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At the World Association of Laparoscopic Surgeons (WALS) 2025 conference, Dr. Shailesh Puntambekar, a globally celebrated laparoscopic oncosurgeon, delivered a transformative presentation on the evolution of pelvic anatomy insights and their application in minimally invasive surgery. As the Medical Director of Galaxy Care Hospital in Pune, India, Dr. Puntambekar has pioneered techniques that have redefined laparoscopic pelvic surgery, particularly in gynecologic oncology. His talk emphasized how a deeper understanding of pelvic anatomy enhances surgical precision, improves patient outcomes, and pushes the boundaries of what is surgically possible. Redefining Surgical Precision with the “Pune Technique” Dr. Puntambekar’s most notable contribution, the “Pune Technique” for laparoscopic radical hysterectomy in cervical cancer, has become a global benchmark. This technique leverages an intricate understanding of pelvic anatomy to navigate complex structures with minimal invasiveness. At WALS 2025, he showcased how the technique minimizes damage to critical structures like the pelvic nerves and vasculature, reducing postoperative complications. His approach relies on what he terms “predictive anatomy,” a method of anticipating anatomical landmarks to create precise surgical planes, ensuring both oncologic efficacy and functional preservation. “Every gynecological procedure, from a simple hysterectomy to a uterine transplant, hinges on mastering pelvic anatomy,” Dr. Puntambekar emphasized. Advancements in Nerve-Sparing Techniques A significant focus of Dr. Puntambekar’s presentation was his work on nerve-sparing laparoscopic surgery for deep infiltrating endometriosis. By meticulously mapping the pelvic splanchnic nerves and their connections to organs like the uterus and bladder, his techniques achieve effective pain relief while preserving bladder, bowel, and sexual function. He presented case studies demonstrating how this approach has improved quality of life for patients with complex pelvic conditions, setting a new standard for endometriosis management. Educational Impact and Global Outreach Beyond his surgical innovations, Dr. Puntambekar has committed to disseminating anatomical knowledge worldwide. His book, Laparoscopic Pelvic Anatomy in Females: Applied Surgical Principles, co-authored with Dr. Sambit M. Nanda and Dr. Kajal Parikh, is a cornerstone resource for laparoscopic surgeons. At WALS 2025, he highlighted how this text, combined with his live cadaveric dissections at institutions like the International School of Surgical Anatomy (ISSA) in Tubingen, Germany, equips surgeons to translate anatomical theory into surgical practice. His workshops, conducted in over 35 countries, have trained more than 450 surgeons, fostering a global community of skilled laparoscopists. Conclusion Dr. Shailesh Puntambekar’s insights at WALS 2025 underscored the centrality of pelvic anatomy in advancing laparoscopic surgery. Through innovations like the Pune Technique, nerve-sparing approaches, and uterine transplantation, he has elevated global surgical standards. His commitment to education ensures that these advancements reach surgeons worldwide, promising better outcomes for patients. As pelvic anatomy continues to evolve through technology and research, Dr. Puntambekar’s contributions remain a guiding light for the future of minimally invasive surgery. https://www.laparoscopyhospital.com/S... Contact us: World Laparoscopy Hospital Cyber City, Gurugram, NCR Delhi, INDIA Phone/WhatsApp: +919811416838, +919999677788 World Laparoscopy Training Institute Bld. No: 27, DHCC, Dubai, UAE Phone: +971525857874 World Laparoscopy Training Institute 8320 Inv Dr, Tallahassee, Florida, USA Phone: +1 321 250 765