Kolkata, July 17, 2026: In a rare and complex gynaecological procedure, doctors at Fortis Hospital Anandapur successfully removed a 1.41 kg fibroid-laden uterus from a 51-year-old woman suffering from severe anaemia caused by prolonged heavy menstrual bleeding. The patient, who was also diabetic, obese and had undergone multiple abdominal surgeries in the past, was treated through an advanced robotic-assisted hysterectomy and made a full recovery within a week. The procedure was led by Dr. Sujata Datta, Senior Consultant Gynaecologist and Robotic Surgeon, Fortis Hospital Anandapur.
For nearly six months prior to seeking care at Fortis Hospital Anandapur, the patient had been living with relentless, heavy menstrual bleeding that had steadily drained her health and her ability to function normally. She had been receiving treatment at another facility, including hormonal therapy and iron infusions, but nothing had brought her relief. By the time she arrived at Fortis Anandapur, her haemoglobin had dropped to 8 g/dL, well below the normal range, leaving her severely anaemic and significantly weakened. Her case was further complicated by multiple co-morbidities. She was diabetic, obese with a BMI of 30, and carried the physical history of two prior abdominal surgeries – a caesarean section, which had left a large midline scar, and a laparoscopic removal of the gallbladder. These factors significantly increased the complexity of the case and presented a formidable clinical challenge.
Detailed investigations at Fortis revealed the full extent of her condition. Her uterus had grown to the size of a 26-week pregnancy, measuring approximately 21 × 9.2 × 17.2 cm, distended by multiple fibroids, the largest of which measured 13.7 × 10 cm, and extensive adenomyosis, a condition in which the tissue lining the uterus grows into the uterine wall itself. Left untreated, the unrelenting blood loss would have continued to compromise her health, her immunity, and her overall quality of life.
Given the failure of all conservative treatment options and the severity of her symptoms, the team of doctors at Fortis Hospital, Anandapur decided to proceed with a robotic-assisted total hysterectomy, the complete removal of the uterus, along with removal of both fallopian tubes. Removing the fallopian tubes alongside the uterus is a standard practice in women who have completed childbearing, as it reduces the future risk of certain gynaecological cancers. The ovaries were carefully assessed during surgery and preserved as they were healthy.
The robotic hysterectomy was performed with precision. A particular challenge arose in retrieving the specimen: given the exceptionally large size of the uterus, it was carefully extracted through the naval port using a controlled technique. Throughout the procedure, both ureters, the delicate channels that carry urine from the kidneys to the bladder, were meticulously identified and protected to prevent injury.
Despite the scale and complexity of the surgery, the results were remarkable. Blood loss during the procedure was minimal, the patient’s haemoglobin held steady at 10.9 g/dL before surgery and 10.6 g/dL after, a testament to the precision of the robotic approach. She experienced minimal post-operative pain, recovered quickly, and was discharged in stable condition within a week of her surgery.
Giving details of the case, Dr. Sujata Datta, Senior Consultant Gynaecologist and Robotic Surgeon, Fortis Hospital Anandapur, said: “This was an exceptionally complex case because the uterus weighed 1.41 kg, which is nearly six times the average weight seen in most hysterectomy procedures, especially in a patient who is diabetic, obese, and carrying significant internal scarring from prior surgeries. What made this surgery possible was the precision that robotic techniques afford. In such cases where margin for error is narrow, robotic assistance allows us to operate with a level of control and accuracy that is difficult to replicate through conventional approaches. The patient lost minimal blood, experienced minimal pain, and went home within a week. That is what advanced surgical care should look like.”
Ashish Mukherjee, Facility Director, Fortis Hospital Anandapur, said: “This case is a powerful example of what becomes possible when clinical expertise, advanced technology, and a patient-first approach come together. Achieving a successful minimally invasive robotic outcome in a high-risk patient is a rare surgical accomplishment. It reflects the calibre of our surgical team and the depth of our capabilities here at Fortis Hospital Anandapur. Our commitment is to ensure that patients facing the most complex and challenging conditions do not have to look beyond their city for advanced care.”