Marengo Asia Hospitals Faridabad Introduces 'Tele-Proctor Robotic Surgery' Program

Robotic-assisted knee replacement surgery is changing the face of orthopedic care, and expert tele-proctoring is emerging as the critical factor behind its safe and successful adoption. To bring this technology within reach of patients in tier 2 and tier 3 cities, Marengo Asia Hospitals Faridabad has launched a mentorship initiative called the "Tele-Proctor Robotic Surgery" program. 

The program takes a patient-centric, home-based approach to care. It cuts down on travel burden, widens access, and lowers overall treatment costs for patients who would otherwise need to journey to a metro city for advanced surgery. Marengo Asia Hospitals Faridabad becomes the first hospital in the country to introduce tele-proctoring specifically for robotic knee replacement. 

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A First Successful Case in Palwal

Under this program, a 67-year-old woman in Palwal, Haryana, became the first patient to undergo tele-proctor robotic knee replacement surgery. Dr. Inderjeet Singh performed the procedure at his centre in Palwal, while Dr. Anurag Aggarwal guided him in real time from Marengo Asia Hospitals, Faridabad.

How Tele-Proctoring Bridges the Skill Gap

Dr. Anurag Aggarwal, Clinical Director and Head - Orthopaedics & Robotic Joint Replacement, Marengo Asia Hospitals, explained why the technology matters.

 "Today, Tele-Proctoring is bridging the gap between technical training and real-world surgical mastery by directing surgeons through live procedures under the supervision of experienced robotic experts," he said. "During robotic knee replacement procedures, it significantly improves surgeon confidence, procedural accuracy, and overall patient experience." 

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He added that his team has already proctored three to four robotic knee replacement cases in cities like Palwal. "This new advancement is called 'Tele-Proctorship', where a skilled robotic surgeon can perform a surgery from a distance. This new advancement is a win-win situation for the patient as well as the surgeon," Dr. Aggarwal said.

He pointed to two of the toughest parts of robotic joint surgery pre-operative planning, which determines limb alignment, implant sizing and implant positioning, and gap balancing, which gives the knee stability through its full range of movement. Both factors heavily influence surgical outcomes. "In Tele-Proctorship, the skilled surgeon performs all these from a distance, and the outcome is also positive," he noted. 

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Expanding Access Beyond Metro Cities

Dr. Navneet Singh Chhabra, Facility Director, Marengo Asia Hospitals, Faridabad, called the development a reflection of the hospital's broader mission. "We are proud to offer specialized services like tele-proctoring for treating patients suffering from knee joint problems in tier 2 and tier 3 cities," he said. "This achievement reflects our continuous focus on transforming the lives of people and providing them quality of life through world-class healthcare services and clinical expertise. We are committed to deliver advanced, safe, and patient-centric care. Our vision is to make these services available to patients across the globe." 

A Local Surgeon's Perspective

Dr. Inderjit Singh, Orthopaedic Surgeon, Gurunanak Hospital, Palwal, who performed the surgery on the ground, described it as a turning point for regional healthcare access. "Being part of this tele-proctored robotic knee replacement surgery marks a significant step towards making advanced orthopaedic care accessible beyond metro cities," he said. "With the support and guidance of experts through tele-robotic technology, we were able to deliver precision-driven treatment to the patient here in Palwal. This achievement reflects how innovation and collaboration can bridge healthcare gaps and improve patient outcomes."

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The Technology Behind the Innovation

Tele-proctoring relies on advanced telecommunication technology paired with fully automated robotic systems like MISSO. Together, they enable real-time surgical guidance, secure connectivity, and enhanced precision allowing expert surgeons to remotely monitor and support procedures with a high degree of accuracy, even when they are physically miles away from the operating table.