Gurugram: Advanced robotic and minimally invasive surgical techniques are helping women overcome severe endometriosis and preserve fertility, doctors at Manipal Hospital Gurugram said on Thursday while highlighting a series of complex cases successfully treated at the facility.
The hospital showcased three challenging endometriosis cases, including a 29-year-old woman who conceived after fertility-preserving surgery, a 36-year-old patient with an endometriotic cyst comparable in size to an 18-week pregnancy, and a 31-year-old woman suffering from extensive pelvic disease and severe adhesions affecting her reproductive organs.
The procedures were led by Dr. Amita Shah, Chairman, Obstetrics & Gynaecology, Robotic Laparoscopy and Endoscopy Surgery, who recently became the first gynaecologist in India to perform 41 robotic gynaecological surgeries within 90 days.
Endometriosis, a condition in which tissue similar to the lining of the uterus grows outside it, affects nearly 190 million women worldwide. The disease often goes undiagnosed for years as symptoms such as severe menstrual pain, pelvic discomfort and bloating are frequently dismissed as routine health issues.
“Endometriosis is far more than severe period pain. It is a progressive condition that can cause chronic pain, damage reproductive organs and affect fertility, yet its symptoms are often normalised for years,” said Dr. Shah.
She said robotic surgery offers enhanced precision, high-definition 3D visualisation and better control during complex procedures.
“In cases involving deep lesions, large cysts or extensive adhesions, surgical precision is critical. Robot-assisted surgery allows us to remove disease tissue while preserving healthy organs and reproductive function wherever possible. No woman should have to accept debilitating pain as normal when effective treatment options are available,” she added.
Among the cases highlighted was Rakhi, 29, who sought medical help for infertility and was diagnosed with endometriotic cysts. After undergoing minimally invasive surgery aimed at preserving fertility, she successfully conceived.
“I had almost lost hope after struggling with infertility. The diagnosis explained many of the problems I had been facing. The treatment not only addressed the disease but also gave me a chance to become a mother. Today, being pregnant feels like a dream come true,” Rakhi said.
Another patient, Mamoni, 36, underwent surgery for a massive endometriotic cyst that had grown into an abdominal mass comparable in size to an 18-week pregnancy.
“I was shocked when doctors told me how large the cyst had become. The discomfort had gradually become part of my daily life. The surgery brought immense relief, and I am grateful that the condition was treated without major complications,” Mamoni said.
The third patient, Eha, 31, had suffered for years from severe abdominal pain, bloating and back pain. Investigations revealed bilateral endometriotic cysts and extensive pelvic adhesions affecting her fallopian tubes.
“For years I thought the pain was something I had to live with. After the surgery, the difference has been remarkable. I can now carry on with my daily activities without the constant discomfort that affected my quality of life,” Eha said.
Doctors stressed that early diagnosis and timely treatment are essential to prevent disease progression, reduce complications and protect fertility. They noted that advances in robotic and laparoscopic surgery are improving outcomes for women with complex gynaecological conditions while enabling faster recovery and reduced hospital stays.