Laparoscopic & Hysteroscopic Minimally Invasive Surgery in Mahikeng

Minimally invasive gynaecological surgery encompasses two complementary endoscopic modalities: laparoscopy (which visualises the pelvic and abdominal cavity through a slender high-definition camera introduced at the umbilicus) and hysteroscopy (which inspects the inside of the uterine cavity through the natural cervical canal without any external skin incisions).

At Clinix Victoria Private Hospital, Dr Tebo Rasenyai utilises endoscopic surgery to diagnose and treat a wide spectrum of benign gynaecological and reproductive conditions while preserving healthy ovarian and uterine tissue.

• Operative Laparoscopy: Ovarian cystectomy (dermoid, endometriotic, or persistent simple cysts), excision or ablation of endometriosis, division of pelvic adhesions, management of ectopic pregnancy, laparoscopic sterilisation, and selected myomectomy or hysterectomy procedures.
• Diagnostic & Operative Hysteroscopy: Resection of endometrial polyps and submucosal fibroids causing heavy bleeding, division of intrauterine adhesions (Asherman's syndrome) or uterine septum, targeted endometrial biopsy, and retrieval of displaced intrauterine contraceptive devices.

Compared with traditional open abdominal surgery (laparotomy), laparoscopic and hysteroscopic procedures offer substantial physiological and recovery advantages. Magnified high-definition visualisation allows delicate dissection around the fallopian tubes, ovaries, and ureters, reducing intraoperative blood loss and minimising post-operative scar tissue formation.

Most patients undergoing diagnostic laparoscopy or operative hysteroscopy are discharged on the same day or following a single overnight hospital stay, returning to normal daily activities within one to two weeks rather than the six weeks typically required after open abdominal surgery.

If you have been referred for a surgical opinion or are seeking a second opinion regarding a recommended gynaecological operation, please bring all prior ultrasound reports, MRI scans, blood test results (such as haemoglobin, iron studies, or CA-125 tumour markers), and any previous surgical theatre records.

During your consultation in Suite D, Room 2, Dr Rasenyai performs a comprehensive pelvic ultrasound mapping and discusses both non-surgical alternatives and surgical options, explaining the exact procedure, expected recovery timeline, and any implications for future fertility.

Once a surgical plan is agreed upon and informed consent is completed, our practice prepares a detailed clinical motivation letter, ICD-10 diagnostic codes, and RPL surgical procedure codes for your medical aid scheme's hospital pre-authorisation department.

Following surgery at Clinix Victoria Private Hospital, you receive clear written discharge instructions covering wound care, analgesia, warning signs, medical certificate (sick leave) documentation, and a scheduled post-operative review in our rooms.