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

General attitudes toward research: a pilot survey of HIV-positive surgical patients.
CONCLUSION: In general, study participants expressed a positive attitude toward research. The proportion of neutral responses for some RAQ items suggests there are certain aspects of research which require clarification to prospective research participants. Efforts should be made to improve female HIV-positive surgical patients' overall attitude toward research. PMID: 31342681 [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

Exploring the differences in psychological traits between surgical specialties at an academic hospital in Bloemfontein.
This study explored the personality characteristics of doctors in four surgical and three consulting specialties at an academic hospital in Bloemfontein, South Africa. METHOD: This analytical cross-sectional study used the Zuckerman-Kuhlman Personality Questionnaire as a measuring tool which included five scales: impulsive sensation seeking (subscales impulsivity and sensation seeking), neuroticismanxiety, aggression-hostility, sociability (parties and friends and isolation intolerance), and activity ( work activity and general activity). Overall, 70 consultants and senior registrars from surgical specialties (anaesthe...
Source: South African Journal of Surgery - July 27, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

A comparison of four weight estimation systems for paediatric resuscitation.
CONCLUSION: The PAWPER XL tape performed significantly better than other weight estimation systems and is most appropriate for use in South African paediatric emergencies. The habitus-modified Broselow system produced only modest improvement in overall weight estimation accuracy of the Broselow tape. PMID: 31342683 [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

Quantifying the burden of trauma imaging on the CT scan service at a major trauma centre in South Africa.
CONCLUSION: Blunt poly-trauma is a preventable disease, which has a major financial impact on the healthcare system in general. This study has documented the tremendous burden it places on an already stretched CT scanning service. PMID: 31342684 [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

Advanced radiological investigations and findings amongst community assault victims admitted to a tertiary South African hospital.
CONCLUSION: We recommend a high index of suspicion for severe intracranial injury in CA victims and urgent tertiary referral of those with a depressed level of consciousness. Prospective work is required to determine the long-term outlook for survivors. PMID: 31342685 [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

"A tale of two cities." A snapshot survey of neurosurgical procedures performed in public and private sectors in eThekwini.
"A tale of two cities." A snapshot survey of neurosurgical procedures performed in public and private sectors in eThekwini. S Afr J Surg. 2019 Jun;57(2):61 Authors: Harrichandparsad R, Nadvi SS, Naidoo A, Mahomed O Abstract SUMMARY: Access to neurosurgical care in South Africa is influenced by prevailing inequities in healthcare. It is generally perceived that the public sector performs mainly emergencies relating to trauma, and the private sector performs mainly elective spinal surgery. In March 2015, emergencies constituted 51% of cases in the public sector compared to 8% in the private sec...
Source: South African Journal of Surgery - July 27, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

The prevalence of sodium abnormalities in moderate to severe traumatic brain injury patients in a level 1 Trauma unit in Durban.
CONCLUSION: The prevalence of sodium abnormalities was 126 (68.4%) patients of whom 61 (33.1%) had hyponatremia and 65 (35.3%) hypernatremia. In those patients who survived, a later onset was related to a better outcome. The GOS in DI tended to be worse. PMID: 31342687 [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

Hyperlactataemia with acute kidney injury following community assault: cause or effect?
CONCLUSION: Hyperlactataemia is a common feature of patients presenting to the ED following crush syndrome secondary to beatings received during interpersonal violence. The origin of this hyperlactataemia is currently unknown. Further research needs to be conducted into the origin of the hyperlactataemia and its clinical significance. In this cohort, the utilisation of RRT was low but the incidence of AKI was high and developed rapidly following the injury. The utilisation of RRT also needs to be further studied in larger patient populations in South Africa to make local clinical recommendations for use. PMID: 31342688...
Source: South African Journal of Surgery - July 27, 2019 Category: Surgery Tags: S Afr J Surg Source Type: research

Infantile hypertrophic pyloric stenosis: profile, management and outcome of patients admitted to a tertiary hospital in Bloemfontein, South Africa.
CONCLUSION: The gender distribution and age at presentation were in keeping with the literature but not the birth order. The delay before surgery emphasises the poor general health and deranged biochemical state the patients present at the hospital. PMID: 31342689 [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

The spectrum of self inflicted injuries managed at a major trauma centre in South Africa.
CONCLUSION: The gender distribution and age at presentation were in keeping with the literature but not the birth order. The delay before surgery emphasises the poor general health and deranged biochemical state the patients present at the hospital. PMID: 31342690 [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

Surgical resources in South Africa: a review of the number of functional operating theatres.
CONCLUSION: Strengthening surgical systems will reduce the surgical burden of disease and improve health outcomes globally. Little is known about the available surgical resources such as operating theatre density, although using this metric to evaluate surgical capacity has its limitations. PMID: 30264935 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research

Surgery for giant tumours of the breast: a 15 year review.
CONCLUSION: Benign giant tumours (> 10 cm) of the breast are suitably managed by excision of the mass and a reduction mammoplasty technique of reconstruction. PMID: 30264936 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research

Spectrum of disease and outcome of primary amputation for diabetic foot sepsis in rural KwaZulu-Natal.
CONCLUSION: Most patients present with advanced disease requiring a major amputation. A definitive one stage primary amputation is a safe and effective procedure for diabetic foot sepsis with distinct advantages of a short hospital stay, low reamputation rates and mortality. A guillotine amputation should be reserved for physiologically unstable patients. PMID: 30264937 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research

Demographic and histological subtypes of Hurthle cell tumours of the thyroid in a South African setting.
CONCLUSION: HCNs are more common in females. The likelihood of HCC rises as the size of the HCN increases. Malignancy rate exceeds 50% for HCNs which are greater than 4 cm in diameter. PMID: 30264938 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research

Requiem for Nigro or is anal squamous carcinoma still a surgical problem: Abdominoperineal excision rather than a defunctioning stoma?
CONCLUSION: Organ preservation was not possible in about a third of patients. Defunctioning stomas prior to CMT were likely to be permanent. We propose that APE could be considered as an alternative in selective cases where the tumour is resectable with low morbidity and a stoma is indicated. PMID: 30264939 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research

The causes of burn wounds among adult patients treated at Pelonomi Tertiary Hospital, Bloemfontein.
CONCLUSION: The predominant cause of burn wounds was flames including flaming liquids, and injuries were mostly accidental in nature. Alcohol consumption and domestic activities were common in accidental burns. PMID: 30264940 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research

Evaluation of locally manufactured patient-specific custom made implants for cranial defects using a silicone mould.
CONCLUSION: Patient specific moulds using PMMA to create custom implants are safe, have excellent cosmetic results and are a very cost-effective option to manage cranial defects. Accurate planning strategies for large craniotomies, where bone will potentially be discarded, add to surgical effectiveness and cost-saving to the patient. PMID: 30264941 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research

Fournier's gangrene: outcome analysis and prognostic factors.
CONCLUSION: Fournier's gangrene remains a fatal condition with a hospital mortality of 27%. Prognostic factors for non survival include an advanced age, a urogenital source of infection, abdominal involvement, severe sepsis and renal dysfunction. PMID: 30264942 [PubMed - in process] (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research

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.
Authors: Wentzel SW, Vermeulen LP, Beukes CA, Thiart J, Joubert G, Goedhals J Abstract 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. Statistical analyses included Student's t-test and Fisher's exact test where appropriate (2-tailed p-value
Source: South African Journal of Surgery - September 29, 2018 Category: Surgery Tags: S Afr J Surg Source Type: research