Multivisceral resection of locally advanced colorectal cancer in an African referral centre.
CONCLUSION: Multivisceral resection of locally advanced (T4b) CRC is feasible in the African context. Complete resection improves survival and should be the goal. PMID: 32644308 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Ileo-sigmoid knotting: the Parirenyatwa hospital experience.
Authors: Mbanje C, Mungazi SG, Muchuweti D, Mazingi D, Mlotshwa M, Maunganidze AJV Abstract BACKGROUND: Ileo-sigmoid knotting is a rare cause of intestinal obstruction with a rapidly progressive course, for which expedient surgical intervention is required to prevent mortality. The aim of this study was to determine the characteristics, presentation, morbidity and mortality associated with ileo-sigmoid knotting at Parirenyatwa Group of Hospitals (PGH). To determine the preoperative diagnostic precision and management patterns of ileo-sigmoid knotting cases at PGH. METHODS: A retrospective analysis was performed...
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Use of the OVESCO OTSC ® Proctology Clip for closure of fistula-in-ano at Wits Donald Gordon Medical Centre - a single centre experience.
CONCLUSION: This preliminary data presents our initial experience using the proctology clip. While these data may serve as a "proof of concept", a multi-centre controlled trial comparing this method to the rectal mucosal advancement flap (RMAF) is needed to determine the role of the proctology clip in the management of fistula-in-ano. PMID: 32644310 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Recurrence after Delorme's procedure in a single and multi-surgeon setting.
CONCLUSION: Long-term follow-up demonstrates a recurrence rate of 23% after DP, with no difference between an experienced colorectal specialist and supervised trainee surgeons. PMID: 32644311 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

A prospective study of receptor profiles in breast cancer and the ipsilateral axillary lymph node metastases measured simultaneously in treatment na ïve cases.
CONCLUSION: Core needle biopsy and receptor analysis should be considered on the positive axillary nodes in breast cancer patients. Adjuvant treatment should be targeted to the receptor profile of the lymph node metastases. PMID: 32644312 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Aborted donor hepatectomy in living donor liver transplantation: lessons learned.
CONCLUSIONS: We believe that ADH will decrease with experience and meticulous preoperative clinical and radiological evaluations. Abandoning the donor hepatectomy is always a valid option at any stage of the surgery when the unexpected is encountered. PMID: 32644313 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Change in renal function post-nephrectomy for renal cell carcinoma in patients with and without hypertension and/or diabetes.
Authors: John J, Henry M, Ringoir A, Pinto G, Kesner K, Lazarus J, Sinha S Abstract BACKGROUND: The standard of care for surgically resectable disease renal cell carcinoma (RCC) is a nephrectomy. Post-nephrectomy, these patients are at risk for the development of new onset chronic kidney disease or the progression of pre-existing chronic kidney disease. We aimed to report the changes in renal function in patients who had a nephrectomy for RCC. METHODS: This retrospective, descriptive, cross-sectional study identified 137 patients who had a nephrectomy for RCC from 1 January 2009 to 31 December 2017. The pre-nep...
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

SabreSource ™: a novel percutaneous nephrolithotomy apparatus to aid collecting system puncture - a preliminary report.
CONCLUSION: The SabreSource™ is a novel assistant to achieving successful PCNL puncture. In combination with "the locator" the preliminary in vitro testing suggests that the device reduces fluoroscopy exposure and is quicker. The device warrants further evaluation in the clinical setting. PMID: 32644315 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Bilateral internal carotid artery occlusion with compensatory perfusion in a HIV-infected patient.
CONCLUSION: Burn injuries treated at Worcester Hospital are often severe and require significant resources. This study supplies critical information regarding the burden of burn related injuries managed at a regional level. PMID: 32644316 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 10, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

An audit of interval cholecystectomy for acute cholecystitis in a low resource healthcare system.
CONCLUSION: Interval laparoscopic cholecystectomy appears a reliable option in under-resourced healthcare systems. PMID: 32243108 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Age is a predictor of significant endoscopic findings in dyspepsia patients in South Africa.
Authors: Cheddie S, Manneh CG, Owczarek BM, Moodley Y Abstract BACKGROUND: Dyspepsia is the commonest indication for endoscopy. Current American guidelines recommend that all dyspepsia patients ≥ 60 years undergo endoscopy to exclude significant pathology. The use of this age cut-off has never been analysed in South Africa. We aimed to compare different age cut-offs as predictors of significant endoscopic findings in patients with a primary diagnosis of dyspepsia. METHODS: A retrospective chart review of 1 000 consecutive endoscopies done at Madadeni Provincial Hospital, KwaZulu-Natal, from 2014 to 2016 was ...
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Assessment of the delayed repair of uncomplicated inguinal hernias in infants.
CONCLUSION: Delayed repair, up to 2 months later, for uncomplicated infant hernia carries a small risk of incarceration but does not increase the rate of strangulation or other complications. PMID: 32243110 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Inguinal hernia repair in patients under and over 65 years of age: a district general hospital experience.
CONCLUSIONS: Despite more comorbidities in the over 65s, this study shows that there is no significant difference in complication rates between laparoscopic and open inguinal hernia repair irrespective of age category. Selection bias for the type of repair and the potential for an alpha error mean larger studies are required to show equivalence. PMID: 32243111 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Efficacy and patterns of use of antimicrobial prophylaxis for gunshot wounds in a South African hospital setting: an observational study using propensity score-based analyses.
CONCLUSIONS: Providing AP to GSW patients in a civilian setting appeared to result in a modest but clinically relevant lower risk of in-hospital GSW-related infection. In this study setting, optimisation of AP for all patients with GSWs should significantly lower the burden of wound infection. PMID: 32243112 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Penetrating trauma in children and adolescents in Pietermaritzburg.
CONCLUSION: Penetrating trauma in children and adolescents is associated with significant mortality and morbidity. There are similarities with the management of these injuries in adults, but further work is required to ensure that paediatric management algorithms are evidence based. PMID: 32243113 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

A comparison of trauma scoring systems for injuries presenting to a district-level urban public hospital in Western Cape.
CONCLUSION: TRISS, ISS, RTS and KTS performed equivocally in predicting mortality in trauma-related patients managed at a district-level facility. The appropriate scoring system should be the simplest one which can be practically implemented and will likely differ between facilities. PMID: 32243114 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

The deltopectoral flap in the management of tracheostomal stenosis post laryngectomy and radiotherapy.
CONCLUSION: The deltopectoral flap is a rapid, reliable flap for the management of tracheostomal stenosis in irradiated patients. It brings well-vascularised tissue into the site of reconstruction and, in the short term, stomal patency and symptom relief were achieved. PMID: 32243115 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Bilateral internal carotid artery occlusion with compensatory perfusion in a HIV-infected patient.
We report a case of bilateral complete occlusion of the extracranial portions of the internal carotid arteries in a HIV+ve patient who presented with a syncopal episode due to intraventricular haemorrhage. Compensatory blood flow from the posterior cerebral circulation via the circle of Willis resulted in small telangiectatic vessels arising from the posterior cerebral circulation which probably accounted for this rare haemorrhagic complication of an occlusive arteriopathy. PMID: 32243116 [PubMed - as supplied by publisher] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

Otorrhoea - a parotid connection.
Authors: Joseph J, Maharaj S Abstract SUMMARY: A 36-year-old patient presented with an 18-month history of intermittent right parotid swelling accompanied by otorrhoea. The symptoms started subsequent to a palm leaf injury to the right ear. At right parotidectomy, a fistula connecting the right external auditory canal and the right parotid was demonstrated. A small fibrotic mass probably due to a remnant of the palm leaf was found intraoperatively. The symptoms resolved completely after the mass was excised by superficial parotidectomy, and the fistula closed spontaneously. PMID: 32243117 [PubMed - as supplied ...
Source: South African Journal of Surgery - April 4, 2020 Category: Surgery Tags: S Afr J Surg Source Type: research

An audit of the outcomes of the College of Surgeons general surgery final examinations.
CONCLUSION: The written papers are the main determinant of invitation to the second part of the examination. Candidates with marginal scores in the written component had an overall failure rate of 67%. Failing one paper and passing the other, resulted in an overall failure rate of 64%. Failing the OSCE resulted in an overall 82% failure rate. With the high failure rate of candidates with marginal scores and with the inter-examination variability of the papers, it might be prudent to revisit both the process of invitation selection and the decision to continue with the long-form of the written component. PMID: 31773924 ...
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Compliance with the Surviving Sepsis Campaign guidelines for early resuscitation does not translate into improved outcomes in patients with surgical sepsis in South Africa.
CONCLUSION: Compliance with the SCC 3-hour bundle did not seem to improve mortality outcomes in our setting. This observation cannot be adequately explained with our current data and further work looking at management of surgical sepsis in our setting is required. Time to surgical source control is probably the single most important determinant of outcome in patients with surgical sepsis and other aspects of the care bundle are of secondary importance. PMID: 31773925 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Admissions for post-discharge surgical site infection at a quaternary South African public sector hospital.
CONCLUSION: Despite the implementation of universal SSI prevention methods, admissions for post-discharge SSI remained consistent during the study period. Urban areas appeared to be more. PMID: 31773926 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Axillary lymph node dissection for patients with invasive breast cancer at Charlotte Maxeke and Chris Hani Baragwanath Academic Hospitals.
CONCLUSION: The prevalence of pN0 ALND was 25.06%. In our cohort a significantly higher risk was found in hormone receptor-negative tumours. Preoperative nodal assessment needs to be optimised and include pathological confirmation. SLNB needs to be extended to patients after NACT despite resource-constraints. PMID: 31773927 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Discrepancy in clinical outcomes of patients with gunshot wounds in car hijacking: a South African experience.
Authors: Kong VY, Blodgett JM, Weale R, Bruce JL, Laing GL, Smith M, Bekker W, Clarke DL Abstract INTRODUCTION: Discrepancy in outcomes between urban and rural trauma patients is well known. We reviewed our institutional experience with the management of gunshot wounds (GSWs) in the specific setting of car hijacking and focused on clinical outcome between rural and urban patients. METHODS: A retrospective review was conducted at a major trauma centre in South Africa over an 8-year period for all patients who presented with any form of GSWs in car hijacking settings. Specific clinical outcomes were compared betw...
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Renal trauma in a Trauma Intensive Care Unit population.
CONCLUSION: Non-operative management is a viable option with favourable survival rates in lower grade injury; however, complications should be anticipated and managed accordingly. High grade injuries predict the need for surgery. PMID: 31773929 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Renal artery embolisation: indications and utilisation at Tygerberg Hospital.
CONCLUSION: Renal artery embolisation remains a very successful method of managing renal haemorrhage at this hospital, whether this results from trauma, malignancy, iatrogenic or other causes. PMID: 31773930 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Correlation of white cell count and CRP in acute appendicitis in paediatric patients.
This study evaluates the sensitivity, specificity and accuracy of the WCC and CRP separately and when used in combination and evaluates whether an increased WCC and CRP are associated with complicated appendicitis. METHOD: A retrospective record review of all paediatric patients who underwent appendicectomy between June 2010 and December 2016 was conducted. Demographic data, the WCC, CRP and histology results were reviewed. RESULTS: 763 records were reviewed. The sensitivity and specificity of the WCC were 69.6% and 43.1% respectively and of the CRP were 95.4% and 24.5% respectively. The sensitivity was higher when...
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Scar wars.
CONCLUSION: AFL should form an integral part of the burn scar armamentarium. PMID: 31773932 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Knowledge and attitude of patients undergoing lower extremity amputation at RK Khan Hospital, Chatsworth.
CONCLUSION: There is a gradual temporal increase in the frequency of resected papillary cancer over a 16 year period while follicular has remained static. These changes may be attributable to better salt iodination. PMID: 31773933 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Tuberculous prostatitis: a condition not confined to the immunocompromised.
This report in an immunocompetent 72-year-old man adds to the clinical spectrum of the five prior reported cases. A low threshold for prostatic biopsy led to a histological evaluation and subsequent microbiological confirmation of TB. This attests to the value of such an approach in arriving at the correct diagnosis and the institution of appropriate anti-tuberculous therapy even amongst immune-competent men. PMID: 31773934 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Malignant neuroendocrine tumour in an adult female diagnosed with Currarino syndrome.
We report a case of a 60-year-old female diagnosed with a malignant neuroendocrine tumour in the presacral mass in Currarino syndrome and describe the surgical management and pathological findings. PMID: 31773935 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

South African guidelines for receptor radioligand therapy (RLT) with Lu-177-PSMA in prostate cancer.
CONCLUSION: Treatment with 177Lu-PSMA has emerged as a promising systemic modality, which involves the delivery of targeted radiation therapy in the form of β-particles to sites of tumour tissue. Therapy is provided on an outpatient basis, is well tolerated with relatively few side effects and has a positive effect on overall survival and quality of life. At present, it is used mostly in the setting of advanced, castrate-resistant cancer. Patients are selected (amongst other criteria) based on the prior PSMA-based SPECT/PET/CT imaging (99mTc-,68Ga- or 18F-PSMA), which should demonstrate sufficient receptor expression ...
Source: South African Journal of Surgery - November 29, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Adult liver transplant for hepatocellular carcinoma at Wits Donald Gordon Medical Centre in Johannesburg, South Africa.
CONCLUSION: Despite limitations, this is the first documented series of patients undergoing liver transplantation for HCC in South Africa and demonstrates that good results can be achieved in appropriately selected patients. PMID: 31392858 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Living donor liver transplantation in South Africa: the donor experience.
CONCLUSION: Living donor liver transplant from adult-to-child has been successfully initiated in South Africa. Living donor hepatectomy can be safely performed with acceptable outcomes for the donor. Wait-list mortality however remains unacceptably high. Expansion of LDLT as well as real change in deceased donor policy is required to address this issue. PMID: 31392859 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Outcomes of paediatric liver transplant for biliary atresia.
CONCLUSION: Early referral of all patients with biliary atresia to a paediatric liver transplant centre is essential for early assessment of indications, and medical and nutritional optimisation of patients. Primary liver transplant should be considered for a select group of patients with unique clinical indications. PMID: 31392860 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Complex bile duct injuries after laparoscopic cholecystectomy: a comparative outcomes analysis of patients treated in tertiary private and public health facilities in Cape Town, South Africa.
CONCLUSION: Despite differences in public and private healthcare system resources, patients were referred early and appropriately from both sectors and had similar postoperative outcomes when treated in a specialised unit. PMID: 31392861 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

The consequences of major visceral vascular injuries on outcome in patients with pancreatic injuries: a case-matched analysis.
Authors: Krige JEJ, Jonas EG, Kotze UJ, Setshedi M, Navsaria PH, Nicol AJ Abstract BACKGROUND: Major pancreatic injuries are complex to treat, especially when combined with vascular and other critical organ injuries. This case-matched analysis assessed the influence of associated visceral vascular injuries on outcome in pancreatic injuries. METHOD: A registered prospective database of 461 consecutive patients with pancreatic injuries was used to identify 68 patients with a Pancreatic Injury combined with a major visceral Vascular Injury (PIVI group) and were matched one-to-one by an independent blinded reviewer...
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Surgical site infection after penetrating abdominal trauma with bowel involvement: a comparison between HIV-seropositive and seronegative patients.
Authors: Mauser M, Bartsokas C, Plani F Abstract BACKGROUND: The influence of HIV-infection on surgical site infection (SSI) after surgery for penetrating abdominal trauma is not investigated and therefore not as yet elucidated. This prospective study was performed with the aim to compare the SSI rate in human immunodeficiency virus (HIV)-seropositive and HIV-negative patients and to identify other risk factors for this abdominal wound complication. METHOD: 98 patients who underwent small or large bowel resection and subsequent anastomosis due to penetrating abdominal trauma were included in the study. Injury r...
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

The utility of PET-CT in the staging and management of advanced and recurrent malignant melanoma.
CONCLUSION: PET-CT is a useful tool in the staging and subsequent management of melanoma. Its utility is pronounced in advanced and recurrent melanoma. PMID: 31392864 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

A one year audit of the Colorectal Unit at Wits Donald Gordon Medical Centre: 2016-2017.
CONCLUSION: The WDGMC Colorectal Unit manages a high volume of patients presenting with the full spectrum of colorectal disease. PMID: 31392865 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

The spectrum of animal related injuries managed at a major trauma centre in South Africa.
CONCLUSION: Human interactions with animals may result in injuries which require surgical treatment. The most common animal injury is a dog bite but in the case of the larger domestic farm animals, blunt force type injuries and goring can result in significant injuries which require complex surgical interventions. PMID: 31392866 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

"The profile of thyroid cancer in patients undergoing thyroidectomy at Chris Hani Baragwanath Academic Hospital.
CONCLUSION: There is a gradual temporal increase in the frequency of resected papillary cancer over a 16 year period while follicular has remained static. These changes may be attributable to better salt iodination. PMID: 31392867 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Laterality of breast cancer at Dr George Mukhari Academic Hospital.
CONCLUSION: Left to right BC excess does exist in patients that were newly diagnosed at Dr George Mukhari Academic Hospital, South Africa, from January 2000 to June 2016. PMID: 31392868 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

An audit of upper gastrointestinal endoscopy performed on patients at Prince Mshiyeni Memorial Hospital in Durban, KwaZulu-Natal.
This study audits the UGE done at a single institution. It was motivated by the observation that public hospitals often experience an acute shortage of endoscopes, which are prone to frequent breaks and service delivery is further compromised by an increased workload. METHOD: This was a retrospective observational descriptive study of patients aged 20 to 45 years who had undergone gastrointestinal endoscopy (UGE) at Prince Mshiyeni Memorial Hospital (PMMH) in KwaZulu-Natal, during the period January 2015 to December 2015. One hundred and ninety-four patients' charts and UGE reports were reviewed. Data were analysed usi...
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Intradural extramedullary spinal masses treated at the Wits teaching hospitals between 2014 - 2017.
CONCLUSION: IDEM tumours are an important subset of spinal cord compressive lesions Presentation with severe neurological deficit is common and though resection is feasible neurological deficit remains in the vast majority. Earlier detection should improve the results of surgery. PMID: 31392870 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Trans-oral penetrating trauma to the neck: the innocuous pen cap and the value of CT Scan.
This report highlights the value of neck CT in the evaluation of suspected radiolucent foreign bodies penetrating the neck from the oral cavity. This guided the surgical approach to remove the foreign body safely without complication. PMID: 31392871 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - August 10, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Oesophageal cancer in Area 2 of Kwazulu-Natal: predictors of late presentation.
This study aimed to assess the frequency and severity of clinical characteristics associated with late presentation of patients with OSCC presenting to a cancer referral centre in KwaZulu-Natal, South Africa. METHODS: A prospective consecutive series of patients presenting with confirmed OSCC treated at Greys Hospital in 2016/2017 were enrolled. Data collected included: age, gender, home language, referral centre, clinical and laboratory characteristics: dysphagia score, Eastern Cooperative Oncology Group (ECOG) performance status, body mass index (BMI), serum albumin, tumour pathology and treatment administered. R...
Source: South African Journal of Surgery - July 27, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Disparity in oesophageal cancer management in South Africa: a comparison between two tertiary centres with special focus on the palliation of dysphagia.
This study is a retrospective comparative cohort which reviewed all patients diagnosed with oesophageal cancer by the Frere Hospital and GSH endoscopy units from January to December 2015. Independent prospective electronic databases for the two hospitals were merged for comparative analysis. RESULTS: During the study period, 346 and 108 patients were diagnosed with oesophageal cancer at Frere Hospital and GSH respectively. The rate of curative intended intervention was similarly low, with 3% of cases at Frere Hospital undergoing oesophagectomy or definitive radiotherapy as compared to 5% at GSH (p=0.48). In terms of pa...
Source: South African Journal of Surgery - July 27, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

A comparison of oesophageal cancer between the public and private sectors in KwaZulu-Natal.
CONCLUSION: Oesophageal cancer is a major public health problem in KZN. Although squamous carcinoma predominates, adenocarcinoma is a significant problem in the White population. It would appear that surveillance for oesophageal adenocarcinoma is taking place in the private sector albeit in a non-systematic or coordinated fashion. This does not appear to be the case in the state sector. PMID: 31342679 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 27, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Metabolic surgery in South Africa: an initial academic hospital experience.
CONCLUSION: Metabolic surgery can be performed safely in the public sector in South Africa, with short-term safety and efficacy outcomes comparable to international reports. Larger scale studies are needed to determine long-term outcomes and cost-effectiveness. PMID: 31342680 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - July 27, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research