# From Concept to Clinical Practice: Interhospital Robotic Telesurgery Using the SSI Mantra 3 Surgical Robotic System for Transabdominal Preperitoneal Repair of a Left Inguinal Hernia

## TL;DR

This paper describes the first interhospital robotic telesurgery in India, demonstrating its feasibility for remote hernia repair.

## Contribution

The study presents a successful real-world application of robotic telesurgery across cities in India.

## Key findings

- A robotic transabdominal preperitoneal hernia repair was successfully performed via telesurgery between Chennai and Salem.
- The patient recovered well and was discharged on the first postoperative day.
- The case highlights telesurgery's potential to improve access to surgical care in underserved regions.

## Abstract

This study aimed to demonstrate and analyze the feasibility of interhospital robotic telesurgery in India using wireless networks. On August 8, 2025, a robotic telesurgery was performed between two cities in India, Chennai and Salem, using a dual-console setup of the SSI Mantra 3 robotic system (Sudhir Srivastava Innovations Pvt. Ltd., R&D HQ, Haryana, India). The robotic surgeon command center was placed in Salem, and the patient with the robotic arm cart was in Chennai. The robotic arms were docked, and a robotic transabdominal preperitoneal (TAPP) repair of the left inguinal hernia was performed via telesurgery using the SSI Mantra 3 robotic platform via a secure fiber network. The patient had an uneventful postoperative period and was discharged on postoperative day 1. This case illustrates how telesurgery can serve as a powerful tool in democratizing access to surgical expertise by eliminating the need for both patient and surgeon travel. In nations where disparities in access to advanced surgical facilities remain a challenge, the ability to deliver high-quality surgical care remotely represents a transformative step toward inclusive healthcare delivery.