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
South African National Cancer Prevention Services
S Afr J Surg. 2024 Mar;62(1):2-6.NO ABSTRACTPMID:38568118 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: P A Goldberg M Muchengeti I Buccimazza F Malherbe N Mbatani A van Wyk R Ramesar Source Type: research
The academic progress of female general surgery and orthopaedic surgery trainees in South Africa
CONCLUSION: The recruitment and retention of females in surgery will contribute to maintaining an adequate surgical workforce. Training programmes need to improve work-life balance without compromising on producing competent surgeons. Improved visibility of female surgeons in leadership roles should be encouraged to promote mentorship and recruitment of trainees.PMID:38568119 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: S Govender R Naidoo S Ebrahim B Singh Source Type: research
Post-traumatic stress disorder in international surgeons undertaking trauma electives in a South African trauma centre
CONCLUSION: Despite being exposed to increased levels of trauma related injury, we observed low rates of positive screening for PTSD in our cohort of visiting international surgeons involved in elective trauma service placements. Investigation of potential protective factors against PTSD in this South African tertiary trauma centre is warranted.PMID:38568120 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: V Thirayan V Y Kong H Uchino D L Clarke Source Type: research
The sensitivity of a neck CT scan in detecting pneumothoraces in nonpenetrating trauma
CONCLUSION: The neck CT scan has demonstrated high sensitivity and specificity in pneumothorax detection. Thus, it may be used as an additional tool for those who could not receive or do not need a formal chest CT but have an indication for neck CT scans.PMID:38568121 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: R Byebwa E E Nweke M S Moeng Source Type: research
Biochemical markers in emergency thoracic surgery in penetrating trauma
CONCLUSION: Lactate and SI in combination are useful as triage tools, and could assist in decision making, by predicting which patients are more likely to require surgical intervention.PMID:38568122 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: M Lubout J Goosen D Kruger P Fru S Makhadi M S Moeng Source Type: research
Outcomes of non-operative management of penetrating abdominal trauma
CONCLUSION: In this study, we demonstrated no mortality and less morbidity in the DOM group when appropriately selected compared to the immediate laparotomy group. This supports the selective NOM approach for PAT in high volume trauma centres.PMID:38568123 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: N Almgla M Raul Risk S Edu A Nicol P Navsaria Source Type: research
A dedicated quality improvement programme can increase access to paediatric minimal access surgery in South Africa
CONCLUSION: It is feasible to deliver MAPS to children in our environment. A comprehensive quality improvement strategy has yielded satisfying results. The increased use of MAPS has resulted in a general transfer of skills to junior staff. Ongoing efforts to support the rollout of MAPS in children are warranted.PMID:38568124 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: H Mangray S Madziba A Ngobese M T D Smith D L Clarke Source Type: research
Endoscopic findings in children born with oesophageal atresia in an academic unit in South Africa
CONCLUSION: All patients with a clinical indication for an endoscopy had abnormal clinical or histological findings, thus concurring with the literature in highlighting the need for regular endoscopy. We recommend regular clinical follow-up and endoscopic surveillance if clinically indicated for children born with OA.PMID:38568125 (Source: South African Journal of Surgery)
Source: South African Journal of Surgery - April 3, 2024 Category: Surgery Authors: C de Vos N Fourie B Banieghbal P T Schubart D Sidler P Goussard Source Type: research
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
