Articles

Clinical writing from the practice.

Notes on surgical technique, patient education and news from Dr Marais.

Our new consulting rooms at Visiomed Office Park — coming early 2027

7 October 2026

Our new consulting rooms at Visiomed Office Park — coming early 2027

Dr Pieter Marais is moving his consulting rooms a short distance up Beyers Naudé Drive to Building III, Visiomed Office Park. Current appointments are unchanged until the new rooms open.

Removing an adrenal tumour through the back — keyhole surgery that never enters the abdomen

28 September 2026

Removing an adrenal tumour through the back — keyhole surgery that never enters the abdomen

Dr Pieter Marais performs adrenal gland removal by two keyhole routes: the usual one through the abdomen, and a posterior retroperitoneoscopic route that reaches the gland from the back without entering the abdominal cavity. Here is what that means for patients, and when each route is the right choice.

Antibiotics instead of surgery for appendicitis: a second opinion

4 September 2026

Antibiotics instead of surgery for appendicitis: a second opinion

New international guidelines say antibiotics alone can treat uncomplicated appendicitis. Dr Pieter Marais explains why, in South African practice, that option is being oversold.

Modern haemorrhoid procedures: HAL/RAR, laser and stapled (PPH) explained

16 August 2026

Modern haemorrhoid procedures: HAL/RAR, laser and stapled (PPH) explained

A plain-language guide to newer, less painful haemorrhoid procedures — Doppler-guided HAL/RAR, laser haemorrhoidoplasty, and stapled PPH surgery.

The da Vinci robotic system: what it is, how it works, and why it matters for patients

15 July 2026

The da Vinci robotic system: what it is, how it works, and why it matters for patients

Dr Pieter Marais explains the da Vinci surgical robot in plain language — what it looks like, how the wristed instruments work, and what robotic-assisted surgery means for your recovery.

Gallbladder surgery: what to expect before, during, and after

15 July 2026

Gallbladder surgery: what to expect before, during, and after

What actually happens with a laparoscopic cholecystectomy — preparation, the operation, the first week at home, when you can drive and work, and life without a gallbladder.

Piles (haemorrhoids): symptoms, causes, and when surgery helps

15 July 2026

Piles (haemorrhoids): symptoms, causes, and when surgery helps

A plain-language guide to piles — what causes them, when to see a surgeon, and which treatments actually work, from in-rooms banding to haemorrhoidectomy.

Laparoscopic surgery: improving patient outcomes

10 July 2026

Laparoscopic surgery: improving patient outcomes

How keyhole and robotic techniques are changing recovery — written for patients and for referring doctors.

Keyhole surgery: what it means for you, in plain language

10 July 2026

Keyhole surgery: what it means for you, in plain language

What keyhole surgery actually feels like — pain, recovery, going home, getting back to work — explained by Dr Pieter Marais.