South African Journal of Surgery最新文献

Can we trust the data? - the data detective. 我们能相信数据吗？- 数据侦探。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

J Carlisle

引用次数: 0

Endoscopy-induced complication of barotrauma with concomitant benign pneumoperitoneum. 内窥镜引起的气压创伤并发良性腹腔积气。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

H Gopee, T K Van Staden

引用次数: 0

Adult small bowel volvulus - a case series. 成人小肠卷曲--病例系列。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

G L Shelile, K Sepeng, T C K Gofhamodimo, K M Ngoepe, T Mukhuba, K Manyane

引用次数: 0

Short-stay hospitalisation for thyroid surgery - a feasible option in a resource constrained community. 甲状腺手术的短期住院治疗--在资源有限的社区是一种可行的选择。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

E Tagar, J Kpolugbo, A A Okomayin, C Odion, I M Chukwu, H O Chukwuma

{"title":"Short-stay hospitalisation for thyroid surgery - a feasible option in a resource constrained community.","authors":"E Tagar, J Kpolugbo, A A Okomayin, C Odion, I M Chukwu, H O Chukwuma","doi":"","DOIUrl":"","url":null,"abstract":"Background: Short-stay thyroid surgery is still nascent in developing nations like Nigeria. With the increasing cost of healthcare, there is consistently the need to reduce healthcare delivery costs. Short-stay services in selected cases meet this goal, in addition to other benefits of short hospital stays. This study aimed to highlight the feasibility of the practice of short-stay thyroidectomy in a rural tertiary hospital in Nigeria.Methods: The study is a retrospective review of all patients who had short-stay thyroidectomy in a rural tertiary hospital in Nigeria from January 2017 to December 2021.Results: The study reviewed 73 patients admitted for thyroidectomy on a short-stay basis within the study period. There were 70 (95.9%) females and three (4.1%) males, giving a ratio of 23:1 and a mean age of 39.8 years. Sixty-eight (93.2%) patients had no complications, and the others had minor complications that did not otherwise prolong their hospitalisation. Seventy-one (97.3%) patients were discharged within 24 hours of surgery, while two (2.7%) were discharged within 48 hours. There were no readmissions, and no mortality was recorded.Conclusion: Short-stay hospitalisation for thyroid surgery is feasible and a viable alternative to the conventional 72-hour postoperative hospital stay in our setting.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serum albumin nadir as marker of inflammatory response in abdominal trauma. 作为腹部创伤炎症反应标志物的血清白蛋白最低值。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

J Buitendag, A Cass, S Variawa, A Diayar, T Hardcastle, G Oosthuizen

{"title":"Serum albumin nadir as marker of inflammatory response in abdominal trauma.","authors":"J Buitendag, A Cass, S Variawa, A Diayar, T Hardcastle, G Oosthuizen","doi":"","DOIUrl":"","url":null,"abstract":"Background: Serum albumin levels decrease following major trauma, for various reasons. We postulated that the serum albumin nadir (SAN) level would correlate negatively with severity of physiological insult.Methodology: This retrospective cohort study included all patients with abdominal trauma admitted to the Trauma Intensive Care Unit at Inkosi Albert Luthuli Central Hospital during 2017 and 2018.Results: Of the 87 patients, 70 (80.5%) were male. Mean age was 32.48 years (SD 11.65; range 12-73). Blunt trauma comprised 54 patients (62.1%). Median SAN level was 23 g/L (IQR 20-27; range 10-38). Median SAN level was not different between patients with blunt versus penetrating trauma (p = 0.69), patients in whom inotropic support had been used/not used (p = 0.0502), and no different between patients on the various modes of feeding at the time of SAN (p = 0.14). However, median SAN level was lower for patients with hollow visceral injury (p = 0.004), for patients who had undergone laparotomy (p = 0.0006), for those who had received damage control surgery (p = 0.001), those who had received blood transfusions (p = 0.03), and patients who died compared to survivors (p = 0.02). Univariate regression analysis revealed negative coefficients for the following in relation to SAN level: blood transfusion (-2.77; p = 0.023), hollow viscus injury (-3.21; p = 0.008), laparotomy (-4.5; p < 0.001), damage control surgery (-3.60; p = 0.02), day of SAN (-0.39; p = 0.001), ICU length of stay (-0.12; p = 0.002), and death (-3.27; p = 0.03).Conclusion: Greater physiological insults lead to lower levels of SAN. Serum albumin nadir level may therefore have value as a prognostic indicator in the acute trauma setting.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Procedures most frequently performed by South African-trained general surgeons - implications for training and assessment. 南非培训的普外科医生最常实施的手术--对培训和评估的影响。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

D Nel, V Burch, K Beley, Z Ebrahim, M Brand, O D Montwedi, L Cairncross, E Jonas

{"title":"Procedures most frequently performed by South African-trained general surgeons - implications for training and assessment.","authors":"D Nel, V Burch, K Beley, Z Ebrahim, M Brand, O D Montwedi, L Cairncross, E Jonas","doi":"","DOIUrl":"","url":null,"abstract":"Background: Workplace-based assessment (WBA) is being introduced across postgraduate training in South Africa. This study was undertaken to inform the selection of the core procedures for WBA, by determining the most frequently performed procedures in general surgery practice. These findings may also assist academic centres undertaking curriculum review to determine whether or not they are training surgeons who are competent to meet the current local needs of society.Methods: This study was a cross-sectional observational study using a self-administered survey. General surgeons who passed the final fellowship examinations of the College of Surgeons of South Africa between 2017-2022, working in fulltime specialist practice, were eligible for participation.Results: The study included 111 surgeons of which the majority (53%) were working full time in government practice, 23% were in private practice and 24% were in a combination of both government and private practice. The 10 most frequently listed procedures were - hernia repair (95%), appendicectomy (91%), emergency laparotomy (88%), laparoscopic cholecystectomy (80%), gastroscopy (80%), colonoscopy (61%), colectomy (55%), lower limb amputation (48%), mastectomy (40%) and intestinal stoma formation (31%). Fifty-seven (51%) participants reported that they felt prepared to independently perform the full range of most frequently listed procedures. Of the 49% who reported feeling unprepared for one or more procedures on completion of training, the most frequently listed procedure was colonoscopy.Conclusion: This study identified a list of procedures that may be considered as core procedural activities for WBA of South African general surgery trainees.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of multidetector computed tomographybased component separation index in the management of large ventral hernias. 基于多载体计算机断层扫描的成分分离指数在腹股沟大疝治疗中的作用。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

D Sharma, V Upadhyay, U C Garga, R Lal

{"title":"Role of multidetector computed tomographybased component separation index in the management of large ventral hernias.","authors":"D Sharma, V Upadhyay, U C Garga, R Lal","doi":"","DOIUrl":"","url":null,"abstract":"Background: Predicting complete closure of large ventral hernias without component separation (CS) could have clinical value. The utility of multidetector computed tomography (MDCT)-based component separation index (CSI) was derived and evaluated for these hernias.Methods: In 60 patients with a ventral hernia, a CSI was calculated based on their MDCT. In group I (first 30 patients), hernia repair was performed by an open approach and operative assessment determined the need for CS to effect complete closure. A CSI value above which defect closure needed CS was taken as the CSI reference point. In group II (second 30 patients), the hernia repair was done laparoscopically. Patients with a CSI at or below the reference point of group I underwent intraperitoneal onlay mesh (IPOM) after direct closure of the defect (IPOM-plus). The other patients had bilateral endoscopic component separation (ECS) before entry into the peritoneal cavity for an intended IPOM-plus.Results: A CSI above 0.067 and 0.044 in open and laparoscopic approaches respectively required CS for complete defect closure. A CSI above 0.25 and 0.125 in open and laparoscopic approaches respectively, despite CS, predicted complete closure of defect was not possible.Conclusion: CSI is a more comprehensive parameter for evaluation of ventral hernia than the conventional twodimensional parameters and can predict the need of component separation prior to complete closure of the defect in both laparoscopic and open approach.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pneumatosis intestinalis - an illusive disease. 肠道肺炎--一种难以捉摸的疾病。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

A Skotsimara, A Mylonakis, D Schizas, L Karydakis, C Vergadis, M Peroulis, N Koliakos, A Bakopoulos

引用次数: 0

A case report on lingual schwannoma. 舌裂瘤病例报告

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

D P Ramyead, J Enslin, M J Chokoe Maluleke, M White

引用次数: 0

Late presentation of Bochdalek hernia in children - experience at a single centre. 儿童波赫达雷克疝的晚期表现--一个中心的经验。

IF 0.4 4区医学

South African Journal of Surgery Pub Date : 2024-10-01

S Arslan, M H Okur, M Azizoğlu, E Basuguy, B Aydoğdu, I Akbudak, M K Ciğdem, A Onen, S Otcu

{"title":"Late presentation of Bochdalek hernia in children - experience at a single centre.","authors":"S Arslan, M H Okur, M Azizoğlu, E Basuguy, B Aydoğdu, I Akbudak, M K Ciğdem, A Onen, S Otcu","doi":"","DOIUrl":"","url":null,"abstract":"Background: The aim of this study was to present our experience with late presentation Bochdalek hernia (BH), focussing on clinical presentation diagnostic and therapeutic approaches, and their outcomes.Methods: Patients with late presenting BH 1 month of age between 1983 and 2022 were studied. We retrospectively collected and analysed the following data: age, sex, side of herniation, presenting symptoms and signs, associated anomalies, radiographic findings, intraoperative findings, postoperative course, complications, and mortality.Results: Of 175 diaphragmatic hernias 46 (26%) were late presenting BH. Fifty-seven per cent (26/46) were males. Laparotomy was performed in 85% (39/46) of the patients, and a laparoscopy or thoracoscopy was performed in 15% (7/46). The mean hospital stay was 7.6 days, and the mean surgery time was 131 minutes. When the two groups were compared, the duration of surgery and hospitalisation was significantly shorter in the minimally invasive surgery (MIS) group (p < 0.05).Conclusion: The clinical characteristics of late presenting BH are variable, either acute or chronic. A laparoscopic or thoracoscopic approach in selected patients is feasible.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0