Dr. Shailesh Puntambekar, a pioneering surgical oncologist and Medical Director at Galaxy Care Hospital in Pune, India, has significantly advanced our understanding of pelvic anatomy through his innovative approaches in laparoscopic and robotic surgeries. His contributions were notably highlighted at the World Association of Laparoscopic Surgeons (WALS) 2025 conference, where he shared his evolving perspectives on pelvic anatomy.

Advancements in Laparoscopic Techniques

Dr. Puntambekar is renowned for developing the "Pune Technique" of laparoscopic radical hysterectomy for cervical cancer, a method that has gained international recognition for its efficacy and minimally invasive nature. This technique exemplifies his commitment to refining surgical procedures to enhance patient outcomes and recovery times.

Insights into Pelvic Anatomy

In his presentation at WALS 2025, Dr. Puntambekar emphasized how laparoscopy has revolutionized the field of pelvic surgery by providing surgeons with a magnified view of anatomical structures, thereby deepening their understanding of pelvic anatomy. He highlighted that while the gross anatomy of pelvic organs such as the bladder, uterus, fallopian tubes, ovaries, and rectum has remained unchanged, our comprehension of the surrounding structures—vessels, nerves, and potential spaces—has evolved significantly. This enhanced understanding facilitates more precise surgical interventions, reducing complications and improving functional outcomes for patients.

Pioneering Uterine Transplantation

Dr. Puntambekar's innovative spirit is further exemplified by his leadership in performing India's first successful uterus transplants. In May 2017, his team at Galaxy Care Hospital achieved a medical milestone by conducting two uterine transplants in two days, utilizing laparoscopic surgery to minimize patient discomfort and promote faster recovery. This groundbreaking work not only showcased the potential of minimally invasive techniques in complex procedures but also opened new avenues for women with uterine factor infertility to experience childbirth.

Global Recognition and Contributions

Dr. Puntambekar's expertise has been acknowledged globally. He has been invited to perform live surgical workshops and share his knowledge in countries including Germany, England, France, and Australia. His numerous awards, such as the prestigious "Golden Telescope Award" from the American Association of Gynecologic Laparoscopists (AAGL), underscore his contributions to advancing laparoscopic surgery.

Evolving Perspectives on Pelvic Anatomy: Insights from Dr. Shailesh Puntambekar at WALS 2025

The study of pelvic anatomy has undergone significant transformations over the years, particularly with the advancement of minimally invasive surgical techniques. At the World Association of Laparoscopic Surgeons (WALS) 2025 conference, Dr. Shailesh Puntambekar, a leading figure in laparoscopic and robotic surgery, shared groundbreaking insights that have reshaped our understanding of pelvic anatomy. His work, particularly in gynecologic oncology and advanced laparoscopic procedures, has introduced innovative surgical techniques that enhance precision, reduce complications, and improve patient outcomes.

The Evolution of Pelvic Anatomy Understanding

Traditionally, pelvic anatomy was studied through cadaveric dissections and open surgical procedures, limiting the depth of visualization and surgical maneuverability. However, with the advent of laparoscopic and robotic-assisted techniques, surgeons now have an unparalleled, high-definition, magnified view of pelvic structures. Dr. Puntambekar emphasized how this enhanced perspective has refined our knowledge of key anatomical spaces, including the pararectal, paravesical, and rectovaginal spaces, leading to safer and more effective surgical interventions.

One of the critical aspects he discussed at WALS 2025 was the role of advanced imaging in preoperative planning. By integrating technologies such as 3D laparoscopy and augmented reality, surgeons can now map intricate nerve pathways and vascular structures with greater precision. This has been particularly beneficial in procedures like nerve-sparing radical hysterectomies and pelvic exenterations, where preserving function is as crucial as oncologic clearance.

Innovations in Laparoscopic Surgery

Dr. Puntambekar is internationally recognized for his development of the "Pune Technique" for laparoscopic radical hysterectomy. This technique revolutionized cervical cancer treatment by making it possible to perform a radical hysterectomy with minimal invasiveness, reducing blood loss, hospital stay, and recovery time. At WALS 2025, he highlighted refinements to this technique, including improved hemostatic control and enhanced ergonomic instrument handling, further improving surgical efficiency.

Another key topic he addressed was the significance of the "Holy Plane" concept in pelvic surgeries. This approach, focusing on avascular tissue planes, allows for meticulous dissection, reducing intraoperative bleeding and preserving vital structures. By understanding these anatomical layers better, surgeons can optimize oncological outcomes while minimizing postoperative morbidity.

Pioneering Uterine Transplantation

Beyond oncology, Dr. Puntambekar has made history in the field of transplantation. He led India’s first successful uterine transplant in 2017, offering new hope to women with uterine factor infertility. At WALS 2025, he elaborated on how detailed anatomical studies of uterine vasculature and donor-recipient matching have improved transplant success rates. Laparoscopic-assisted uterine transplantation has further minimized surgical trauma, setting new benchmarks in reproductive medicine.

Impact on Global Surgical Practices

Dr. Puntambekar’s contributions extend beyond India, influencing surgical practices worldwide. His expertise has been sought after in leading medical institutions across Europe, North America, and Asia, where he has conducted live surgical demonstrations and training sessions. His work has played a crucial role in standardizing laparoscopic techniques globally, ensuring that more surgeons can adopt minimally invasive approaches with confidence.

Conclusion

Dr. Shailesh Puntambekar's evolving perspectives on pelvic anatomy, as presented at WALS 2025, reflect a career dedicated to innovation and excellence in surgical practice. His work continues to influence the field of gynecologic oncology, offering patients safer and more effective surgical options and inspiring ongoing advancements in minimally invasive surgery.