The Data Behind the Claims: 331 Patients Across Two BLK-Max Studies

Yes. BLK-Max takes two robotic fellows every year, one in surgical oncology and one specifically in gynaecologic oncology, each for a one-year fellowship in minimally invasive robotic surgical oncology. The full application procedure and selection criteria would be shared afterward through the Jivo Healthcare team.

Cost depends on the exact procedure. For endometriosis surgery, whether it involves removing the uterus or only a cystectomy changes the figure, but in Indian currency the cost is typically 4 to 5 lakhs, roughly 4,000 to 5,000 US dollars.

A basic surgical background is required. Admission into a robotic training course in India requires an MS in Obstetrics & Gynaecology or MS in General Surgery, with at minimum some exposure to procedures such as LSCS, so the surgeon understands the underlying operative anatomy and principles. Without that foundation, the transition is very difficult. Requirements vary by country, and it would be worth checking what pathways exist locally.

It is definitely possible to train in robotics directly, and many surgeons find it easier to learn than laparoscopic surgery, especially if they are already comfortable with open surgery. India has a three-step pathway supported by Intuitive: Level 1 is simulation-based certification, Level 2 requires 30 to 50 procedures completed independently or under supervision, and Level 3 is advanced training. There is no requirement to learn laparoscopy first, though prior exposure helps. Most surgeons gain confidence within a year of focused training, with a trained bedside assistant supporting the docking and undocking process.

Of 251 patients who underwent robotic surgery for any gynaecological or gynaecologic oncological indication, 160 had malignant disease. Complication rates and hospital stay were both lower, with no compromise on recurrence, cancer-free margins or lymph node yield.

A study of 80 patients with adnexal masses identified three predictors of recurrence: the presence of residual disease, intraoperative spillage, and an ovarian cyst larger than 8 centimetres.

Comparing hospital stay, pain score, readmission rate, re-surgery rate and lymph node dissection yield, robotics matched or beat laparoscopic and open surgery. The estimated annual impact was roughly 37 open surgeries avoided and 9 complications avoided.