, Minimally Invasive (keyhole) Surgery, Cape Gynaecologist

What is keyhole surgery?

Keyhole surgery, also known as minimally invasive surgery, is a modern surgical technique in which operations are performed, either with no cut to the body, or through very small incisions of about 1cm. Keyhole procedures within the abdomen or pelvis are known as laparoscopic, whilst those on the uterus are hysteroscopic.

How is the procedure performed?

A laparoscope is a narrow telescope, it is inserted through the abdominal wall, usually using the umbilicus (belly button) so any small scar is invisible. A light source and a camera is connected, allowing the surgeon and assistants a magnified view of the surgery. Other special keyhole instruments such as scissors are used through 1 or 2 additional very small 5mm incisions.

Common keyhole surgeries

  • removal of the uterus (laparoscopic hysterectomy)
  • removal of fibroids (laparoscopic myomectomy)
  • prolapse repair surgery (laparoscopoic sacrocolpopexy or hysteropexy)
  • removal of ovarian cysts, ovaries or tubes
  • removal of internal scarring (laparoscopic adhesiolysis)
  • removal of the womb lining (hysteroscopic removal of endometrial polyps)

Advantages to keyhole surgery

  • smaller incisions reducing pain and recovery time
  • reduced bleeding
  • reduced exposure to infections
  • shorter time in hospital due to faster recovery period
  • reduction in internal scarring (adhesions)
  • no visible external scar

Preparing for Surgery

Worried about a surgical procedure? Taking a few smart steps before and after an operation can help you avoid surgical complications. Follow these simple tips to ensure the best possible outcome and prepare for a successful recovery. By knowing what to expect and getting the right post-surgical care, you’ll be able to go through surgery with a minimum of stress.

Most Common Types of Keyhole Surgery

See additional information below on the most common surgeries performed by Dr Gary Groenewald.

A hysterectomy is a surgery to remove a woman’s uterus (also known as the womb). The uterus is where a baby grows when a woman is pregnant. During the surgery the whole uterus is usually removed. Your doctor may also remove your fallopian tubes and ovaries.

Laparoscopic tubal ligation is a surgical sterilization procedure in which a woman’s fallopian tubes are either clamped and blocked or severed and sealed. Both methods prevent eggs from being fertilized. Tubal ligation is a permanent method of sterilization.
Endometrial ablation is a procedure that surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely.
Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus.
Laparoscopy, also known as diagnostic laparoscopy, is a surgical diagnostic procedure used to examine the organs inside the abdomen. It is a low-risk, minimally invasive procedure. Only small incisions are made. Laparoscopy uses an instrument called a laparoscope to look at the abdominal organs.
These surgeries seek to lift the urethra, the bladder, or both into the normal position. This makes sneezing, coughing, and laughing less likely to make urine leak from the bladder. Surgery works to cure stress incontinence better than any other treatment.

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