Krüger & Viljoen Specialist Surgeons

Krüger & Viljoen Specialist Surgeons Dr FP Krüger & Dr DA Viljoen are Specialist General Surgeons, practicing at Mediclinic - Bloemfontein

𝗖𝗢𝗟𝗢𝗥𝗘𝗖𝗧𝗔𝗟 𝗖𝗔𝗡𝗖𝗘𝗥 𝗔𝗪𝗔𝗥𝗘𝗡𝗘𝗦𝗦:𝗪𝗵𝗲𝗻 𝗦𝗵𝗼𝘂𝗹𝗱 𝗬𝗼𝘂 𝗚𝗲𝘁 𝗦𝗰𝗿𝗲𝗲𝗻𝗲𝗱?Colorectal cancer (cancer of the colon or re**um) is one of the...
03/03/2026

𝗖𝗢𝗟𝗢𝗥𝗘𝗖𝗧𝗔𝗟 𝗖𝗔𝗡𝗖𝗘𝗥 𝗔𝗪𝗔𝗥𝗘𝗡𝗘𝗦𝗦:𝗪𝗵𝗲𝗻 𝗦𝗵𝗼𝘂𝗹𝗱 𝗬𝗼𝘂 𝗚𝗲𝘁 𝗦𝗰𝗿𝗲𝗲𝗻𝗲𝗱?

Colorectal cancer (cancer of the colon or re**um) is one of the most common cancers worldwide — but it is also one of the most preventable and treatable conditions when detected early.

👨‍⚕️ 𝗪𝗵𝗼 𝘀𝗵𝗼𝘂𝗹𝗱 𝗯𝗲 𝘀𝗰𝗿𝗲𝗲𝗻𝗲𝗱?
✔️ Average risk adults: Start screening at 45 years
✔️ Higher risk individuals: Start earlier if you have:
• Family history of colorectal cancer or polyps
• Inflammatory bowel disease (Crohn’s or Ulcerative Colitis)
• Genetic syndromes (e.g. Lynch syndrome, Familial adenomatous polyposis)

🩺 𝗪𝗵𝘆 𝘀𝗰𝗿𝗲𝗲𝗻𝗶𝗻𝗴 𝗺𝗮𝘁𝘁𝗲𝗿𝘀?
Most colorectal cancers develop from small growths called polyps.
Screening can detect and remove polyps before they turn into cancer.

⚠️ 𝗗𝗼𝗻’𝘁 𝗶𝗴𝗻𝗼𝗿𝗲 𝘀𝘆𝗺𝗽𝘁𝗼𝗺𝘀. 𝗦𝗲𝗲 𝘆𝗼𝘂𝗿 𝗱𝗼𝗰𝘁𝗼𝗿 𝗶𝗳 𝘆𝗼𝘂 𝗵𝗮𝘃𝗲:
• Blood in the stool
• Change in bowel habits
• Unexplained weight loss
• Persistent abdominal discomfort
• Iron-deficiency anaemia

👉 Early detection saves lives. If you’re 45 or older — or have risk factors — talk to your doctor about colorectal cancer screening.



𝗨𝗺𝗯𝗶𝗹𝗶𝗰𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 – 𝗪𝗵𝗮𝘁 𝗬𝗼𝘂 𝗦𝗵𝗼𝘂𝗹𝗱 𝗞𝗻𝗼𝘄An umbilical hernia occurs when part of the intestine or fatty tissue pushes thro...
20/02/2026

𝗨𝗺𝗯𝗶𝗹𝗶𝗰𝗮𝗹 𝗛𝗲𝗿𝗻𝗶𝗮 – 𝗪𝗵𝗮𝘁 𝗬𝗼𝘂 𝗦𝗵𝗼𝘂𝗹𝗱 𝗞𝗻𝗼𝘄

An umbilical hernia occurs when part of the intestine or fatty tissue pushes through a weak spot in the abdominal wall near the belly button (umbilicus). It may appear as a soft swelling or bulge around the belly button.

In adults, umbilical hernias typically do not resolve without surgical repair.
In children, surgical repair is usually indicated for large defects (≥2cm) or if it persists after the age of 4-5 years old.

⚠️ 𝗖𝗼𝗺𝗺𝗼𝗻 𝗦𝘆𝗺𝗽𝘁𝗼𝗺𝘀:
• A visible bulge at the belly button
• Discomfort or pain, especially when coughing / sneezing
• A feeling of pressure in the abdomen

🚨 𝗪𝗵𝗲𝗻 𝗶𝘀 𝗶𝘁 𝘂𝗿𝗴𝗲𝗻𝘁?
Seek immediate medical attention if you experience:
• Severe pain
• Redness or tenderness over the swelling
• Nausea or vomiting

These may be signs of a strangulated or incarcerated hernia, which requires urgent surgery.

🏥 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁:
The only definitive treatment for an umbilical hernia is surgical repair. Early repair helps prevent complications.

If you notice a swelling around your belly button or are experiencing discomfort, don’t ignore it. Early evaluation ensures safe and effective treatment.

📞 Contact us for an assessment. We are here to guide you every step of the way.



✨ 𝗪𝗶𝘀𝗵𝗶𝗻𝗴 𝗬𝗼𝘂 𝗮 𝗛𝗲𝗮𝗹𝘁𝗵𝘆 𝗮𝗻𝗱 𝗣𝗿𝗼𝘀𝗽𝗲𝗿𝗼𝘂𝘀 𝗡𝗲𝘄 𝗬𝗲𝗮𝗿 ✨As we welcome the new year, we wish all our patients and their families...
15/01/2026

✨ 𝗪𝗶𝘀𝗵𝗶𝗻𝗴 𝗬𝗼𝘂 𝗮 𝗛𝗲𝗮𝗹𝘁𝗵𝘆 𝗮𝗻𝗱 𝗣𝗿𝗼𝘀𝗽𝗲𝗿𝗼𝘂𝘀 𝗡𝗲𝘄 𝗬𝗲𝗮𝗿 ✨

As we welcome the new year, we wish all our patients and their families a year filled with good health, peace, and prosperity.
Our practice remains committed to walking this journey with you — whether you require surgical care, guidance, or reassurance. We are here to support you every step of the way with professionalism, compassion, and excellence in care.

📍 𝗣𝗿𝗮𝗰𝘁𝗶𝗰𝗲 𝗢𝗽𝗲𝗻𝗶𝗻𝗴 𝗛𝗼𝘂𝗿𝘀:
Monday - Friday
08:00 - 16:30

Room 208
Mediclinic Bloemfontein

📞 𝗖𝗼𝗻𝘁𝗮𝗰𝘁 𝗗𝗲𝘁𝗮𝗶𝗹𝘀:
Landline: 051 011 7814
Whatsapp: 078 848 8737
Email: drkruger@krugerviljoen.co.za
drviljoen@krugerviljoen.co.za

Please do not hesitate to contact us should you require an appointment or further information. We look forward to caring for you in the year ahead.

𝙁𝙚𝙨𝙩𝙞𝙫𝙚 𝙂𝙧𝙚𝙚𝙩𝙞𝙣𝙜𝙨 🎄Thank you for trusting our team with your care.𝗠𝗮𝘆 𝘆𝗼𝘂𝗿 𝗳𝗲𝘀𝘁𝗶𝘃𝗲 𝘀𝗲𝗮𝘀𝗼𝗻 𝗯𝗲 𝗳𝗶𝗹𝗹𝗲𝗱 𝘄𝗶𝘁𝗵 𝗿𝗲𝘀𝘁, 𝗵𝗲𝗮𝗹𝘁𝗵 𝗮𝗻...
12/12/2025

𝙁𝙚𝙨𝙩𝙞𝙫𝙚 𝙂𝙧𝙚𝙚𝙩𝙞𝙣𝙜𝙨 🎄

Thank you for trusting our team with your care.

𝗠𝗮𝘆 𝘆𝗼𝘂𝗿 𝗳𝗲𝘀𝘁𝗶𝘃𝗲 𝘀𝗲𝗮𝘀𝗼𝗻 𝗯𝗲 𝗳𝗶𝗹𝗹𝗲𝗱 𝘄𝗶𝘁𝗵 𝗿𝗲𝘀𝘁, 𝗵𝗲𝗮𝗹𝘁𝗵 𝗮𝗻𝗱 𝗵𝗮𝗽𝗽𝗶𝗻𝗲𝘀𝘀!

𝗠𝗮𝘆 𝘁𝗵𝗶𝘀 𝗡𝗲𝘄 𝗬𝗲𝗮𝗿 𝗯𝗿𝗶𝗻𝗴 𝗷𝗼𝘆 𝗮𝗻𝗱 𝗵𝗮𝗽𝗽𝗶𝗻𝗲𝘀𝘀 𝘁𝗼 𝘆𝗼𝘂 𝗮𝗻𝗱 𝘆𝗼𝘂𝗿 𝗳𝗮𝗺𝗶𝗹𝘆!

🩺 𝗔𝗰𝘂𝘁𝗲 𝗔𝗽𝗽𝗲𝗻𝗱𝗶𝗰𝗶𝘁𝗶𝘀 Appendicitis is one of the most common surgical emergencies — and it can happen to 𝗮𝗻𝘆𝗼𝗻𝗲. It usual...
27/11/2025

🩺 𝗔𝗰𝘂𝘁𝗲 𝗔𝗽𝗽𝗲𝗻𝗱𝗶𝗰𝗶𝘁𝗶𝘀

Appendicitis is one of the most common surgical emergencies — and it can happen to 𝗮𝗻𝘆𝗼𝗻𝗲. It usually starts as pain around the umbilicus (belly button) that shifts to the right lower abdomen. You may also notice nausea, vomiting, loss of appetite and fever.

⏰ Why acting early matters:
If untreated, an inflamed appendix can burst and cause a serious infection in the abdomen. Early diagnosis and surgery lead to faster recovery and fewer complications.

🔍 When to seek urgent medical help:

🔸Sudden abdominal pain that starts centrally and moves to the right

🔸Pain that keeps getting worse

🔸Fever, nausea, or vomiting with abdominal pain

🔸Abdominal pain plus loss of appetite

🔸Severe tenderness in the right lower abdomen

👨‍⚕️ Our surgeons are here to help.
If you’re worried about your symptoms, don’t delay treatment — seek medical attention. Fast action can make all the difference.



💥𝗛𝗲𝗮𝗿𝘁𝗯𝘂𝗿𝗻 – 𝗪𝗵𝗲𝗻 𝗜𝘁’𝘀 𝗠𝗼𝗿𝗲 𝗧𝗵𝗮𝗻 𝗝𝘂𝘀𝘁 𝗮 𝗕𝘂𝗿𝗻𝗶𝗻𝗴 𝗦𝗲𝗻𝘀𝗮𝘁𝗶𝗼𝗻!💥We’ve all felt that uncomfortable burning sensation in the ch...
14/11/2025

💥𝗛𝗲𝗮𝗿𝘁𝗯𝘂𝗿𝗻 – 𝗪𝗵𝗲𝗻 𝗜𝘁’𝘀 𝗠𝗼𝗿𝗲 𝗧𝗵𝗮𝗻 𝗝𝘂𝘀𝘁 𝗮 𝗕𝘂𝗿𝗻𝗶𝗻𝗴 𝗦𝗲𝗻𝘀𝗮𝘁𝗶𝗼𝗻!💥

We’ve all felt that uncomfortable burning sensation in the chest after a big meal or lying down too soon — that’s heartburn. But if it’s happening often, it’s worth paying attention.

🔥 Possible causes include:

- Lifestyle factors like smoking, obesity, drinking alcohol or caffeine.

- Pregnancy

- Gastroesophageal reflux (GERD): when stomach acid flows back into the oesophagus.

- Gastritis: inflammation of the stomach lining.

- Peptic ulcer disease: ulcers in the stomach or small intestine.

- Hiatus hernia: when the top part of the stomach bulges up into the chest cavity through an opening in the diaphragm.

👨🏻‍⚕ 𝗪𝗵𝗲𝗻 𝘁𝗼 𝘀𝗲𝗲 𝘆𝗼𝘂𝗿 𝗱𝗼𝗰𝘁𝗼𝗿:

Persistent or more frequent episodes of heartburn

Pain that wakes you up at night

Difficulty swallowing

Unexplained weight loss, vomiting, or black stools

💬 Persistent heartburn isn’t just discomfort — it can be a sign of something that needs medical attention. Our surgeons are here to help diagnose and manage the cause so you can get lasting relief.



𝗪𝗵𝗮𝘁 𝗜𝘀 𝗮 𝗠𝗮𝗺𝗺𝗼𝗴𝗿𝗮𝗺 & 𝗪𝗵𝗲𝗻 𝗦𝗵𝗼𝘂𝗹𝗱 𝗬𝗼𝘂 𝗦𝘁𝗮𝗿𝘁 𝗦𝗰𝗿𝗲𝗲𝗻𝗶𝗻𝗴?A mammogram is a special X-ray of the breast used to detect early ...
27/10/2025

𝗪𝗵𝗮𝘁 𝗜𝘀 𝗮 𝗠𝗮𝗺𝗺𝗼𝗴𝗿𝗮𝗺 & 𝗪𝗵𝗲𝗻 𝗦𝗵𝗼𝘂𝗹𝗱 𝗬𝗼𝘂 𝗦𝘁𝗮𝗿𝘁 𝗦𝗰𝗿𝗲𝗲𝗻𝗶𝗻𝗴?

A mammogram is a special X-ray of the breast used to detect early signs of breast cancer — often before any symptoms appear. Early detection can be life-saving, which is why regular screening is so important.

𝗢𝘂𝗿 𝘀𝘂𝗿𝗴𝗲𝗼𝗻𝘀 𝗿𝗲𝗰𝗼𝗺𝗺𝗲𝗻𝗱:

Routine mammograms every 1–2 years starting at the age 40.

🚨 If you are at higher risk, we advise starting screening earlier — from the age 35.
You may be considered high risk if you have:

- A family history of breast cancer (mother, sister, daughter, or close relative)

- Known genetic mutations such as BRCA1 or BRCA2

- A personal history of breast conditions that increase cancer risk (e.g. a biopsy that revealed abnormal breast tissue cells)

𝗦𝗽𝗲𝗮𝗸 𝘁𝗼 𝘆𝗼𝘂𝗿 𝗵𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝗽𝗿𝗼𝘃𝗶𝗱𝗲𝗿 𝗮𝗯𝗼𝘂𝘁 𝘀𝗰𝗵𝗲𝗱𝘂𝗹𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗺𝗮𝗺𝗺𝗼𝗴𝗿𝗮𝗺 𝘁𝗼𝗱𝗮𝘆!



𝗘𝘃𝗲𝗿𝘆 𝗯𝗿𝗲𝗮𝘀𝘁 𝗰𝗮𝗻𝗰𝗲𝗿 𝗷𝗼𝘂𝗿𝗻𝗲𝘆 𝗶𝘀 𝘂𝗻𝗶𝗾𝘂𝗲 — and understanding your treatment options is the first step towards healing. ---A...
13/10/2025

𝗘𝘃𝗲𝗿𝘆 𝗯𝗿𝗲𝗮𝘀𝘁 𝗰𝗮𝗻𝗰𝗲𝗿 𝗷𝗼𝘂𝗿𝗻𝗲𝘆 𝗶𝘀 𝘂𝗻𝗶𝗾𝘂𝗲 — and understanding your treatment options is the first step towards healing.

---

A breast cancer diagnosis can be overwhelming, but knowing your treatment options helps you feel more informed and empowered.

Treatment is carefully planned by a team that includes your surgeon, oncologist, and other specialists. Together, they design a plan tailored to your specific diagnosis and needs.

Here’s an overview of the main treatment options:

◻️ 𝗦𝘂𝗿𝗴𝗲𝗿𝘆
Often the first step to remove the cancer. This may include a lumpectomy (removing the tumour and some surrounding tissue) or a mastectomy (removing the entire breast). Breast reconstruction can sometimes be done at the same time or later.

◻️ 𝗥𝗮𝗱𝗶𝗮𝘁𝗶𝗼𝗻 𝗧𝗵𝗲𝗿𝗮𝗽𝘆
Uses focused, high-energy rays to destroy any remaining cancer cells in the breast or chest area after surgery.

◻️ 𝗖𝗵𝗲𝗺𝗼𝘁𝗵𝗲𝗿𝗮𝗽𝘆
Medication that travels through the bloodstream to destroy cancer cells. It may be given before surgery (to shrink the tumour) or after surgery (to reduce recurrence risk).

◻️ 𝗛𝗼𝗿𝗺𝗼𝗻𝗲 𝗧𝗵𝗲𝗿𝗮𝗽𝘆
For cancers sensitive to hormones, this treatment blocks or lowers hormone levels, that cancer cells depend on to grow.

◻️ 𝗧𝗮𝗿𝗴𝗲𝘁𝗲𝗱 & 𝗜𝗺𝗺𝘂𝗻𝗼𝘁𝗵𝗲𝗿𝗮𝗽𝘆
Advanced treatments that specifically target cancer cell features or boost your immune system to fight the disease more effectively.

Your surgeon and oncologist will guide you through each stage of treatment, ensuring you receive compassionate, personalized care.

🩷 Early detection and a coordinated treatment plan give the best chance for recovery.



🎗️𝗢𝗖𝗧𝗢𝗕𝗘𝗥 𝗜𝗦 𝗕𝗥𝗘𝗔𝗦𝗧 𝗖𝗔𝗡𝗖𝗘𝗥 𝗔𝗪𝗔𝗥𝗘𝗡𝗘𝗦𝗦 𝗠𝗢𝗡𝗧𝗛 🎗️Early detection saves lives! Regular screening is key to catching breast ca...
01/10/2025

🎗️𝗢𝗖𝗧𝗢𝗕𝗘𝗥 𝗜𝗦 𝗕𝗥𝗘𝗔𝗦𝗧 𝗖𝗔𝗡𝗖𝗘𝗥 𝗔𝗪𝗔𝗥𝗘𝗡𝗘𝗦𝗦 𝗠𝗢𝗡𝗧𝗛 🎗️

Early detection saves lives! Regular screening is key to catching breast cancer early, when treatment is most effective.

And remember – although rare, men can also get breast cancer.

𝗗𝗼𝗻’𝘁 𝗱𝗲𝗹𝗮𝘆, 𝗴𝗲𝘁 𝘀𝗰𝗿𝗲𝗲𝗻𝗲𝗱 𝗧𝗢𝗗𝗔𝗬!



⚙️ 𝗘𝘃𝗲𝗿 𝘄𝗼𝗻𝗱𝗲𝗿𝗲𝗱 𝗵𝗼𝘄 𝗿𝗼𝗯𝗼𝘁𝗶𝗰 𝘀𝘂𝗿𝗴𝗲𝗿𝘆 𝗿𝗲𝗮𝗹𝗹𝘆 𝘄𝗼𝗿𝗸𝘀❓Over the years, surgical techniques have changed as technology has imp...
26/09/2025

⚙️ 𝗘𝘃𝗲𝗿 𝘄𝗼𝗻𝗱𝗲𝗿𝗲𝗱 𝗵𝗼𝘄 𝗿𝗼𝗯𝗼𝘁𝗶𝗰 𝘀𝘂𝗿𝗴𝗲𝗿𝘆 𝗿𝗲𝗮𝗹𝗹𝘆 𝘄𝗼𝗿𝗸𝘀❓

Over the years, surgical techniques have changed as technology has improved. Traditionally, many operations were performed as open procedures through a large incision. While effective, this approach was invasive, often led to longer recovery times, and carried higher risks such as infection.

A dramatic shift in surgical technique occured with the introduction of laparoscopic surgery. By operating through a few small incisions with the aid of a camera, surgeons were able to reduce blood loss, minimize infection, and help patients heal faster.

Today, this has advanced even further with robot-assisted laparoscopic surgery. Using a system such as the Da Vinci Surgical Platform, surgeons gain greater precision, dexterity, and visualization than ever before. The robotic arms translate the surgeon’s hand movements into highly precise actions. The surgeon has complete control at all times - the robot is never in control of the surgery.

💡 𝗪𝗵𝗮𝘁 𝘁𝗵𝗶𝘀 𝗺𝗲𝗮𝗻𝘀 𝗳𝗼𝗿 𝗽𝗮𝘁𝗶𝗲𝗻𝘁𝘀:
✅ Smaller incisions and less scarring
✅ Reduced blood loss and infection risk
✅ Shorter hospital stays
✅ Faster recovery and return to daily life
✅ Better visualization and precision for complex procedures

⚠️ 𝗜𝗺𝗽𝗼𝗿𝘁𝗮𝗻𝘁 𝘁𝗼 𝗸𝗻𝗼𝘄:
Not every operation requires robotic assistance. It is mainly used for complex or delicate procedures where the added precision truly makes a difference.

👨‍⚕️ At the end of the day, it’s still your 𝘁𝗿𝘂𝘀𝘁𝗲𝗱 𝘀𝘂𝗿𝗴𝗲𝗼𝗻 performing the operation — with the support of advanced technology to provide the safest and most effective care possible.

𝗖𝗼𝗻𝘁𝗮𝗰𝘁 𝘂𝘀 𝘁𝗼𝗱𝗮𝘆:
☎️ 051 011 7814
📞 078 848 8737
🌐 www.krugerviljoen.co.za
📍 Room 208, Mediclinic Bloemfontein
🕗 Monday – Friday | 08:00 – 16:30
📩 drkruger@krugerviljoen.co.za
📩 drviljoen@krugerviljoen.co.za



This Heritage Day, we celebrate the rich diversity and shared traditions that unite us as a nation. Wishing you a meanin...
24/09/2025

This Heritage Day, we celebrate the rich diversity and shared traditions that unite us as a nation.

Wishing you a meaningful and joyful day.

𝗚𝗔𝗟𝗟𝗦𝗧𝗢𝗡𝗘𝗦 & 𝗚𝗔𝗟𝗟𝗕𝗟𝗔𝗗𝗗𝗘𝗥 𝗛𝗘𝗔𝗟𝗧𝗛 🌿Cholecystitis is inflammation of the gallbladder, most often caused by gallstones.Commo...
17/09/2025

𝗚𝗔𝗟𝗟𝗦𝗧𝗢𝗡𝗘𝗦 & 𝗚𝗔𝗟𝗟𝗕𝗟𝗔𝗗𝗗𝗘𝗥 𝗛𝗘𝗔𝗟𝗧𝗛

🌿Cholecystitis is inflammation of the gallbladder, most often caused by gallstones.

Common symptoms and warning signs include:
⚡ Sudden, sharp pain in the upper right or middle abdomen (may spread to the shoulder or back)
🤢 Nausea or vomiting
🌡️ Fever or chills
🟡 Yellowing of the skin or eyes (jaundice)

👉 The pain often worsens after eating fatty or greasy meals.

Treatment Options:
✅ Healthy lifestyle changes can help prevent gallstone attacks
✅ Surgery (Cholecystectomy) – a safe, minimally invasive procedure for lasting relief

✨ Remember: Not all gallstones cause symptoms, but when they do, early treatment is key to avoiding complications.

👉 Book your consultation with our surgical team today for expert care and peace of mind.



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