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.

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