Surgical Procedures

Surgery can be a very frightening prospect for anyone. We believe that by understanding the options available to you, knowing what to expect and following the right steps upon recovery will help you to choose an option that is right for you.

Dr Groenewald’s aim is to provide a gynaecological service that offers patients a top class, minimally invasive (keyhole) option for their gynaecological surgeries. Traditionally, all gynaecological surgeries were performed through a large abdominal incision, which renders the patient unable to work for six weeks. Keyhole surgery offers the advantage of major abdominal surgery being performed through three or four 1cm incisions. This allows a shorter hospital stay with far less pain and a recovery period of ten days instead of two weeks.

It is the way the western world performs surgeries and I hope to bring South African practices in line with this or at least provide patients with a safe and effective minimally invasive option. The surgery requires a lot of skill and is traditionally very hard to perform and thus there are only a couple of surgeons in SA who are able to perform good major laparoscopic surgeries.

Minimally invasive (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.

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.

Request An Appointment

I need more information about this surgery

Request An Appointment

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

Additional Resources

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.

Read more 

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.

Read more 

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.

Read more 

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.

Read more 

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.

Read more 

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.

Read more 

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.

Read more