Gynecologic Surgery ยท Fertility-Sparing ยท Da Vinci

Robotic Gynecologic Surgery in India

Expert guide to robotic hysterectomy, myomectomy, endometriosis surgery โ€” fertility-sparing procedures, recovery, and India's leading gynecologic robotic surgeons.

โœ… Quick Answer

Robotic gynecologic surgery uses the Da Vinci system for hysterectomy, myomectomy (fibroid removal), endometriosis excision, and ovarian surgery through tiny incisions in the pelvis. It is particularly suited to the confined pelvic space and allows fertility-sparing surgery for fibroids and endometriosis that would be difficult laparoscopically.

Dr. Srinivas Bojanapu
Dr. Prathima Srinivas MBBS, MS (OBG) โ€” Gynecologist & Laparoscopic Surgeon ยท Dhaara Speciality Hospital, Bengaluru Medically reviewed: June 2026 โœ“ Physician Reviewed

Expert Gynecologic Robotic Surgeon

Dr. Prathima Srinivas, MBBS, MS (OBG) โ€” Gynecologist & Laparoscopic Surgeon at Dhaara Speciality Hospital, Bengaluru, specialises in advanced robotic and laparoscopic gynecologic surgery including fertility-sparing myomectomy, radical hysterectomy for cervical cancer, and deep endometriosis excision. Visit her website: prathimasrinivas.in

Robotic Gynecologic Procedures

Robotic Hysterectomy

Robotic hysterectomy โ€” removal of the uterus โ€” is one of the most validated uses of robotic surgery in the world. Compared to open hysterectomy, robotic hysterectomy has:

  • 80% reduction in blood loss (avg 100 mL vs 500 mL open)
  • Hospital stay: 1โ€“2 days vs 4โ€“5 days
  • Return to normal activity: 2 weeks vs 6โ€“8 weeks
  • Significantly lower wound complication rates

Indications: uterine fibroids, abnormal uterine bleeding, uterine prolapse, endometrial cancer, cervical cancer. Full hysterectomy guide โ†’

Robotic Myomectomy (Fibroid Removal)

Myomectomy removes fibroids while preserving the uterus โ€” critical for women who wish to retain fertility. Robotic myomectomy is superior to laparoscopic myomectomy for multiple or deep intramural fibroids because:

  • The 7-degree freedom instruments allow multilayer uterine closure (same technique as open) โ€” reducing uterine rupture risk in future pregnancy
  • Better haemostasis in highly vascular myometrium
  • Easier enucleation of posterior or broad ligament fibroids

Full myomectomy guide โ†’ | Also see: Dr. Prathima's myomectomy page

Robotic Endometriosis Surgery

Deep infiltrating endometriosis (DIE) invades the bowel, bladder, ureters, and pelvic sidewall. Complete excision (not just ablation) of DIE requires precise dissection โ€” exactly where the robotic system excels. Robotic endometriosis surgery achieves higher rates of complete excision and lower recurrence than standard laparoscopy in experienced hands. Full guide โ†’

Key Takeaways

  • Robotic hysterectomy: 1โ€“2 day hospital stay vs 4โ€“5 days open.
  • Robotic myomectomy allows multilayer uterine closure โ€” same as open, safer for future pregnancy.
  • Deep endometriosis excision: robotic approach achieves complete resection more consistently.
  • Dr. Prathima Srinivas โ€” gynecologic robotic specialist, Dhaara Speciality Hospital, Bengaluru.
  • Cross-specialty capability: Dr. Srinivas Bojanapu available for bowel segment involvement in endometriosis.

FAQs

Robotic hysterectomy: โ‚น1.5โ€“3 lakh. Robotic myomectomy: โ‚น1.5โ€“2.5 lakh. Robotic endometriosis surgery: โ‚น2โ€“4 lakh depending on extent. See cost guide.

Yes. Robotic myomectomy is designed to preserve fertility. The multilayer uterine closure technique minimises scar formation. Most women can attempt pregnancy 3โ€“6 months post-operatively.

For deep infiltrating endometriosis (Stage 3โ€“4), robotic surgery allows more complete excision, especially near the ureter, rectum, and bladder โ€” critical for symptom relief and fertility outcomes.

Dr. Prathima Srinivas at Dhaara Speciality Hospital, Yelahanka โ€” specialist in robotic and laparoscopic gynecologic surgery. Book at our consultation page or visit prathimasrinivas.in.

Hospital stay 1โ€“2 days. Return to desk work in 1โ€“2 weeks. Full recovery in 3โ€“4 weeks. Open endometriosis surgery requires 6โ€“8 weeks recovery.