Transanal Excision / TAMIS / TEM
Advanced trans-anal techniques to remove larger rectal polyps and early rectal cancers without abdominal surgery — preserves the rectum and sphincter, with quick recovery.
What is Transanal Excision / TAMIS / TEM?
Transanal Excision, TAMIS (Trans-Anal Minimally Invasive Surgery) and TEM (Trans-Anal Endoscopic Microsurgery) are advanced surgical techniques to remove larger rectal polyps and select early rectal cancers entirely through the anus, without any abdominal incisions. Specialised platforms and laparoscopic-style instruments allow precise full-thickness excision of rectal lesions while preserving the sphincter and the rest of the rectum. As an experienced proctologist in Hyderabad, Dr. Tejasree Vengala performs transanal excision techniques at Lux Hospitals, Hyderabad, particularly valuable for select early rectal cancers in the lower and middle rectum.
How the Procedure Works
Anaesthesia & Positioning
Surgery is performed under general anaesthesia. The patient is positioned in lithotomy or prone position depending on lesion location.
Trans-Anal Platform Insertion
A specialised TAMIS or TEM platform is inserted through the anus, allowing precise visualisation and instrumentation deep inside the rectum.
Lesion Marking & Excision
The lesion is carefully marked with a margin, and full-thickness excision is performed using laparoscopic-style instruments.
Defect Closure
The rectal wall defect is closed transversely with absorbable sutures to maintain proper rectal lumen.
Recovery & Discharge
Patients are discharged in 1–2 days with structured dietary advice and follow-up plan based on biopsy results.
Outcomes
Who Needs This Treatment?
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Avoids abdominal surgery and stoma when suitable
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Preserves the rectum and sphincter completely
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Effective for large benign polyps not endoscopically removable
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Suitable for select early rectal cancers
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Day-care or short-stay surgery
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Quick return to office work in 1–2 weeks
TAMIS and TEM let us treat large rectal polyps and select early cancers with a precision that was simply not possible a decade ago — through the anus, with no abdominal cuts, full thickness, clean margins. For the right patient, it is a complete game changer.
— — Dr. Tejasree Vengala, Consultant Proctologist & Laparoscopic Surgeon, Lux Hospitals, Hyderabad
Transanal Excision / TAMIS / TEM Cost in Hyderabad
The cost of transanal excision, TAMIS, or TEM in Hyderabad depends on the size, location, and type of rectal lesion, complexity of the procedure, investigations required, and the care needed before and after surgery.
For patients requiring local excision of suitable rectal lesions through a transanal approach, the approximate cost ranges between ₹1,20,000 and ₹2,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Transanal Excision / TAMIS / TEM | ₹1,20,000 – ₹2,50,000 |
The final cost may vary depending on your individual condition, findings during evaluation, size and location of the lesion, technique used, and whether any additional procedures are required.
Factors That Influence Transanal Excision / TAMIS / TEM Cost
The overall cost may depend on:
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Size and location of the rectal lesion: The size, depth, location, and characteristics of the lesion may influence treatment planning and surgical complexity.
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Pre-operative evaluation: Required clinical examination, colonoscopy, MRI or other imaging when needed, biopsy, and medical assessments before surgery may affect the overall cost.
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Surgical technique: The specific approach—transanal excision, TAMIS, or TEM—and equipment requirements may influence the cost.
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Additional procedures: If additional lesion removal, biopsy, or other colorectal procedures are required, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, dietary guidance, pathology evaluation, and follow-up requirements may influence the final estimate.
Is Transanal Excision / TAMIS / TEM Covered by Insurance?
Transanal excision, TAMIS, or TEM may be covered by health insurance when performed for a medically necessary rectal 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 treatment.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tejasree Vengala
Consultant Proctologist & Laparoscopic Surgeon
During consultation, Dr. Tejashree Vengala, General & Laparoscopic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether transanal excision, TAMIS, or 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.
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Book a consultation with Dr. Tejasree Vengala and get a personalised treatment plan.