Open abdominal wall defects and open spina bifida at a regional hospital in northern KwaZulu-Natal - bellwether conditions for neonatal surgery capacity
CONCLUSION: Newborns with open SB or AWDs experience marked delays in reaching definitive care. This is more pronounced for cases of SB and was not influenced by the pandemic. Lack of tertiary service capacity (including bed availability, limited staff, and theatre time) is the most important limiting factor.PMID:38568126 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: R Vosloo G Wyer L Naidoo B Enicker A G Maharaj N C Kapongo Source Type: research
The rate of iatrogenic injuries in surgical patients appears resistant to multiple interventions: what can we learn from aviation safety?
CONCLUSION: Despite multiple interventions over a decade, our rate of iatrogenic injury remains constant. Ongoing multifaceted efforts to reduce this rate must focus on engendering a culture of safety at all levels of healthcare if we hope to match the enviable safety record of the aeronautics industry.PMID:38568127 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: H Wain D L Clarke S Wall Source Type: research
Adult surgical admissions at a Botswana tertiary teaching hospital - spectrum, comorbidity profile, and outcomes
CONCLUSION: Contributions of emergency and elective admissions were even. A higher burden of diseases was found in gastroenterology. The higher mortalities associated with hypertension, diabetes, and CD4 count < 200 warrant further study.PMID:38568128 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: A G Bedada M J Mpapho S G Hamda Source Type: research
Perforated peptic ulcer - a case series and an African perspective
CONCLUSION: Patients were mostly smokers, presented late to hospital and had gastric perforations. The findings of low mortality and male predominance concurred with those of other sub-Saharan African reports and were the opposite of trends in HIC.PMID:38568129 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: M T Mahlefahlo O D Montwedi V O L Karusseit Source Type: research
Predicting survival in locally advanced gastric cancer using prognostic factors - neoadjuvant rectal score and downstaging depth score
CONCLUSION: In summary, our research indicates that NAR score and DDS may serve as useful prognostic markers for predicting overall survival in patients with locally advanced gastric cancer who receive neoadjuvant chemotherapy followed by curative surgery. Patients with high DDS and low NAR scores were found to have better prognoses.PMID:38568130 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: S Tamam S Culcu K Er özkan M Ş Benk C Az ılı E Alt ınsoy Ş Ersöz A E Unal Source Type: research
Tuberculous mastoiditis - a case series
S Afr J Surg. 2024 Mar;62(1):80-82.ABSTRACTTuberculous mastoiditis (TBM) is a rare form of extrapulmonary tuberculosis (TB), which may result in catastrophic complications, including mastoid and ossicle destruction, hearing loss and intracranial spread if untreated. Diagnosis is challenging due to the paucibacillary nature of extrapulmonary TB, compounded by limited theatre access for specimen retrieval, resulting in delayed diagnosis and treatment initiation. In this case series, we discuss three cases of TBM (one paediatric and two adults) who presented to the public and private healthcare sectors in the Eastern Cape in ...
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: T K Suttle T Els I Butler Source Type: research
Breast cysticercosis - a case report
We report a case of breast cysticercosis in a young South African woman.PMID:38568132 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: C Mabaso W Ngwisanyi S Nayler C Nyatsambo C A Benn Source Type: research
A rare case of adult intussusception
In this report, we present a 53-year-old male with an ileocaecal intussusception. The patient underwent an extended right hemicolectomy and double barrel ileocolostomy. Histopathological review of the specimen identified the lead point as an intramural caecal lymph node which, as far as we are aware, is the first time this type of lead point has been reported.PMID:38568133 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: D Rattray H Brink Source Type: research
Gestational gigantomastia complicated by pseudo-angiomatous stromal hyperplasia - a multidisciplinary management approach
S Afr J Surg. 2024 Mar;62(1):89-91.ABSTRACTGestational gigantomastia is a rare condition typified by disproportionate bilateral breast enlargement in pregnant women, resulting in skin thinning, ulceration, and bleeding. Less than sixty cases have been documented worldwide, and only one other in South Africa. Pseudo-angiomatous stromal hyperplasia (PASH) is a rare benign proliferation of stromal tissue in a tumorous or diffuse pattern. This, to the best of our knowledge, is the first published case, a 27-year-old human immunodeficiency virus (HIV) positive woman, to present with both conditions concurrently. Medical managem...
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: F H Rabe M Conradie M Mahoko R C de Villiers J Edge Source Type: research
More than 60 years of Organised Trauma Care: The Johannesburg Trauma Unit at Charlotte Maxeke Johannesburg Academic Hospital
S Afr J Surg. 2023 Nov;61(4):4-6.NO ABSTRACTPMID:38450688 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: M S Moeng K D Boffard Source Type: research
Tutankhamun - Africa's first reported road traffic crash victim?
S Afr J Surg. 2023 Nov;61(4):7-10.NO ABSTRACTPMID:38450689 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: A B van As R Brown Source Type: research
Adverse events associated with the use of indwelling devices in surgical patients
CONCLUSIONS: Morbidity related to IDs in surgical patients is a relatively frequent occurrence. Standardisation of ID insertion and care, staff education, and improvements in communication have been identified as the most important strategies by which we can limit error-associated morbidity in patients with IDs.PMID:38450690 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: H Wain S Wall D L Clarke Source Type: research
The impact of the COVID-19 pandemic on presentation of surgical disease in paediatric patients at a tertiary centre in Cape Town, South Africa
CONCLUSION: Paediatric surgical volumes at our centre decreased during the COVID-19 pandemic. There was evidence of more advanced disease on presentation of inguinal hernias and intussusception and a generalised increased demand for emergency ICU admission.PMID:38450691 | DOI:10.36303/SAJS.4060 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: C Kohler B Banieghbal Source Type: research
Factors influencing outcome in patients with perforated peptic ulcer disease at a South African tertiary hospital
CONCLUSION: The Boey score was a significant predictor of mortality and leak rate in our patients with PPU. Adding age as a variable may improve the ability to predict mortality in our setting, while the impact of gender and ethnicity needs further investigation.PMID:38450692 | DOI:10.36303/SAJS.4005 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: J J Nanack L Ferndale Source Type: research
The incidence and management of complications following stenting of oesophageal malignancies
CONCLUSION: Oesophageal stenting for malignant dysphagia is peri-procedurally safe and effective. Outcomes reported from this South African cohort compare favourably to high-volume international units.PMID:38450693 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - March 7, 2024 Category: Surgery Authors: G Teyangesikayi M F Scriba S Viranna E G Jonas G E Chinnery Source Type: research
