While all partners are experienced in laparoscopic surgery several have concentrated on this skill which has transformed the way we approach modern surgery. These techniques have revolutionised the management of gallstones, gastro-oesophageal reflux, inguinal and incisional hernia. They are also applicable to the surgery of achalasia, splenectomy, adrenalectomy and sympathectomy for hyperhidrosis. Three of us are trained in, and have substantial experience in laparoscopic colorectal surgery.We have over 300 patients in our colorectal case series.

In the lower GI tract, a few partners have subspecialised in colo-rectal carcinoma, inflammatory bowel disease, complex proctology and fistula surgery, faecal incontinence, sacral nerve stimulation and transanal endoscopic surgery. There is extensive experience with GI complications resulting from gynaecological disease, including cancer, infertility and endometriosis.
Minor ano-rectal procedures are performed in our procedure room avoiding hospital admission in many cases. Advanced surgical techniques have resulted in new combined approaches, involving radiotherapy, to the surgical treatment of low rectal carcinomas.

In the upper GI tract, we have extensive experience with oesophago-gastric carcinoma, oesophageal reflux , achalasia, complex peptic ulcer disease, gastro-intestinal bleeding.

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3 partners specialize in arterial surgery. There is a dedicated vascular theatre at Kingsbury Hospital with a state of the art fixed c-arm and full anaesthetic capabilities. This facilitates the performance of both open surgery and complex endovascular procedures. Procedures include the percutaneous treatment of abdominal and thoracic aortic aneurysms with aortic stents, carotid angioplasty and stenting and peripheral arterial angioplasty and stenting.

We have vascular studies units, at our Kingsbury, Constantiaberg and Vincent Palotti rooms, each staffed with a dedicated vascular technologist.

Vascular Duplex Ultrasonographers: Greta,Gill and Gail
Greta	Gill	Gail

Gastroscopy, colonoscopy, ERCP and a full range of therapeutic endoscopic procedures are performed in our dedicated endoscopy suites within our consulting rooms staffed by 4 sisters. This provides patient convenience, avoids hospital admission and results in a very significant saving in hospital costs. Patients with advanced obstructing carcinomas of the oesophagus and colon are treated with stenting.

We were the first to use Argon Plasma coagulation in the Cape and it remains a special interest area.

Since its inception, the practice has had interest in Breast surgery. Close links with radiologists, oncologists, pathologists, social workers, Reach for Recover and the National Cancer Association reflect our multi disciplinary approach. Immediate and delayed reconstruction is gaining increasing acceptance and in this regard we work closely with our plastic surgical colleagues.

We have a particular interest in parotid surgery, which is relatively uncommon. One partner has for many years, been involved with almost every case resulting in unrivaled experience which is passed on to others. Other areas of expertise include thyroid and parathyroid surgery.

Patients with recurrent varicose veins or suspected deep vein thrombosis (DVT) are assessed in the vascular studies unit. Patients with acute DVT benefit from early assessment for possible venous thrombectomy or catheter directed fibrinolytic therapy.

We have an interest in the minimally invasive management of venous disease and in addition to the traditional open procedures, we also offer laser (EVLT) or radiofrequency ablation (VNUS) and ultrasound guided foam injection sclerotherapy.