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Signature Procedures

Advanced minimally invasive surgery for women, performed with precision, innovation and a commitment to faster recovery.

Every patient is unique. The most appropriate surgical approach depends on your condition, overall health and treatment goals. During consultation, we will discuss the safest and most suitable option for you.

REVOLUTIONARY TECHNIQUE

Scarless Surgery (vNOTES)

Advanced Gynaecological Surgery Without Visible Abdominal Scars

vNOTES (Vaginal Natural Orifice Transluminal Endoscopic Surgery) is the latest evolution in minimally invasive gynaecology. By using a specialized platform to access the pelvic cavity through the vaginal canal, we can perform complex procedures without any incisions on the abdomen.

Conditions Treated

  • • Hysterectomy
  • • Ovarian cyst removal
  • • Salpingectomy
  • • Diagnostic procedures

Key Benefits

  • • Truly zero abdominal scars
  • • Reduced post-op pain
  • • Faster return to activities
  • • Shorter hospital stay

Note: vNOTES is technically demanding and requires specialized training. Dr. Rafi is one of the pioneers offering this approach for complex cases.

vNOTES Procedure Illustration
Uterine Fibroids Illustration
COMPLEX MYOMECTOMY

Large Fibroid Keyhole Surgery

Advanced Minimally Invasive Surgery for Large and Complex Uterine Fibroids

Uterine fibroids can grow to significant sizes, causing heavy menstrual bleeding, pelvic pressure, and fertility issues. While many are told they need “open” surgery, Dr. Rafi specializes in removing even very large fibroids laparoscopically (keyhole).

Laparoscopic Myomectomy: This procedure allows for the precise removal of fibroids while preserving the uterus. We use advanced suturing techniques and morcellation bags to ensure safety and anatomical integrity.

  • Preservation of fertility
  • Minimal blood loss
  • 1-2cm incisions vs 15cm
  • Rapid recovery time

Surgeon experience is critical when dealing with large fibroids to avoid conversion to open surgery and ensure a strong uterine repair.

PRECISION CYSTECTOMY

Huge Ovarian Cyst Keyhole Surgery

Advanced Minimally Invasive Surgery for Large Ovarian Cysts

Ovarian cysts are fluid-filled sacs that can sometimes grow to several kilograms in weight, leading to persistent bloating, pain, and risks of torsion (twisting).

Our approach focuses on a tailored removal or decompression technique. Using high-definition laparoscopic imaging, we can identify the thin layer of healthy ovarian tissue often stretched over a large cyst.

Surgical Goals

  • Healthy Tissue Preservation: Carefully separating the cyst wall to save as much of the ovary as possible.
  • Controlled Decompression: Reducing cyst volume safely during surgery to allow removal through tiny ports.
Laparoscopic Cyst Surgery
Deep Endometriosis Illustration
MULTIDISCIPLINARY CARE

Deep Endometriosis Surgery

Advanced Laparoscopic Surgery for Complex Endometriosis

Deep Infiltrating Endometriosis (DIE) occurs when endometriosis tissue grows more than 5mm beneath the peritoneal surface, potentially affecting the ovaries, bladder, bowel, and pelvic nerves.

Symptoms of DIE are often severe, including chronic pelvic pain, painful intercourse, bowel issues, and extreme fatigue.

Our Surgical Aims:

  • Complete excision of all visible disease
  • Restoration of normal pelvic anatomy
  • Significant improvement in quality of life

We employ a multidisciplinary team-based approach, coordinating with colorectal and urology specialists when necessary to ensure comprehensive care for complex DIE cases.

Get a Consultation NOW!

Take the first step toward specialized care. Our team is ready to assist you with your health journey.

CLINIC LOCATION

Puteri Specialist Hospital, Johor Bahru

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Specialized gynecological surgical intervention and expert clinical care.

Office Hours

Mon – Fri: 8:00 AM – 5:00 PM
Sat – Sun: Emergency Only

Contact

Puteri Specialist Hospital
Jalan Tun Abdul Razak, Susur 5
80350 Johor Bahru, Johor, Malaysia
rafiuddin.hamizan@gmail.com

© 2026 Dr. Rafi Surgical Practice. Professional Integrity. Patient Dignity.

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