Regency Hospital performs Uttar Pradesh’s first robotic-assisted tubal reversal surgery, offering new hope for women seeking to restore fertility after sterilization

• This surgery using the advanced da Vinci platform, offers an improved way to reverse surgical infertility in young women, helping preserve their chance to conceive naturally.
• It is also emerging as an improved, precise option for managing complex gynecological conditions such as endometriosis, ectopic pregnancies, and tubal damage due to infections.

Kanpur, 6^th May, 2025: In a significant advancement for reproductive health in North India, doctors at Regency Hospital have successfully performed Uttar Pradesh’s first robotic-assisted tubal reversal surgery using advanced da Vinci technology. The procedure was led by Dr. Yuthika Sharma Bajpai, Consultant and Head of the Department of Reproductive Medicine and IVF. The case involved a young woman who had previously undergone tubal ligation, which is a form of permanent birth control, after her second caesarean delivery. Following the unexpected loss of her elder child, she sought to reverse the procedure in hopes of conceiving again.

Surgical infertility—when fertility is lost as a result of a medical procedure—is often a source of deep emotional distress for women, especially when life circumstances change. In this case, the woman was otherwise healthy and fertile, but the fallopian tubes, which are essential for natural conception, had been cut and sealed during her previous surgery. Reconnecting them requires a delicate procedure known as tubal recanalization or tubal reversal.

“Tubal ligation is often considered final, but it doesn’t have to be,” said Dr. Yuthika. “For young women with good ovarian reserve, reversal can be a very real and effective option. In the past, we used to do this through open abdominal surgery. Now, with robotic assistance, we can offer the same precision with far less trauma to the body.”

According to Dr. Yuthika, using robotic technology allows surgeons to operate through small incisions, offering high-definition 3D visuals and advanced instrument control. This is particularly important in procedures like tubal reversal, where the diameter of the fallopian tube is extremely narrow and requires fine suturing, which is similar to connecting small blood vessels.

“In this patient’s case, she had already undergone two caesareans. Subjecting her to another open abdominal surgery would have been physically taxing and psychologically difficult. The da Vinci robotic platform helped us complete the procedure in less than an hour, without a large incision, and with excellent precision. She recovered quickly and went home soon after,” Dr. Yuthika averred.

“Robotic-assisted reversal is especially meaningful for women whose infertility is not due to medical illness but to earlier surgical choices. “We see this more often than people realize,” Dr. Bajpai said. “Women come to us saying, ‘I thought I was done having children, but life changed.’ Robotic surgery gives us the ability to offer a safe, less invasive solution to restore natural fertility. For many, it is about reclaiming a choice they once made but now want to revisit.”

According to Dr. Yuthika, the success of such surgeries depends on the condition and length of the remaining fallopian tubes. If a healthy post-operative length is achieved—generally around 7 to 8 centimeters—pregnancy rates can be very promising, especially in women under 35.

This case also reflects a wider shift in the role of robotic-assisted surgery in women’s health. Beyond tubal reversals, the technology is now being applied to complex gynecological conditions such as endometriosis, ectopic pregnancies, and tubal damage from infections. In all these cases, robotic technology allows for more precise surgery, reduced internal scarring, and better long-term outcomes.