Endocrinology – Gynecology LP ||| OBSTETRICS AND GYNAECOLOGY ||| Advanced Endo-Gynecology - Royal Care Hospitals

Advanced Minimally Invasive and Robotic Solutions for Women’s Health

The Department of Endogynaecology at Royal Care Hospital is a centre of excellence for minimally invasive gynaecological care. With a strong focus on advanced laparoscopic and robotic-assisted surgeries, the team offers safe, precise, and patient-friendly solutions for a wide range of conditions. Supported by cutting-edge infrastructure, including a dedicated robotic surgery suite and high-definition imaging systems, the hospital ensures faster recovery, minimal pain, and reduced hospital stays. Recognized as a trusted destination for complex procedures such as fibroid removal, hysterectomy, cancer surgeries, surgeries for deep infiltrative endometriosis and congenital anomaly corrections, Royal Care combines surgical expertise with compassionate, personalised care. As one of the few NABH-accredited hospitals offering comprehensive endogynaecology services in the region, Royal Care remains committed to delivering world-class outcomes and empowering women with better health and well-being.

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Why Choose Minimally Invasive Surgery?

Minimally invasive (laparoscopic) procedures involve small incisions—usually about 5 mm—through which a high-definition camera and specialized surgical instruments are inserted to perform precise interventions.Royal Care Hospital stands out as the best hospital for endogynaecological surgery, backed by a team of highly experienced gynaecologists and laparoscopic surgeons.

Minimal post-operative pain

Less blood loss

Lower risk of infection

Shorter hospital stays

Faster return to daily activities

Reduced scarring

Medical Procedures

1. Total and Subtotal Hysterectomy (Uterus Removal) 2. Myomectomy for Fibroid Removal 3. Ovarian Cystectomy 4. Reconstructive Procedures for Congenital Uterine Anomalies 5. Pelvic Endometriosis Excision 6. Pelvic Organ Prolapse Correction with Sling Procedures 7. Onco-Gynaecological Surgeries (Select Cancer Treatments) 8. Uterine Polyp Removal 9. Septum Resection (for Congenital Anomalies)

1. Total and Subtotal Hysterectomy (Uterus Removal)

A hysterectomy involves the surgical removal of the uterus. A total hysterectomy removes the uterus along with the cervix, while a subtotal (partial) hysterectomy removes only the uterus, preserving the cervix. This procedure is commonly performed to treat conditions such as heavy bleeding, fibroids, adenomyosis, or early-stage cancer. At Royal Care, we offer both laparoscopic and robotic-assisted approaches for safer, less invasive outcomes.

2. Myomectomy for Fibroid Removal

Myomectomy is the surgical removal of uterine fibroids while preserving the uterus, making it a preferred option for women who wish to retain fertility. Our minimally invasive techniques ensure precise fibroid removal with minimal blood loss and quicker recovery times.

3. Ovarian Cystectomy

An ovarian cystectomy involves the removal of fluid-filled sacs (cysts) from the ovaries. This fertility-preserving procedure is performed when cysts cause pain, bleeding, or are suspected to be abnormal. Using advanced laparoscopic or robotic surgery, our team ensures precise removal with optimal ovarian preservation.

4. Reconstructive Procedures for Congenital Uterine Anomalies

Some women are born with structural abnormalities in the uterus that may affect menstruation, fertility, or pregnancy. We offer specialized reconstructive surgeries to correct such congenital anomalies, including septate or bicornuate uterus, improving reproductive outcomes and quality of life.

5. Pelvic Endometriosis Excision

Endometriosis is a condition where tissue similar to the uterine lining grows outside the uterus, causing pain and fertility issues. We provide expert excision surgery using laparoscopic or robotic techniques to remove endometrial implants, reduce symptoms, and preserve reproductive function.

6. Pelvic Organ Prolapse Correction with Sling Procedures

Pelvic organ prolapse occurs when pelvic organs like the uterus or bladder descend due to weakened support tissues. Sling procedures help restore normal positioning and relieve symptoms like urinary incontinence and pelvic pressure. Our team offers minimally invasive solutions with quick recovery and long-term relief.

7. Onco-Gynaecological Surgeries (Select Cancer Treatments)

We perform specialized surgeries for gynaecological cancers including early-stage uterine, cervical, and ovarian cancers. These procedures are carried out by experienced onco-gynaecologists using minimally invasive or robotic techniques, ensuring precision, safety, and better post-operative outcomes.

8. Uterine Polyp Removal

Uterine polyps are non-cancerous growths in the lining of the uterus that can cause abnormal bleeding or affect fertility. Hysteroscopic polypectomy is a minimally invasive procedure where a small camera and surgical tools are inserted through the cervix to remove the polyps without any external cuts. This technique ensures quicker recovery and minimal discomfort.

9. Septum Resection (for Congenital Anomalies)

A uterine septum is a congenital condition where a fibrous band divides the uterus, often leading to miscarriages or infertility. Hysteroscopic septum resection allows for precise removal of the septum using advanced instruments inserted through the vaginal route, improving the chances of a successful pregnancy and normal menstrual function.

Medical Conditions

1. Uterine Fibroids

Uterine fibroids are non-cancerous growths of the uterus that often appear during childbearing years. They can cause heavy menstrual bleeding, pelvic pressure, and reproductive issues. At Royal Care, fibroids are treated effectively through minimally invasive myomectomy or hysterectomy procedures, preserving fertility when possible.

2. Ovarian Cysts

Ovarian cysts are fluid-filled sacs that form on or inside an ovary. While many are harmless and resolve on their own, larger or persistent cysts may cause pain or disrupt menstrual cycles. Our specialists perform ovarian cystectomy using laparoscopic techniques to ensure minimal discomfort and quick recovery.

3. Endometriosis

Endometriosis occurs when tissue similar to the uterine lining grows outside the uterus, leading to chronic pelvic pain, painful periods, and infertility. Our advanced laparoscopic excision surgeries help remove these tissues precisely, relieving symptoms and improving fertility outcomes.

4.Pelvic Organ Prolapse

Pelvic organ prolapse happens when pelvic organs, such as the uterus or bladder, descend into or outside the vaginal canal due to weakened muscles. We offer sling procedures and reconstructive surgeries to restore pelvic anatomy, enhance quality of life, and prevent recurrence.

5. Gynaecological Cancers

Gynaecological cancers refer to malignancies that originate in a woman’s reproductive organs, including the uterus, ovaries, cervix, vulva, and vagina. Early-stage uterine and ovarian cancers are among the most common and can often be treated effectively if detected early. Symptoms may include abnormal bleeding, pelvic pain, bloating, or changes in urinary or bowel habits

Facing fibroids, cysts, or other gynaecological concerns? Our specialists in minimally invasive and robotic-assisted surgery are here to help.

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Our Endogynaecology Expert

Dr. S. Kalyanakumari

MD (OG), Dip, Gyn. Endoscopy (Ger),Master's degree in Biotechnology of Human Assisted Reproduction & Embryology (Spain), MBA.,

Consultant Infertility Specialist,Advanced Gynaec Laparoscopic & Robotic Surgeon

Facilities of the Department

Advanced Laparoscopic Suite: Equipped with high-definition imaging systems, 3D laparoscopy, and energy devices for precision and safety.
Robotic Surgery Unit: State-of-the-art robotic system for complex gynaecological procedures, offering better accuracy, minimal pain, and faster recovery.
Dedicated Gynaecological Operation Theatres: Sterile, fully-equipped theatres with specialized instruments for keyhole and hysteroscopic procedures.
Hysteroscopy Unit: For diagnosis and treatment of intrauterine conditions like polyps, fibroids, and septum—without incisions.
Specialized Recovery & Post-Op Wards: Comfortable, private recovery areas with 24/7 nursing care and monitoring for post-surgical patients.
Ultrasound & Imaging Support: In-house diagnostic imaging including transvaginal ultrasound and pelvic scans for accurate diagnosis.
Multidisciplinary Support: Collaboration with oncology, fertility, and internal medicine for holistic management of complex cases.
Day Care Surgical Facilities: For procedures that allow same-day discharge with minimal downtime.

Frequently Asked Questions

1. Will part of the tumor be left behind in laparoscopic surgery?

Laparoscopic surgeries are performed using high-definition visuals with magnification and a 360° field of view. This allows surgeons to clearly identify and remove the entire affected tissue with excellent precision.

2. Is there more bleeding in laparoscopic surgeries?

Not at all. Modern electrosurgical instruments used in laparoscopic procedures help in effective blood vessel sealing and cutting, ensuring minimal blood loss during surgery.

3. Are complications more common in laparoscopic surgeries?

With advanced technology and skilled surgical teams, laparoscopic procedures are extremely safe. In fact, the risk of complications is significantly reduced compared to traditional open surgeries.

4. Are robotic surgeries performed by robots without human involvement?

Robotic surgeries are fully controlled by expert surgeons. The robotic system enhances precision and dexterity, but every movement is guided by the surgeon in real time.

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