The facility was inaugurated by the leadership of Ruby Hall Clinic, including Dr. P.K. Grant, Dr. Simon Grant, and Dr. Himesh Gandhi, alongside the Kalyani family, represented by Dr. Baba Kalyani, Mrs. Sunita Kalyani, and Mr. Amit Kalyani of Bharat Forge. They were joined by international experts from Focal One, including Prof. Pascal (University of Toulouse), Dr. Damian, Vice President and CEO, and Mr. Ryan. The initiative has been made possible by the support of the Kalyani family, who have contributed to establishing the Kalyani Institute of Robotic HIFU Therapy at Ruby Hall Clinic, to improve access to advanced cancer care in India.

With over 40,000 new cases of prostate cancer diagnosed annually in India, many men traditionally delay treatment due to the risks associated with invasive surgery or radiation – specifically concerns regarding recovery time and long-term functional health.
Robotic HIFU addresses these fears by offering:
• Targeted Precision: Destroys cancerous tissue while sparing surrounding healthy structures.
• Non-Invasive Nature: A completely incision-free and radiation-free procedure.
• Rapid Recovery: Typically performed as a day-case, allowing patients to return to their lives almost immediately.
• Preserved Quality of Life: Significantly reduces the risk of urinary and sexual dysfunction compared to traditional methods.

Speaking at the launch, Dr. P.K. Grant, Chairman and Managing Trustee of Ruby Hall Clinic, said, “The introduction of the Indian subcontinent’s first Robotic HIFU therapy at Ruby Hall Clinic marks an important milestone for cancer care in our region. Our commitment has always been to bring advanced and meaningful medical technology to patients in India rather than wait for it to reach us years later. Establishing this programme reflects that philosophy and ensures that our patients have access to treatment options that prioritise both outcomes and quality of life.”

Dr Baba Kalyani, Chairman and Managing Director Bharat Forge, whose family’s philanthropic support made the institute possible, emphasised the importance of local access: “I have always believed that advances in technology should be used for the good of society. This programme is a clear example of how digital and AI-enabled innovation can make a real difference to patients by offering precise, minimally invasive treatment. Under the leadership of Dr Himesh Gandhi, the Robotic HIFU system has already begun delivering encouraging results for patients. I would like to congratulate Dr Purvez Grant and his team for making it possible for us to bring this technology to society.”

Dr Simon Grant, Physician and Trustee, Ruby Hall Clinic, noted, “FOCAL ONE offers a level of precision that allows us to treat only the areas affected by cancer with the intention of maintaining functional outcomes. We assess that cancer control can be achieved while preserving day-to-day quality of life for patients.”

Ms. Natalie Grant Nanda Ruby Hall Clinic, SPL, “Bringing the Indian subcontinent’s first Robotic HIFU therapy to Pune continues that legacy while setting the foundation for the next generation of cancer care. We are honoured to have the support of the Kalyani family in making this possible.”

From a clinical perspective Dr Himesh Gandhi, Consultant Uro-oncologist and Director of Robotic Surgery at Ruby Hall Clinic, said, “For many men, the fear of the treatment is as great as the fear of the cancer itself. Robotic HIFU removes that barrier, offering a non-invasive pathway that prioritises the patient’s functional independence and quick return to daily life.”

With the establishment of the Kalyani Institute of Robotic HIFU Therapy, Ruby Hall Clinic strengthens its position as a leader in advanced oncological care with an emphasis on accessibility, clinical excellence, and improved patient experience.

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“This achievement is not just about numbers”, , but about demonstrating what is possible when technology and skill converge. Each one of the 13 patients received individualized attention with a commitment to safety, and all procedures were completed with zero errors or complications. The use of robotic-assisted surgery was pivotal. It allowed for exceptional precision and greatly reduced surgeon fatigue, which would have been difficult, if not impossible, had these cases been performed laparoscopically. My priority in every case is patient safety and optimal outcomes,” said Dr. Shenoy, Director of Surgical Gastroenterology and Robotic Surgery-Kauvery Hospital, Electronic City, Bengaluru

The remarkable surgical marathon was witnessed firsthand by Dr. Deepraj Bhandarkar, Former President of the Hernia Society of India, who was visiting the hospital. His presence lends authoritative credibility to this milestone, confirming the safe, precise, and efficient execution of these complex procedures.

“Dr. Ganesh Shenoy’s accomplishment is a testament to his dedication and technical excellence,” said Dr. Bhandarkar. “Performing robotic hernia repairs at this scale in a day, with full focus on patient safety and surgical precision, is truly outstanding and inspiring for the surgical community. The robotic system’s ability to reduce surgeon fatigue significantly enhances the precision and safety achievable during such a marathon, which would otherwise be unthinkable laparoscopically.” Says Dr. Deepraj Bhandarkar, Former President of the Hernia Society of India.

The record has also been recognized by Intuitive, the makers of the da Vinci surgical robot, who played a key supporting role by providing robotic instrumentation, workflow planning, and rapid system turnaround, enabling seamless transitions between cases. Rohit Mahajan, Vice President and General Manager, Intuitive India, said, “This achievement highlights the impact created when highly organized surgical teams adopt best-in-class surgical technologies like the da Vinci robotic-assisted surgery platform to maximize throughput and reduce variability in patient outcomes. By prioritizing care team training and streamlining operational workflows, the Kauvery Hospital team has demonstrated what’s possible in expanding patient access to consistent, high-quality surgical care. We are proud to support this exceptional team in their pursuit of this milestone in patient care.”

Kauvery Hospital continues its commitment to delivering unparalleled patient safety, zero surgical errors, and excellent clinical outcomes by combining cutting-edge technology with exceptional surgical talent. This feat underlines the institution’s status as a Centre of Excellence in Hernia Surgery, accredited by the Asia Pacific Hernia Society and the Hernia Society of India.

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Giving details about the case, Prof.Suresh Patankar, chairman of Ace hospital, Erandwane, Pune, said that a 41-year-old man came to the hospital with abdominal pain and was found to have a kidney located in the pelvis, instead of its normal position. Along with multiple kidney stones, there was a blockage at the Junction, between the kidney and the joining ureter. Traditionally, such cases are extremely difficult to treat due to abnormal anatomy and the higher risk of complications.

An ectopic kidney is a very rare birth condition that is often linked with ureter obstruction and rarely with kidney stones. Treating such cases can be difficult due to the unusual position and structure of the kidney, short ureter, complex blood vessels, and the vicinity of intestines makes the procedure challenging during surgery. While laparoscopic surgery is safer and offers faster recovery compared to open surgery, it can be technically demanding and time-consuming for surgeons.  Patients with long-standing kidney stones can cause inflammation, scarring, and make tissues friable; hence, any attempt at suturing for repair produces tearing of tissues, making surgery even more difficult and increasing the risk of bleeding, infection, and other complications. Earlier, medical guidelines recommended performing such operations in 2 stages. However, with robotic technology, complex surgeries have become safe, more efficient, and less stressful for patients and surgeons.

Therefore, the Ace robotic team decided to go with a robotic surgery, added Prof. Patankar. Using a robotic surgical system, we were able to precisely remove the stones and repair the kidney in the same procedure. But this procedure was not simple and straightforward because of the multiple stones, and there was significant damage to the ureter. Hence, the challenge was how to overcome this problem, and there are no guidelines as such to repair this problem. So on the operating table, we decided to remove the stone laparoscopically and endoscopically, and simultaneously, using a buccal mucosa, that is, the skin inside the cheek, to repair the block.

This patient recovered smoothly and was discharged on the 4 day after surgery. Follow-up showed a good result and no further blockage. A detailed review of existing medical literature confirmed that this is the first reported case where both procedures, stone removal and a graft repair, were done simultaneously on an ectopic pelvic kidney with robotic assistance. Our claim has been confirmed by a peer review of the prestigious “Journal of Robotic Surgery,” which stands amongst the top 25% of World databases.

Dr.Patankar further added that hospitals have performed a large number of robotic procedures mostly for the kidney, prostate, including cancers, and reconstructions. But this procedure was a milestone and highlights how robotic surgery is revolutionizing urology, making even the most challenging procedures safer, precise, and more comfortable for both surgeons and patients. With greater flexibility of movement, enhanced 3D vision, improved ergonomics, and the wise thinking of the surgeons, it allows surgeons to perform complex operations with more precision and comfort. This gives a safe and better outcome for the patients.

The team of doctors included, along with Prof. Dr.Suresh Patankar, senior urologist Dr.Gururaj Padalsalagi, Dr.Sachin Bhuiyal, Fellow-Dr. Saurabh Uplenchwar,  Anesthetist team, Dr.Suchita Hardikar, Dr.Sonali Vaste, Dr.Neha Banwat.

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Dr. J V Srinivas, Lead Senior Consultant – Orthopaedics & Joint Replacement, said, “This technology uniquely benefits revision surgery by enabling the surgeon to take the minimum bone cuts necessary to fit the new implant, preserving vital bone stock that is often already compromised in such cases. Conventional surgery typically requires a fixed amount of bone removal, which may not be ideal for complex revision scenarios. The precision and customization afforded by the CORI system mark a significant advancement in orthopedic care, translating into better alignment, improved joint function, and potentially longer implant longevity.”

For surgeons, the use of robotics provides a significant advantage through real-time 3D imaging, allowing detailed surgical planning and precise intraoperative guidance. This technology helps ensure accurate bone cuts and optimal implant positioning, which are critical factors in reducing risks such as misalignment and instability. For patients, this translates to a more natural knee movement, less postoperative pain, and a faster, smoother recovery experience, ultimately improving their overall outcome and quality of life.

Dr. J V Srinivas further added, “Robotic-assisted revision knee replacement is a game changer in managing complex cases where preserving bone and achieving precise implant positioning are critical. This technology not only improves surgical outcomes but also offers patients a better quality of life post-surgery.”

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MUMBAI:  Yashoda Medicity, a leading healthcare institution recognised for its excellence in patient care, has partnered with Intuitive, a global pioneer in minimally invasive care and robotic-assisted surgery, to establish an advanced robotic-assisted surgery (RAS) training centre at Yashoda Medicity, Indirapuram, Ghaziabad. Shri Harsh Malhotra, Union Minister of State in the Ministry of Corporate Affairs, Road Transport and Highways, inaugurated the training centre in the presence of Shri Sunil Sharma, Minister for IT and Electronics, Government of Uttar Pradesh.

The training centre will equip surgeons and care teams with the skills to perform robotic-assisted surgery across specialities such as urology, gynaecology, general surgery, and more. Through this partnership, Yashoda Medicity, Indirapuram, Ghaziabad, aims to accelerate the adoption of robotic-assisted surgery in India by offering advanced technology training and building a strong, future-ready surgical ecosystem nationwide.

The dual-bay configuration is designed to significantly increase training capacity by enabling parallel sessions or advanced collaborative learning, making it possible to train more professionals efficiently while maintaining high standards of surgical technology training. The centre aims to offer an immersive training experience that supports standardized learning, consistent skill development across procedures, and hands-on practice.

Dr. P.N. Arora, Chairman and Managing Director of Yashoda Group of Hospitals, said, “This is a proud and significant moment for all of us at Yashoda Medicity. Being among the first few hospitals in the country to establish a dual-bay robotic-assisted surgery training centre reflects our dedication to bringing global best practices to Indian healthcare. This centre will play a key role in training skilled surgeons and advancing surgical standards. We remain committed to building centres of excellence that drive progress and improve the future of patient care.”

Dr Upasana Arora, Managing Director, Yashoda Group of Hospitals, said, “This program shows our shared goal to support the ‘Heal in India’ initiative by improving surgical care and making advanced treatment more widely available. The establishment of this robotic-assisted surgical training centre is an important step toward making India a global destination for high-quality, minimally invasive procedures. By strengthening surgical capabilities and empowering clinicians with the latest technology, we aim to benefit patients across India and abroad, while contributing meaningfully to the country’s evolving healthcare landscape.”

While commenting about the new training centre, Dr. Myriam Curet, Executive Vice President and Chief Medical Officer, Intuitive, said, “At Intuitive, we believe that empowering surgeons with the right tools and training is key to improving patient outcomes. This new training centre with Yashoda Medicity marks an important step forward in how RAS technology training is delivered in India.”

Rohitt Mahajan, VP and GM- Intuitive India, said, “The new training centre is part of our shared vision with Yashoda Group of Hospitals to expand access to robotic-assisted surgery, reduce variability in patient outcomes, and ultimately contribute to faster recovery time, fewer complications, and better quality of life for patients. We are proud of this collaboration with Yashoda to train our surgeons on da Vinci technology at the first-ever dual bay training centre in India.”

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HYDERABAD: Apollo Hospitals, Jubilee Hill,s proudly announces a historic medical milestone – Dr. Rooma Sinha, Senior Consultant in Gynaecology and Robotic Surgery, has successfully performed over 1,000 robotic surgeries for benign Gynaecological conditions, making her India’s highest-volume single surgeon in this field.

Specializing in the treatment of complex fibroids and advanced endometriosis, Dr. Sinha has become a globally recognized name in robotic-assisted gynaecology. This achievement represents not only a personal surgical feat but also a transformative leap in minimally invasive, fertility-preserving care for women in India.

“This achievement underscores Apollo’s position as the premier destination for robotic surgery in India,” said Dr. Sangita Reddy, Joint Managing Director, Apollo Hospitals Group. “Dr. Rooma Sinha’s journey exemplifies how technology and empathy can converge to transform women’s health.”

“Apollo Jubilee Hills continues to raise the bar in adopting path-breaking technologies. Dr. Sinha’s achievement is not only a triumph of skill but also of vision. She is helping make robotic gynaecology mainstream in India,” said Tejesvi Rao, CEO, Apollo Hospitals, Telangana Region.

On this occasion, Dr. Rooma Sinha stated: “In India, fibroids affect an estimated 25–50% of reproductive-age women, while up to 10% suffer from endometriosis—conditions that often lead to infertility, chronic pelvic pain, and repeated surgeries. Traditional open surgeries pose significant risks, including longer recovery times and reduced fertility outcomes.”

“Recognizing the urgent need for safer, precision-based, and fertility-preserving solutions, I adopted and advanced robotic surgery to revolutionize gynaecologic care. My mission is simple: No woman should undergo open surgery when a safer, minimally invasive option exists. This milestone isn’t just mine—it belongs to every patient who trusted me, every student I’ve taught, and every woman we’ve helped to heal with dignity, improving their quality of life.”

She said Robotic surgery offers particular benefits in cases of advanced endometriosis, large or multiple fibroids, previous multiple surgeries, and obesity situations where traditional surgery carries higher risks. It is also increasingly used in treating uterine cancers, where robotic techniques enable greater precision and safety.

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PUNE: Arcus Hospital based in Wanowrie today organized a special program to mark the milestone of 800 mako robotic surgeries for partial and total knee replacements and total hip replacements.  Dr. Rohit Luthra, Joint Replacement and Arthroscopy Surgeon at Arcus Hospital,  Dr. Juhi Luthra, and other dignitaries were present on the occasion.

Dr. Rohit Luthra said that advancing robotic technologies is a boon to patients with partial and total knee and total hip replacements. Robotic systems are being used for greater precision in preparing bone for implant and accurately placing the replacement joint.

Dr.Luthra added that lesser blood loss, no muscle cuts, and more accuracy have resulted in reducing the hospital stay by about half. 

A 3D scan helps develop a 3D model of the patient’s anatomy and is used by the surgeon to plan the surgery. The surgeon guides the robotic arm which aligns the implant to perfection and cuts only the portion that is needed and spares the bone tissues and surrounding muscles. The robot performs the procedure, with the surgeon maintaining overall control of programming and robotics.

The Mako  Surgical Robotic System is considered the most accurate and advanced robotic surgical system in the world for hip and knee replacements, including partial knee replacements which can be complex surgeries.

Damage from arthritis is the most common reason for needing a hip replacement. Left unchecked, inflammation can lead to significant damage, causing a loss of function and disability. Arthritis can impact almost any part of the body, but most often affects the hip, knee, spine, or other weight-bearing joints.

Direct Anterior Approach (DAA) brings much relief to the patients 

Arcus Hospital was one of the first in India to do the robotic bilateral hip replacement surgery with the anterior approach in October 2023. Since then more than 650 surgeries have been done with anterior approach with or without robotic system. 

Dr. Rohit Luthara added that the Anterior approach or the ‘Front’ approach as it is called is a minimally invasive and muscle-sparing procedure. In this procedure, the incision is made from the front instead of the back or side. The damaged bones or cartilage are removed without detaching muscles or tendons and are just pushed aside instead of cut to allow the implant to be placed. This results in minimal damage to the muscles and since the muscles are not cut, the patient can sooner bear his or her weight and start walking. The robotic system adds pinpoint accuracy to the procedure including placing the implant into the right position. It helps us get the exact offsets as per the patient’s native anatomy of the hip and there is minimal chance of implant malposition and the risk of dislocation is nearly zero.

One of the most crucial parts of robotic procedures is planning which ensures accuracy and safety for patients.  The sizing of the implant is done with a CT scan before the operation. So we do a CT scan, we get a 3D virtual model of the hip and then we see what implant will best fit the patient and according to the anatomy the surgery is planned for the Robotic system to execute it to perfection. Also, one very big advantage is that the limb length can be checked easily with this approach because the patient is lying supine ( flat on the back with face up) and not lying on the side.

This approach is proving to be a game changer, he said.

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PUNE: Sahyadri Hospitals proudly announces a groundbreaking achievement in orthopedic surgery with the successful completion of Pune’s first robotic-assisted hip replacement using the direct anterior approach. The procedure was performed on Mr. Dnyaneshrao Pradhan (name changed), a 65-year-old retired resident of Satara, diagnosed with Avascular Necrosis (AVN) of the hip, a condition where bone tissue in the hip deteriorates due to a lack of blood supply.

Under the expert care of Dr. Abhijit Agashe, Consultant Orthopedic and Joint Replacement Surgeon at Sahyadri Hospitals, the surgery was conducted on November 27, 2024, and Mr. Pradhan was discharged on December 2, 2024, reporting excellent post-operative progress. The use of the real intelligence robotic system combined with the direct anterior approach has set a new standard in the field, providing unparalleled precision and safety.

Dr. Abhijit Agashe commented on the benefits of this revolutionary technique, stating, “Compared to traditional hip replacement methods, the robotic-assisted direct anterior approach enables a more accurate and less invasive surgery. Patients benefit from reduced pain, quicker recovery times, and more natural movement post-surgery. This technology enables patients to sit cross-legged after surgery, a position essential for cultural practices and daily activities, making it particularly beneficial for those suffering from hip problems. This method has not only enhanced functional outcomes but has also allowed immediate postoperative mobility, significantly improving the quality of life for patients with AVN Hip.”

Dr. Agashe further highlighted, “The combination of the robotic system and the direct anterior approach represents a significant advancement in joint replacement surgery. The ability to feed preoperative data into the robotic system ensures each patient receives a customized surgery plan tailored to their specific anatomy, achieving perfect alignment and leg length with millimeter precision.”

Sahyadri Hospitals remains committed to adopting innovative technologies and methods to enhance healthcare outcomes. This successful procedure marks a promising step towards making robotic-assisted surgeries the new standard in hip replacements.

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PUNE: Doctors at Ruby Hall Clinic, Pune successfully treated a 65-year-old patient suffering from a complex and large midline hernia through robotic-assisted surgery. The elderly patient presented with extreme pain and discomfort due to the enlarged hernia bulges and also had multiple co-morbidities, including asthma, hypertension, and diabetes.

Given the patient’s age, multiple co-morbidities, high BMI, and a history of three vertical C-sections, the complexity of the surgery was significantly high. To ensure the best possible outcome, the patient underwent robotic-assisted surgery, using the da Vinci system which offered a more precise, minimally invasive approach to manage the challenges of the surgery. 

Dr. Suprashant Kulkarni, Sr. Consultant, General and Robotic Surgeon at Ruby Hall Clinic who led the surgery emphasized the importance of a multidisciplinary approach to improve surgical outcomes. “Our primary goal was to optimize the patient’s overall health before the surgery. As the patient was diabetic, we made sure that her blood sugar levels were under control before the surgery to avoid any risk of infections. With the help of a pulmonologist, we were able to optimize her respiratory issues, effectively improving her condition for two months. As urinary and constipation issues are a common concern in elderly patients, addressing and managing these issues was necessary to ensure that the patient was in good condition for the procedure, thereby reducing the risk of complications,” he said.

The patient was advised to High protein, fiber-rich diet preoperatively, in addition to exercises like walking daily for 30-60 min, and to use inspiratory spirometry to optimize her lung and heart status.

Highlighting the significance of optimizing the patient’s health before surgery, thereby improving the outcomes, Dr. Suprashant Kulkarni, further said, “Umbilical hernias, which affect both men and women, are more common in women due to the weakening of navel scar or weakening of vertical midline incisions (of Caesarean section) and surrounding abdominal muscles during pregnancy. In this patient’s case, a history of three vertical C-sections contributed to weakened abdominal muscles causing a large abdominal bulge (Diastasis recti) in addition to multiple incisional hernias (Called the Swiss cheese defects due to the typical shape caused by the defects).

To prevent hernias in women, women need to focus on strengthening their abdominal & other core muscles in not only in their growing age but also during antenatal and postnatal periods (as per recommendations from their Drs)”.

A robotic platform ensures precise and accurate surgery and the least trauma to the patient’s physiology. The patient was walking on her own in the wards just 5.5 hours post-surgery, despite the long time required for the surgery, and was discharged within 48 hours post-surgery with minimal pain, tolerating a full oral diet

Expressing her gratitude, the 65-year-old patient said, “I’m extremely grateful to Dr. Suprashant Kulkarni and his team for helping me recover this soon. They helped me understand the benefits of robotic-assisted surgery and explained how it can significantly reduce the chances of recurrence in the future.”

“Robotic technology, with its minimally invasive approach, is the best surgical treatment for addressing hernias. The three-dimensional vision, precision, and exceptional reach of instruments, offered by the da Vinci robotic system, enabled the correction of a large hernia through very small incisions. Any other surgical method would have required larger incisions, increasing the risk of infection, recurrence, and delayed wound healing,” Dr. Kulkarni added. 

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MUMBAI: AIIMS New Delhi, a premium medical institute in India, and Intuitive, a global technology leader in minimally invasive care and the pioneer of robotic-assisted surgery, today signed a Memorandum of Understanding to establish an innovative new training centre for robotic-assisted surgery at AIIMS, New Delhi.

The AIIMS da Vinci RAS training centre will equip surgeons and care teams with the skills and technology training necessary to perform robotic-assisted surgery across specialties including urology, gynecology, general surgery, and more. This industry-academia collaboration will advance the adoption of robotic-assisted surgery in India by providing state-of-the-art technology training for more surgeons.

While signing the MoU, Gary S. Guthart, CEO, of Intuitive, said, “For Intuitive, this MoU with AIIMS represents a significant milestone in our shared commitment to advancing surgical training and improving patient outcomes. We believe the AIIMS da Vinci RAS training centre will also serve as a beacon of excellence, fostering training, skill, and knowledge development for the next generation of surgeons.”

While commenting on this, Dr. Srinivas Director of All India Institute of Medical Sciences Delhi, said, “We are pleased to collaborate with Intuitive to establish this robotic-assisted surgical training centre, equipped with da Vinci systems. With the rising disease burden in India—cancers, urologic, and gynecological conditions requiring soft tissue surgery—the demand for advanced technologies like robotic-assisted surgery is growing. The need for associated training is clear in India. The da Vinci system offers enhanced precision, flexibility, and control, leading to improved surgical accuracy, reduced recovery times, and better patient outcomes. As an early adopter of robotic surgery, AIIMS has a pool of experienced robotic surgeons who will mentor and train new surgeons nationwide. This centre will play a crucial role in advancing surgical skills and elevating patient care standards across India.”

Intuitive’s commitment to training surgeons is not limited to initial technology training. It extends to providing ongoing support and training for surgeons and care teams throughout their careers, and as they advance in their use of RAS. As part of Intuitive’s continuing effort to establish strong robotics programs across India, the company has already established three training centres in different parts of the country. More than 850 surgeons in India have been trained in da Vinci technology to date and are helping drive a significant increase in its adoption.

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