Low-cost peranal minimally invasive surgery in a resource-limited setting: Development and clinical application of a locally made port

Abstract

Per-anal minimally invasive surgery (traditionally known as TAMIS) is an effective technique for local excision of selected rectal lesions. However, widespread adoption in low-resource countries remains constrained by the high cost of dedicated TAMIS access platforms, which cost c. US$700. This cost barrier is particularly relevant in publicly funded hospitals serving economically disadvantaged populations. We report the development and successful clinical use of an indigenous low-cost TAMIS port fabricated from commonly available materials at a total cost of only US$5.