Minimally Invasive Surgery
in Malmesbury

Big results through small incisions

Not long ago, most gynaecological surgery meant a large abdominal incision, days in hospital, and weeks of recovery. Minimally invasive ("keyhole") surgery has changed that. Using a thin camera and fine instruments through incisions of just a few millimetres, most procedures can now be done with dramatically less trauma to your body.

Dr Siveregi has extensive training in advanced laparoscopic techniques and performs keyhole gynaecological surgery at Crestcare Hospital in Malmesbury — so specialist surgical care doesn't require a trip to Cape Town.

Laparoscopy: surgery through keyhole incisions

A laparoscope is a slim telescope inserted through a small incision near the navel, giving a magnified view of the uterus, ovaries and pelvis. Conditions treated laparoscopically include:

• Ovarian cysts — assessment and removal, preserving healthy ovarian tissue wherever possible
• Endometriosis — diagnosis and excision of endometriotic tissue (see the dedicated endometriosis & pelvic pain page)
• Fibroids — removal in appropriate cases
• Ectopic pregnancy — urgent keyhole management
• Chronic pelvic pain — diagnostic laparoscopy when the cause is unclear
• Hysterectomy — performed laparoscopically in suitable patients, with far gentler recovery than open surgery
• Tubal assessment and sterilisation

Hysteroscopy: no incisions at all

A hysteroscope passes through the natural opening of the cervix to inspect the inside of the uterus directly — no cuts whatsoever. It is used to investigate and treat:

• Abnormal or heavy menstrual bleeding
• Endometrial polyps — seen and removed in the same procedure
• Submucosal fibroids bulging into the uterine cavity
• Uterine septum and adhesions that can affect fertility
• Investigation of recurrent miscarriage and some fertility problems

What to expect

Every surgical journey starts with a consultation, examination and usually an ultrasound, so you understand exactly what is planned and why — including the alternatives and whether surgery is needed at all. Most keyhole procedures are done under general anaesthetic at Crestcare Hospital, with many patients going home the same day or after one night. You'll receive clear recovery guidance, and follow-up is with the same specialist who operated.

Frequently asked questions

How long is recovery after laparoscopic surgery?

It varies by procedure, but most women are up and about within a day or two and back to normal activities within one to two weeks — compared with roughly six weeks after equivalent open surgery. Dr Siveregi will give you guidance specific to your operation.

Will I have visible scars?

Laparoscopy leaves a few small marks of roughly 5–10 mm that typically fade significantly with time. Hysteroscopy leaves no external scars at all, since it uses the body's natural opening.

Is keyhole surgery safe?

All surgery carries some risk, but in appropriately selected patients laparoscopic surgery has excellent safety outcomes, with less blood loss, fewer wound complications and lower infection rates than open surgery. Risks and alternatives are always discussed with you before any decision.

Do I need to go to Cape Town for this kind of surgery?

No. Dr Siveregi performs laparoscopic and hysteroscopic procedures at Crestcare Hospital in Malmesbury, with your consultations, surgery and follow-up all handled locally by the same specialist.