals, Hyderabad as part of the comprehensive colorectal surgery programme
TAMIS represents a quantum leap in our ability to treat rectal polyps and early cancers through a natural orifice. The visualisation is superb, the dissection is precise, and patients avoid a major abdominal operation entirely - the recovery is a fraction of what was previously required.
— Dr. Samhitha Reddy, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
TAMIS / TEM Surgery Cost in Hyderabad
The cost of TAMIS (Transanal Minimally Invasive Surgery) or TEM (Transanal Endoscopic Microsurgery) in Hyderabad depends on the size and location of the rectal lesion, the procedure's complexity, required investigations, and the care needed before and after surgery.
For patients with mid-rectal or larger lesions, the approximate cost of TAMIS / TEM ranges between ₹80,000 and ₹1,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Transanal Excision | ₹40,000 – ₹80,000 |
| TAMIS / TEM | ₹80,000 – ₹1,80,000 |
The final cost may vary depending on your individual condition, findings during evaluation, and whether any additional procedures are required.
Factors That Influence Transanal Excision Cost
The overall cost may depend on:
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Size and location of the lesion: The size, depth, and position of the rectal lesion may influence the complexity of the procedure and treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, imaging, biopsy reports, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as lesion removal, biopsy, histopathological examination, or other colorectal interventions are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, and follow-up requirements may influence the final estimate.
Is TAMIS / TEM Covered by Insurance?
TAMIS / TEM may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist and Colorectal Specialist in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether TAMIS / TEM is suitable for you. She will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Samhitha Reddy and get a personalised treatment plan.