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

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

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

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

South African sport and exercise medicine: shaping health, fostering responsibility
Br J Sports Med. 2024 Apr 3:bjsports-2024-108374. doi: 10.1136/bjsports-2024-108374. Online ahead of print.NO ABSTRACTPMID:38569848 | DOI:10.1136/bjsports-2024-108374 (Source: British Journal of Sports Medicine)
Source: British Journal of Sports Medicine - April 3, 2024 Category: Sports Medicine Authors: Phathokuhle Cele Zondi Jon S Patricios Sharief Hendricks Source Type: research

Outcome measurement: Design of a social impact framework to measure shifts in the ecosystem for inclusion
Assist Technol. 2024 Apr 3:1-9. doi: 10.1080/10400435.2024.2332689. Online ahead of print.ABSTRACTChildren with disabilities need comprehensive intervention spanning health, education, and social systems from infancy through adulthood, with ongoing assessment of outcomes. While assistive technology is crucial, it must be complemented by inclusive learning options and other systemic interventions. Bronfenbrenner's Ecological Systems Theory guides this approach. A project in South Africa's Northern Cape Province utilized Acumen's Lean Data methodology for monitoring and evaluation. This methodology emphasizes rapid, technolo...
Source: Assistive Technology - April 3, 2024 Category: Rehabilitation Authors: Erna van der Westhuizen Surona Visagie Source Type: research

ART history prior to conception: trends and association with postpartum disengagement from HIV care in Khayelitsha, South Africa (2013-2019): a retrospective cohort study
CONCLUSIONS: There is a growing population of people with ART experience prior to conception and postpartum disengagement varies substantially by ART history. Antenatal care presents an important opportunity to understand prior ART experiences and an entry into interventions for strengthened engagement in HIV care.PMID:38566482 | DOI:10.1002/jia2.26236 (Source: Journal of the International AIDS Society)
Source: Journal of the International AIDS Society - April 3, 2024 Category: Infectious Diseases Authors: Tamsin Kate Phillips Reshma Kassanjee Nicola Maxwell Kim Anderson Leigh Johnson Haroon Moolla Landon Myer Benjamin H Chi Jonathan Euvrard Andrew Boulle Mary-Ann Davies Morna Cornell Renee de Waal 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

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

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

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

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

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

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

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