1,982 results match your criteria South African Journal of Surgery Suid-Afrikaanse tydskrif vir chirurgie [Journal]


The College of Nuclear Physicians of South Africa Practice Guidelines on Peptide Receptor Radionuclide Therapy in Neuroendocrine Tumours.

S Afr J Surg 2018 Sep;56(3):55-64

Department of Nuclear Medicine, University of Pretoria and Steve Biko Academic Hospital, Pretoria, South Africa.

Background: Peptide receptor radionuclide therapy (PRRT) for metastatic or inoperable neuroendocrine tumours (NETs) is a systemic therapy which targets somatostatin receptors overexpressed by differentiated NETs for endoradiotherapy. This guideline has been compiled by the College of Nuclear Physicians of the Colleges of Medicine of South Africa, with endorsement by the South African Society of Nuclear Medicine and the Association of Nuclear Physicians to guide Nuclear Medicine Physicians in its application during the management of these patients.

Recommendations: Patients with well- to moderately-differentiated NETs should be comprehensively worked-up to determine their suitability for PRRT. Read More

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September 2018
2 Reads

Tympanoplasty surgery: a retrospective audit of surgical outcomes at a regional hospital.

S Afr J Surg 2018 Sep;56(3):51-54

Sessional Consultant, Department of Otorhinolaryngology, False Bay & New Somerset Hospitals.

Background: Chronic Suppurative Otitis Media (CSOM) is a common condition in our setting, resulting in tympanoplasty surgery being one of the common surgical procedures performed. Little is published regarding outcomes of tympanoplasty surgery in patients living with Human Immunodeficiency Virus (HIV), which has a high prevalence in South Africa.

Methods: A retrospective review of all tympanoplasty surgeries performed at our institute. Read More

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September 2018
1 Read

Human immunodeficiency virus (HIV) infection in men with penile carcinoma is associated with increased prevalence of human papilloma virus infection and younger age at presentation.

S Afr J Surg 2018 Sep;56(3):47-50

Department of Anatomical Pathology, Faculty of Health Sciences, University of the Free State and National Health Laboratory Services (NHLS), Universitas Academic Hospital, Bloemfontein, South Africa.

Background: We investigated the prevalence of HIV and human papilloma virus (HPV) infection in men with penile carcinoma.

Methods: This retrospective study investigated all men with penile carcinoma at the Universitas Academic Hospital in Bloemfontein, South Africa (January 2000-December 2008). Patients' age, HIV status, histological type of carcinoma and evidence of HPV infection were recorded. Read More

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September 2018
2 Reads

Fournier's gangrene: outcome analysis and prognostic factors.

S Afr J Surg 2018 Sep;56(3):43-46

Division of Urology, University of Cape Town.

Background: Fournier's gangrene is an infective necrotising fasciitis of the external genitalia and perineum associated with significant morbidity and mortality. The factors associated with non survival have been described but are not universally accepted. The identification of prognostic factors remains critical to improve outcomes. Read More

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September 2018
4 Reads

Evaluation of locally manufactured patient-specific custom made implants for cranial defects using a silicone mould.

S Afr J Surg 2018 Sep;56(3):38-42

Stellenbosch University.

Background: Cranial vault defects can pose a significant problem for neurosurgeons where autologous bone is no longer available for cranioplasty. Numerous materials exist to create implants which include polymethyl methacrylate (PMMA) and titanium. A technique using 3-dimensional CT scan reconstruction of a cranial defect and creating a silicon mould which can be autoclaved in theatre to create a PMMA implant was developed. Read More

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September 2018
8 Reads

The causes of burn wounds among adult patients treated at Pelonomi Tertiary Hospital, Bloemfontein.

S Afr J Surg 2018 Sep;56(3):31-36

Department of Biostatistics, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.

Background: Burn injuries account for approximately 180 000 deaths per annum, mostly in low- and middle-income countries.

Method: This was a prospective, cross-sectional study. The target population consisted of adult patients, hospitalised for burn wounds at Pelonomi Tertiary Hospital in Bloemfontein, between July 2016 and early January 2017. Read More

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September 2018
2 Reads

Requiem for Nigro or is anal squamous carcinoma still a surgical problem: Abdominoperineal excision rather than a defunctioning stoma?

S Afr J Surg 2018 Sep;56(3):24-30

Surgical Gastroenterology Clinic, Division of General Surgery, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital.

Background: Combined multimodal treatment (CMT) is the preferred treatment for anal squamous carcinoma with radical surgery reserved for treatment failure. Some patients require a defunctioning stoma prior to CMT. Successful closure of such a stoma is unlikely. Read More

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September 2018
8 Reads

Demographic and histological subtypes of Hurthle cell tumours of the thyroid in a South African setting.

S Afr J Surg 2018 Sep;56(3):20-23

Department of Surgery, Chris Hani Baragwanath Academic Hospital, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand.

Background: Report of Hurthle cells following fine needle aspiration cytology from a thyroid nodule raises possibility of Hurthle cell carcinoma (HCC), which is a distinct entity and accounts for 3-10% of thyroid malignancies.

Aim: To determine if there are demographic and histopathological features which may be used to differentiate HCC from Hurthle cell adenoma (HCA).

Method: Histopathology records of patients who had thyroidectomy from January 2001 to October 2015 were reviewed. Read More

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September 2018
7 Reads

Spectrum of disease and outcome of primary amputation for diabetic foot sepsis in rural KwaZulu-Natal.

S Afr J Surg 2018 Sep;56(3):16-19

Head of Vascular Surgery unit: Inkosi Albert Luthuli Central Hospital, Honorary lecturer UKZN.

Background: Primary amputation (stump closure) for diabetic foot sepsis is perceived to have a higher re-amputation rate due to stump sepsis. A guillotine amputation with elective stump closure is widely practised due to the lower risk of stump sepsis and re-amputation.

Aims: To provide an epidemiological analysis of the spectrum of disease and outcomes of primary amputation for diabetic foot sepsis in a regional rural hospital. Read More

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September 2018
3 Reads

Surgery for giant tumours of the breast: a 15 year review.

S Afr J Surg 2018 Sep;56(3):9-15

Plastic and Reconstructive Surgeon in private practice.

Background: Giant tumours of the breast tend to occur in the adolescent age group. Racial predilection has been noted in the literature. The mass often occupies most of the breast, leading to its distortion. Read More

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September 2018
14 Reads

Surgical resources in South Africa: a review of the number of functional operating theatres.

Authors:
A J Dell D Kahn

S Afr J Surg 2018 Sep;56(3):2-8

Department of Surgery, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital, Observatory, Cape Town, South Africa.

Background: Surgery has previously been neglected as a development initiative, despite the obvious effect of surgical illnesses on morbidity and mortality. Recently, greater attention has been given to surgical services, as there is growing evidence of cost-effectiveness of surgical interventions. Operating theatre numbers have been used as a measure of surgical capacity, despite there being limitations associated with this use of this metric. Read More

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September 2018
14 Reads

Investigating racial differences in clinical and pathological features of prostate cancer in South African men.

S Afr J Surg 2018 Jun;56(2):54-58

Division of Urology, Groote Schuur Hospital and the University of Cape Town, Cape Town, South Africa.

Background: Men with West African ancestry living in Europe and North America are at higher risk of being diagnosed with prostate cancer, are diagnosed at a younger age, and have more severe disease characteristics. Published reports present a conflicting picture of the disease in sub-Saharan Africa. We aimed to study the clinical and pathological features of men undergoing prostate biopsy from different racial backgrounds in South Africa in an attempt to characterise the disease locally. Read More

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June 2018
5 Reads

Open versus laparoscopic appendicectomy in acute appendicitis: results of a district general hospital.

S Afr J Surg 2018 Jun;56(2):59-62

Department of General Surgery, Queen's Hospital, Romford, Essex, UK.

Background: Despite multiple studies comparing the two methods, the real advantages of laparoscopic appendicectomy (LA) compared to open appendicectomy (OA) are still unclear. Purpose of the current study was to compare the results between the two techniques in a district general hospital.

Methods: The electronic records of all patients who underwent OA or LA in a one year period were reviewed retrospectively. Read More

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June 2018
2 Reads

Association between crural vessel patency and successful transmetatarsal amputation: a single centre experience.

S Afr J Surg 2018 Jun;56(2):50-53

Department of General and Vascular Surgery, James Cook University Hospital, Middlesbrough, United Kingdom.

Background: Transmetatarsal amputation (TMA) has a reputation for failure, centred around wound breakdown. No study has looked at the direct association between the patency of individual crural arteries and the healing of TMA. TMA relies on a posterior skin flap which derives its blood supply from the posterior tibial (PT) artery. Read More

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June 2018
4 Reads

Suture material use and procurement: an audit of a public hospital surgical system in Gauteng, South Africa.

S Afr J Surg 2018 Jun;56(2):45-49

Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Background: Surgical systems are integral to successful, safe and cost effective clinical practice and must balance surgical demands on consumable items and their costs. Suture material is a key consumable resource, and was evaluated in an audit of consumable use and cost as well as the procurement systems within the South African Gauteng public health care sector.

Aims: To determine suture use and cost in the four commonest general surgical procedures - abdominal wall closure, mastectomy, appendicectomy and inguinal hernia repair - in three academic Gauteng hospitals. Read More

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June 2018
7 Reads

Resection of biliary mucinous cystic neoplasms of the liver: a prospective cohort series of 13 consecutive patients.

S Afr J Surg 2018 Jun;56(2):41-44

Surgical and Medical Gastroenterology Units, Departments of Surgery and Medicine, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital.

Background: Biliary mucinous cystic neoplasms (BMCNs) are uncommon neoplastic septated intrahepatic cysts which are often incorrectly diagnosed and have the potential for malignant transformation.

Objective: To assess the outcome of surgical resection of BMCNs.

Method: A prospective liver surgery database was used to identify patients who underwent surgery at Groote Schuur Hospital Complex for BMCN from 1999 to 2015. Read More

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June 2018
3 Reads

An evaluation of mini-laparotomy cholecystectomy in the laparoscopic era: a rural experience.

S Afr J Surg 2018 Jun;56(2):36-40

Department of Surgery, University of KwaZulu-Natal.

Background: Laparoscopic cholecystectomy (LC) is the gold standard for the management of symptomatic cholelithiasis and complications of gallstone disease. Mini laparotomy cholecystectomy (MOC) may be a more appropriate option in the resource constrained rural setting due to its widespread applicability and comparable outcome with LC. The study aimed to provide an epidemiological analysis of gallstone disease in the rural population and to evaluate the outcome of MOC in a rural hospital. Read More

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June 2018
40 Reads

Sonar guided focused parathyroidectomy under cervical block.

S Afr J Surg 2018 Jun;56(2):30-33

Department of Anesthesiology, Chris Hani Baragwanath Academic Hospital and the Faculty of Health sciences. University of the Witwatersrand, Johannesburg, South Africa.

Background: Presentation of hyperparathyroidism varies and is highly non-specific. The automated calcium analyzer has made the diagnosis easy. Similarly, the advent of Sestamibi scan has paved the way to minimally invasive parathyroidectomy indicated for parathyroid adenoma. Read More

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June 2018
4 Reads

The effect of pregnancy and delivery on anal function in black Africans and Indians.

S Afr J Surg 2018 Jun;56(2):22-28

Department Obstetrics and Gynaecology and Women's Health and HIV Research Group, Nelson R Mandela School of Medicine, University of KwaZulu-Natal.

Background: Occult anal sphincter disruption, following childbirth may contribute to the development of anal incontinence (AI). The type and mechanism of injury may differ between first and subsequent deliveries.

Objectives: To describe the effect of pregnancy and delivery on the endosonographic morphology of the anal sphincter and on anal sphincter pressures, and to highlight any differences in these between nulliparous and multiparous Black African and Indian women. Read More

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June 2018
1 Read

Surgical resources in South Africa: an analysis of the inequalities between the public and private sector.

Authors:
A J Dell J Klopper

S Afr J Surg 2018 Jun;56(2):16-20

Department of Surgery, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital, Observatory, Cape Town, South Africa.

Background: The full extent of the global burden of surgical disease is largely unknown, however, the scope of the problem is thought to be large. Despite the substantial burden of surgical disease, surgical services are inaccessible to many of those who need them most. There are disparities between public and private sectors in South Africa, which compound inequitable access to surgical care. Read More

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June 2018
5 Reads

Registrar perceptions on general surgical training in South Africa: A report by the South African Society of Surgeons in Training (SASSiT).

S Afr J Surg 2018 Jun;56(2):10-14

Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Background: Surgical training varies significantly amongst universities within the same country. This trend is reflected in South Africa and provides an opportunity for innovation to improve the quality of general surgical training.

Objective: To assess the perceptions of South African general surgery registrars regarding surgical training. Read More

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June 2018
2 Reads

Surgery:The way of the future.

Authors:
L Mthembu

S Afr J Surg 2018 Jun;56(2):4-6

University of the Witwatersrand.

The devastation wrought by bacterial infection in the preantibiotic era is perhaps best exemplified by the First World War. Bacterial infection in soldiers was high because of soil-contaminated shrapnel and shells. As a result, many soldiers lost life and limb. Read More

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June 2018
13 Reads

Five year review of open radical nephrectomies at a regional hospital in South Africa: room for improvement.

S Afr J Surg 2018 Mar;56(1):35-39

Nelson R. Mandela School of Medicine, University of KwaZulu-Natal; Trauma Surgery Training Unit, Department of Surgery, University of KwaZulu-Natal and Trauma Service, Inkosi Albert Luthuli Central Hospital.

Background: To review the presentation and outcomes of patients undergoing open radical nephrectomy (ORN) for renal cell carcinoma (RCC) at a regional hospital in KwaZulu-Natal, South Africa.

Method: A retrospective chart review was performed of patients having undergone nephrectomy at St Aidan's hospital between 2010 and 2015, focusing on those with RCC. Demographic, operative, histopathology and outcomes data were collected. Read More

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March 2018
1 Read

Distal malignant biliary obstruction: a prospective randomised trial comparing plastic and uncovered self-expanding metal stents in the palliation of symptomatic jaundice.

S Afr J Surg 2018 Mar;56(1):30-34

Department of Surgery, University of Stellenbosch, Health Sciences Faculty, Tygerberg Hospital, Parow, 7503, Cape Town, South Africa.

Background: The aim of this study was to determine the safety and clinical effectiveness of 10Fr plastic biliary stents compared to uncovered self-expanding metal stents (SEMS) for palliative treatment of patients with inoperable extra-hepatic malignant biliary obstruction in a public hospital in South Africa.

Method: From January 2009 to December 2013, 40 patients who were admitted to a tertiary academic centre because of distal malignant biliary obstruction were enrolled in a prospective randomized study. Patients were randomly assigned to receive an uncovered SEMS or a plastic stent deployed through the biliary stricture during endoscopic retrograde cholangiopancreatography (ERCP). Read More

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March 2018
1 Read

Pattern of mismatch repair protein loss and its clinicopathological correlation in colorectal cancer in North India.

S Afr J Surg 2018 Mar;56(1):25-29

Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Background: To determine the mismatch repair (MMR) protein loss in colorectal cancer (CRC) in north Indian patients and its clinicopathological correlation.

Method: A prospective study on patients with colorectal cancer from a tertiary level hospital conducted between May 2014 and June 2015. MMR protein loss was determined using immunohistochemistry for MLH1, MSH2, PMS2 and MSH6. Read More

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March 2018
2 Reads

Malignant and pre-malignant oesophageal pathology in a South African teaching hospital.

S Afr J Surg 2018 Mar;56(1):21-24

Department Of Surgery, University of KwaZulu-Natal, Durban, South Africa and Department Of Surgery, Grey's Hospital, Pietermaritzburg, South Africa and Department Of Surgery, School of Clinical Medicine, University of the Witwatersrand, South Africa.

Background: South Africa (SA) has one of the highest global incidences of squamous cell carcinoma of the oesophagus (SCC). A decreasing incidence of oesophageal SCC in SA has been suggested. The study aimed to assess whether the incidence of these malignant histopathological subtypes has changed in this setting. Read More

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March 2018
2 Reads

Where are general surgeons located in South Africa?

Authors:
A J Dell D Kahn

S Afr J Surg 2018 Mar;56(1):12-18

Department of Surgery, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital, Observatory, Cape Town, South Africa.

Background: Human resources are the backbone of health-care delivery systems and the lack of surgical workforce in developing countries is often the greatest challenge to providing surgical care. The workforce availability and composition is an important indicator of the strength of the health system. This study aimed to analyse the distribution of general surgeons within South Africa. Read More

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March 2018
1 Read

Can an Enhanced Recovery After Surgery(ERAS) programme improve colorectal cancer outcomes in South Africa?

S Afr J Surg 2018 Mar;56(1):8-11

Cancer Research Initiative, Faculty of Health Sciences, University of Cape Town, Observatory 7925, South Africa. Women's Health Research Unit, School of Public Health & Family Medicine, Faculty of Health Sciences, University of Cape Town.

Colorectal cancer (CRC) is the third most common cancer worldwide and the fourth most common cause of cancer related deaths. It is estimated that CRC is amongst the top five malignancies in South Africa (SA) with an age standardised incidence rate of 10.2 and 6. Read More

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March 2018
1 Read

A perspective on paediatric surgical training: opportunities and challenges.

Authors:
N Patel J Loveland

S Afr J Surg 2018 Mar;56(1):3-6

Department of Paediatric Surgery, University of the Witwatersrand.

Globally, the training of paediatric surgeons is facing numerous challenges. Exposure to rare and complex index pathology is vital in the training of competent paediatric surgeons, but it is this rarity and complexity that creates a fundamental challenge to training programmes the world over. Read More

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March 2018
2 Reads

The value of supplementary anatomy workshops for improving undergraduate performance.

Authors:
J Scott G Louw D Kahn

S Afr J Surg 2017 Nov;55(4):46-49

Department of Surgery, Division of General Surgery and Transplant Unit, University of Cape Town.

Background: With many anatomy courses within the medical curriculum suffering reductions in lecture and dissection time, supplementary programs in anatomy have shown to improve performance of medical students. This study was conducted to evaluate the efficacy of anatomy workshops on undergraduate anatomy grade performance.

Method: From 2012 to 2014, mean anatomy and physiology scores of medical students who attended anatomy workshops were compared to those who did not attend. Read More

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November 2017
2 Reads

Does the reporting of gastro-intestinal endoscopy meet the minimal terminology standard at King Edward VIII Hospital?

S Afr J Surg 2017 Nov;55(4):36-42

Department of Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban and GI Cancer Research Centre, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban.

Background: The Minimal Standard Terminology (MST) was developed to standardise endoscopic reporting. This study is aimed at assessing current reporting at a tertiary hospital and whether it meets this Minimal Standard Terminology.

Method: This was a retrospective observational study of upper endoscopy reports between January and December 2014. Read More

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November 2017
9 Reads

Auditing surgical service provision at a South African tertiary institution: Implications for the development of district services.

S Afr J Surg 2017 Nov;55(4):31-35

Pietermaritzburg Metropolitan Department of Surgery, Greys Hospital, Pietermaritzburg, KwaZulu-Natal.

Background: The optimal management of resources within South African state hospitals has been hampered by a paucity of data due to a lack of robust auditing information systems. This study reviews the use of a Hybrid Electronic Medical Record (HEMR) system to capture and aggregate data pertaining to the inpatient service demands on a South African tertiary surgical service. This dataset was used to analyse the appropriateness of tertiary surgical resource utilisation. Read More

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November 2017
2 Reads

Quantifying the funding gap for management of traumatic brain injury at a major trauma centre in South Africa.

S Afr J Surg 2017 Nov;55(4):26-30

Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, University of KwaZulu-Natal, Durban, South Africa and Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Background: Trauma is an eminently preventable disease. However, prevention programs divert resources away from other priorities. Costing trauma related diseases helps policy makers to make decisions on re-source allocation. Read More

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November 2017
2 Reads

Laparoscopy or clinical follow-up to detect occult diaphragm injuries following left-sided thoracoabdominal stab wounds: A pilot randomized controlled trial.

S Afr J Surg 2017 Nov;55(4):20-25

Trauma Centre, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.

Background: The purpose of this study was to determine whether patients with left-sided thoracoabdominal (TA) stab wounds can be safely treated with clinical and chest X-ray follow up.

Method: A prospective, randomized control study was conducted at Groote Schuur Hospital from September 2009 through to November 2014. Patients with asymptomatic left TA stab wounds included in the trial were randomized into two groups. Read More

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November 2017
7 Reads
1 Citation
0.570 Impact Factor

Serum alcohol levels correlate with injury severity and resource utilization.

S Afr J Surg 2017 Nov;55(4):14-18

Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.

Background: Alcohol consumption leads to violence and poor judgement. The resultant trauma is the leading cause of emergency department visits. In South Africa, alcohol-related emergency visits can be as high as 57%. Read More

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November 2017
2 Reads

Barriers to accessing ATLS provider course for junior doctors at a major university hospital in South Africa.

S Afr J Surg 2017 Nov;55(4):10-15

Pietermaritzburg Metropolitan Trauma Service, Department of Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal.

Background: Advanced trauma life support (ATLS) is the international standard of care and forms the basis of trauma training in South Africa. Previous local studies demonstrated a low completion rate among junior doctors (JD). This study was designed to determine the reasons and identify possible barriers of JDs to accessing the ATLS course at a major university hospital. Read More

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November 2017
5 Reads

Rib fracture fixation in a South African public trauma service.

S Afr J Surg 2017 Nov;55(4):4-7

Pietermaritzburg Metropolitan Trauma Service, University of KwaZulu-Natal, Pietermaritzburg, South Africa.

Background: Rib fractures and flail chests have traditionally been treated nonoperatively. Current literature suggests that it is not only safe and feasible but also desirable to perform fixation of severe rib fractures. Our unit in the Pietermaritzburg public sector adopted rib fracture fixation in 2014 and in this audit we assess its feasibility in our setting. Read More

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November 2017
9 Reads

THE ROLE OF PROCALCITONIN AS A DIAGNOSTIC MARKER OF BACTERIAL SEPSIS IN BURNS.

S Afr J Surg 2017 Jun;55(2):76

Research Coordinator and Specialist Scientist, Surgery, University of the Witwatersrand, Johannesburg.

Background: Patients with burn wounds are at high risk of infection. Since sepsis contributes significantly to morbidity and mortality, early diagnosis is essential. Procalcitonin (PCT) is a biomarker released in response to inflammation and specifically bacterial infection. Read More

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June 2017
2 Reads

COMPARING OUTCOMES AFTER LAPAROSCOPIC TOTALLY EXTRAPERITONEAL REPAIR VERSUS OPEN (LICHTENSTEIN) REPAIR OF INGUINOSCROTAL HERNIA AT DR GEORGE MUKHARI ACADEMIC HOSPITAL.

Authors:
B Shazi M Z Koto

S Afr J Surg 2017 Jun;55(2):75-76

Surgery, Sefako Makgatho Health Sciences University, Pretoria.

Background: Inguinal hernia is a common surgical condition. Inguinal hernia can present with a wide variety of symptoms. It can even extend into the scrotum resulting in what is known as an inguinoscrotal hernia. Read More

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June 2017
5 Reads

CONTINUATION OF FEEDS IN THE UNSTABLE BURNS PATIENT.

S Afr J Surg 2017 Jun;55(2):75

General Surgery, University of the Witwatersrand, Johannesburg.

Background: Early enteral nutrition (EEN) and the continuation of enteral nutrition (EN) are critical factors in burn patients, who typically have higher nutritional needs due to their post-injury hypercatabolic state and their additional need for nutrients to aid in the healing of wounds and skin grafts. In the critically ill patient, EN is the preferred mode of administration; however, controversy exists regarding the concomitant use of EN and intravenous vasopressor agents in the haemodynamically unstable patient. This is because vasoactive substances (e. Read More

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June 2017
4 Reads

PAEDIATRIC SPLENECTOMY: THE JOHANNESBURG EXPERIENCE.

S Afr J Surg 2017 Jun;55(2):74-75

Paediatric Surgery, Faculty of Health Sciences, University of the Witwatersrand.

Background: Splenectomy is uncommon in children and data on splenectomies in the South African paediatric population is sparse. A deeper understanding of the demographics, indications, techniques, and postoperative management of patients requiring splenectomy may improve care.

Method: Patient records for all splenectomies performed in children aged 0 to 16 years at Charlotte Maxeke Johannesburg Academic (CMJAH) and Chris Hani Baragwanath Academic Hospitals (CHBAH) between 2000 and 2015 were reviewed. Read More

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June 2017
4 Reads

A FOUR YEAR ACROSS SURGICAL DISCIPLINE PERIOPERATIVE AND INTRAOPERATIVE EXPERIENCE OF PATIENT MANAGEMENT IN A TERTIARY ACADEMIC HOSPITAL - A REVIEW.

S Afr J Surg 2017 Jun;55(2):74

Surgery, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Pretoria.

Background: There has been a growing trend in the surgical literature to report mortality and morbidity after surgery with preoperative risk adjustment to facilitate meaningful comparisons of surgical outcomes between different surgeons and hospitals. This is a review of the rate of injuries caused by surgeons unintentionally whilst performing procedures in the field of obstetrics and gynaecology, for example, caesarean sections and hysterectomies.

Method: Data was collected retrospectively over the past four years at Dr George Mukhari Academic Hospital utilising the database and theatre records correlated with patient files. Read More

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June 2017
3 Reads

EVALUATING KIDNEY FUNCTION IN LIVING DONORS IN SOUTH AFRICA.

S Afr J Surg 2017 Jun;55(2):73-74

Research Units, WITS Donald Gordon Medical Centre, Johannesburg.

Background: Measurement of glomerular filtration rate (GFR) is the best overall index of kidney function. Equations that estimate GFR (eGFR) have been developed for clinical use such as Cockroft and Gault (C+G), four variable Modification of Diet in Renal Disease (4-v MDRD) and Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI). Although widely used, they have not been validated in Sub-Saharan Africa. Read More

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June 2017
2 Reads

RAT BITE INJURIES IN CHILDREN ADMITTED AT TEMBISA HOSPITAL.

S Afr J Surg 2017 Jun;55(2):73

Surgery, Health Sciences, School of Medicine, University of Pretoria, Pretoria.

Background: Rat bite injuries were observed as early as AD 1300. Up to date no literature exists that looks at the different clinical manifestations of rat bite injuries, and furthers a proposed management plan that is evidence based.

Method: We studied 59 patients who sustained rat bite injuries from July 2010 to 2014. Read More

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June 2017
4 Reads

MANAGEMENT OF MYELOMENINGOCELE IN THE PROVINCE OF KWAZULU-NATAL, SOUTH AFRICA.

S Afr J Surg 2017 Jun;55(2):73

Surgery, University of KwaZulu-Natal, Durban.

Background: Spina bifida is the most common of congenital anomalies of the central nervous system that are compatible with life. The most frequent form is myelomeningocele.

Method: Setting: Neurosurgery Unit, Inkosi Albert Luthuli Central Hospital. Read More

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June 2017
3 Reads

OUTCOMES OF HILAR PEDICLE CONTROL USING SUTURE LIGATION DURING LAPAROSCOPIC SPLENECTOMY.

Authors:
M Makgoka

S Afr J Surg 2017 Jun;55(2):72-73

Surgery, Dr George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Pretoria.

Background: Laparoscopic splenectomy is a well described gold standard procedure for various indications. One of the key steps during laparoscopic splenectomy is the hilar pedicle vessels control, which can be challenging in most cases. Most centres around the world recommend the use Ligaclib or endovascular staplers as Methods of choice for hilar pedicle control but the issue is the cost and efficiency of the laparoscopic haemostatic devices. Read More

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June 2017
4 Reads

MANAGEMENT OF FAILED MITRAL VALVE REPLACEMENT. THE DURBAN EXPERIENCE.

S Afr J Surg 2017 Jun;55(2):72

Surgery, University of KwaZulu-Natal, Durban.

Background: Mitral valve replacement is the procedure of choice in patients with severe mitral valve disease. However, these patients are surviving longer and are thus at an increased risk of prosthesis failure or valve-related complications.

Method: Study setting: Inkosi Albert Luthuli Central Hospital, a tertiary referral Hospital in Durban. Read More

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June 2017
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A HISTOPATHOLOGICAL AUDIT OF HYPERPARATHYROIDISM IN THE SOUTH AFRICAN SETTING.

S Afr J Surg 2017 Jun;55(2):71-72

Surgery, Charlotte Maxeke Johannesburg Academic Hospital and the University of the Witwatersrand, Johannesburg.

Background: Hyperparathyroidism is a common endocrine disorder. Parathyroidectomy is indicated for primary and tertiary hyperparathyroidism. Parathyroid adenoma is the cause in close to 85% of cases of primary hyperparathyroidism. Read More

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June 2017
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DIFFERENCES IN MICROBIOME IN RAT MODELS OF CARDIOVASCULAR DISEASE.

S Afr J Surg 2017 Jun;55(2):71

Surgery, University of the Witwatersrand.

Background: Recent studies have underscored the important role the gut metagenome in various human diseases, including diabetes and obesity. Hypertension is a major risk factor for cardiovascular disease, stroke, and heart and kidney failure, and affects approximately 25% of the world's adult population. The cause of essential hypertension remains unknown. Read More

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June 2017
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HISTOLOGICAL EVALUATION OF SMOOTH MUSCLE CELL IN THE PATENT PROCESSUS VAGINALIS.

S Afr J Surg 2017 Jun;55(2):71

Pediatric Surgery, University of Stellenbosch, Stellenbosch.

Background: Inguinal hernia is a common pathology that necessitates surgical treatment during childhood. Most uncomplicated inguinal scrotal pathologies are considered to occur due to incomplete obliteration of the processes vaginalis (PV). The incomplete obliteration is proposed to be due to the persistence of smooth muscle cell (SMC) in the PV after birth. Read More

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June 2017
4 Reads