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How robotic surgery is transforming women's health in India

How robotic surgery is transforming women's health in India

India Today30-05-2025
As India observes Women's Health Month, India Today spoke with leading gynaecologists and surgeons behind a landmark multi-institutional study titled 'Trends in Gynecological Robotic Surgery in India: A Real-World Scenario', which is shedding light on how robotic-assisted surgery (RAS) is transforming gynaecological care nationwide. Conducted across five premier tertiary hospitals—Apollo Health City (Hyderabad), PGIMER (Chandigarh), Manipal Hospital (Bangalore), Narayana Hrudayalaya (Bangalore), and Tata Memorial Hospital (Mumbai)—the study showcases how RAS is driving better outcomes for women undergoing surgery for both benign and malignant conditions.advertisementBacked by data spanning over a decade, the study reflects how innovation in surgical technology is not just enhancing recovery but redefining access and quality in women's healthcare across India.According to the study, more than 70% of all robotic gynaecological surgeries were performed in just the last five years, indicating rapid adoption and growing trust in the technology. This reflects a broader shift in surgical practice, where precision, minimal invasiveness, and faster recovery are becoming central priorities, especially for women who often juggle health with multiple responsibilities.ENHANCED PRECISION FOR COMPLEX GYNAECOLOGICAL CONDITIONS
"Dr Rooma Sinha, Honorary Professor and Chief Gynaecologist at Apollo Health City and one of the lead authors of the study, underlines the key value of robotic-assisted surgery: precision. 'Robotic-assisted surgery is increasingly being used to manage benign gynaecological conditions such as fibroids and endometriosis, offering enhanced outcomes across a wide range of cases,' she said. This precision is particularly important in surgeries involving fertility preservation, such as myomectomy—the removal of fibroids while keeping the uterus intact.FASTER RECOVERY, LESS BLOOD LOSS, FEWER COMPLICATIONSadvertisementAcross hospitals, the data echoed similar global findings: robotic-assisted procedures resulted in reduced blood loss, shorter hospital stays, and quicker recoveries. These improvements are especially valuable in the Indian healthcare context, where many patients travel long distances for treatment. 'We were able to keep blood loss low and recovery times short—even for large fibroids or complex cases,' said Dr Sinha, who also serves as the Founder-President of the Association of Gynaecological Robotic Surgeons.CONSISTENT RESULTS REGARDLESS OF BODY TYPEThe study also found that BMI (Body Mass Index) had no significant impact on surgical outcomes, meaning that RAS can be equally effective across a wide range of body types. Additionally, improved surgical workflows—like shorter docking times as teams gained experience—also contributed to more efficient and safe surgeries.KEY CONDITIONS TREATED USING ROBOTIC SURGERYAmong the most common conditions treated using RAS wereFibroids (Myomas)EndometriosisAdenomyosisVault prolapseOvarian cystsThese often require intricate dissection and suturing, making robotic assistance especially beneficial. 'Advanced robotic platforms like da Vinci give us better visualisation and control, which makes a real difference in such complex surgeries,' explained Dr Subhas C. Saha, Professor at PGIMER.WORKING TOWARDS ACCESSIBLE AND AFFORDABLE RASDespite the benefits, cost and insurance coverage remain major hurdles. However, surgeons are working on refining procedures to lower costs, such as using fewer robotic arms and adopting multifunctional tools. 'There is a strong case for insurers to expand coverage,' Dr Saha added. 'More streamlined reimbursement policies can help ensure that advanced care becomes accessible to a broader population.'advertisementAs robotic surgery continues to evolve and become more mainstream, it is poised to play a pivotal role in the future of women's healthcare in India. Its benefits—faster recovery, fewer complications, and precision—align with the needs of today's patients. With improved access and affordability, robotic-assisted gynaecological surgery could soon become the standard of care, delivering better outcomes for women across the country.
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