Persistent pelvic pain, unusually painful periods and fertility problems can sometimes point to a condition that goes beyond routine menstrual discomfort. Endometriosis, which affects nearly 190 million women worldwide, can progressively damage reproductive organs and significantly affect daily life.
At Manipal Hospital Gurugram, doctors are using advanced laparoscopic and robotic techniques to manage difficult cases of the condition while focusing on the preservation of healthy pelvic tissue and fertility.
The hospital’s recent cases included women with very different manifestations of endometriosis, ranging from ovarian cysts and chronic pain to extensive pelvic adhesions and infertility-related complications.
Three Complex Cases
A 29-year-old woman diagnosed with endometriotic cysts underwent minimally invasive surgery designed to remove the affected tissue while preserving her reproductive potential. Following the procedure, she was able to conceive.
In another case, a 32-year-old woman had been experiencing increasingly severe and painful periods. Further evaluation revealed endometriosis, which was subsequently treated through laparoscopic excision surgery.
The third patient, aged 31, presented with persistent abdominal and back pain along with bloating. Investigations revealed endometriotic cysts on both sides and extensive pelvic adhesions. The adhesions had also contributed to hydrosalpinx, adding further complexity to her condition.
According to the hospital, advanced minimally invasive and robot-assisted procedures provided the surgical precision required in these challenging cases, while enabling doctors to preserve healthy tissue and reproductive function wherever possible.
Focus on Earlier Diagnosis
Endometriosis can remain undiagnosed for years because symptoms such as severe period pain are sometimes considered a normal part of menstruation. This can allow the disease to progress before appropriate treatment is provided.
Dr Amita Shah, Chairman – Obstetrics & Gynaecology, Robotic Laparoscopy & Endoscopy Surgery, Manipal Hospital Gurugram, highlighted the need to recognise the condition earlier.
“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 dismissed or normalised for years. These cases highlight the complex ways the disease can affect women and the importance of timely diagnosis and treatment. In complex cases involving deep lesions, large cysts or extensive adhesions, surgical precision is critical. Robot-assisted surgery, with its high-definition 3D vision and enhanced precision, enables us to treat the disease while preserving healthy tissue and reproductive function wherever possible. No woman should have to accept debilitating pain as ‘normal’ when effective, minimally invasive treatment options are available.”
Robotic Approach to Gynaecological Care
The latest procedures form part of the hospital’s wider use of robotic and laparoscopic technology for complex gynaecological conditions.
Dr Shah has also reached a notable milestone, becoming the first gynaecologist in India to perform 41 robotic gynaecological surgeries over a 90-day period.
Robot-assisted procedures can provide surgeons with high-definition 3D visualisation and enhanced precision, which can be particularly useful when operating around delicate pelvic structures. In complex endometriosis cases involving deep lesions, large cysts or significant adhesions, such precision can help doctors remove diseased tissue while limiting damage to surrounding healthy structures.
For women who wish to preserve their fertility, this approach can be especially important. Treatment strategies can therefore focus not only on controlling the disease and relieving symptoms but also on protecting reproductive function wherever medically feasible.
The cases at Manipal Hospital Gurugram underline the importance of taking persistent pelvic pain and severe menstrual symptoms seriously. Greater awareness, early diagnosis and timely intervention can help prevent complications and provide women with more treatment options, particularly when fertility preservation is an important consideration.
(Photo courtesy: manipalhospitals.com)