Endometriosis excision
Careful removal of deep and superficial endometriosis, including disease affecting the bowel, bladder or pelvic side wall, with preservation of healthy tissue and fertility where possible.
Surgical approach
Robotic (da Vinci) surgery
For the most intricate gynaecological operations, a robotic-assisted approach lets me work with millimetre precision through a few small incisions — so complex disease can be treated thoroughly while your recovery stays as gentle as possible.
What it actually is
Keyhole surgery, with a steadier, more precise hand
Robotic surgery is a refined form of keyhole (laparoscopic) surgery. Rather than operating by hand with long instruments, I control fine, wristed instruments from a console beside you in theatre. Every movement I make is scaled down and steadied by the system, and a high-definition 3D camera magnifies the operating field many times over.
The robot does not act on its own — it is entirely surgeon-controlled at every moment. What it adds is dexterity: instruments that bend and rotate more than the human wrist, tremor filtering, and depth perception that flat keyhole cameras cannot give. For delicate dissection close to the bowel, bladder and ureters — as is so often the case in advanced endometriosis — that control matters.
The goal is always the same: remove the disease completely, protect the surrounding organs, and let you heal quickly. Robotics is one of the tools that helps me do all three at once.
Mr Rajanbabu
Why it can help you
Precision you can feel in the recovery
Because the incisions are small and the dissection is exact, most people find the robotic approach easier to recover from than open surgery — often with less pain, less blood loss and a shorter stay.
- Greater precision. 3D magnified vision and wristed instruments for meticulous, tissue-sparing dissection.
- Smaller incisions. A few keyhole cuts instead of one large one — less scarring.
- Less blood loss. Fine control around delicate structures reduces trauma to healthy tissue.
- Faster recovery. Many patients go home sooner and return to normal life more quickly.
- Safer near vital organs. Especially valuable when disease involves the bowel, bladder or ureters.
Where it's used
Procedures I perform robotically
Robotic assistance is chosen where its precision adds most — it is never used for its own sake. For simpler cases, conventional keyhole surgery is often the right choice, and I'll always recommend the least invasive option that treats your condition properly.
Hysterectomy
Robotic and laparoscopic hysterectomy for heavy bleeding, fibroids, adenomyosis or chronic pain — with a quicker return home than open surgery.
Myomectomy
Removal of fibroids while keeping the uterus intact, reconstructing the muscle wall precisely — an approach that suits those wishing to preserve fertility.
Training & experience
A background built for complex surgery
My surgical career began in gynaecological oncology, operating on some of the most demanding cases in the pelvis. That grounding in complex open surgery is exactly what underpins safe, confident minimally invasive work today.
- Oncology-trained foundation. A two-year fellowship in gynaecological oncology and years of complex open pelvic surgery.
- Dedicated robotic training. Including robotic surgery training at the Roswell Park Cancer Institute, Buffalo, New York.
- BSGE-accredited endometriosis surgeon. Working within an accredited specialist centre for advanced disease.
- Around 25 years' experience across oncological, laparoscopic and robotic gynaecological surgery.
What to expect
From consultation to recovery
We begin with a consultation to understand your symptoms, review any imaging and discuss whether surgery is the right step for you. If it is, I'll explain exactly what your operation involves, why a robotic approach is or isn't suited to your case, and what recovery is likely to look like.
Robotic procedures are carried out under general anaesthetic. Many patients stay only a night or two — sometimes going home the same day for smaller procedures — and are guided through a clear, supported recovery afterwards. Every plan is individual: the right approach for you depends on your diagnosis, your history and your own priorities.
Considering surgery?
Talk it through with a specialist
If you'd like to understand whether a robotic or keyhole approach could help — or simply want a clear opinion on your options — arrange a private consultation.