Robotic thermocoagulative hemispherotomy is an innovative, minimally invasive epilepsy surgery technique pioneered by Dr. Ramesh Doddamani at AIIMS, New Delhi. Designed for patients with drug-resistant hemispheric epilepsy, this approach uses robotic stereotactic guidance to deliver targeted radiofrequency thermocoagulation, functionally disconnecting the diseased hemisphere without the need for large open craniotomy.

Unlike conventional hemispherotomy, which involves significant brain exposure and potential blood loss, this “bloodless” technique relies on multiple precisely planned, robot-assisted trajectories to create thermal disconnections within white matter pathways. The method aims to reduce surgical morbidity, operative time, blood loss, and postoperative complications while achieving comparable seizure control outcomes.

Early feasibility and safety data suggest that robotic thermocoagulative hemispherotomy offers a promising alternative to traditional open procedures, particularly in selected patients. It reflects a major advancement in robotic, functional, and epilepsy neurosurgery, reinforcing India’s contribution to cutting-edge, minimally invasive neurosurgical innovation under the leadership of experts like Dr. Doddamani.