South African Journal of Surgery最新文献_第4页

A rare condition that may be confused with testicular torsion in children - testicular band. 一种罕见的情况，可能与儿童睾丸扭转混淆-睾丸束。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-09-01 DOI: 10.36303/SAJS.02252

A Hanbeyoglu, T Tartar, U Bakal, T Akkuş, A Kazez

引用次数: 0

A comparison of presenting symptoms and signs to CT-angiogram and contrast swallow in penetrating neck injury. 穿透性颈部损伤ct血管造影与对比吞咽症状体征的比较。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-09-01 DOI: 10.36303/SAJS.01315

K A Misra, T C Hardcastle

{"title":"A comparison of presenting symptoms and signs to CT-angiogram and contrast swallow in penetrating neck injury.","authors":"K A Misra, T C Hardcastle","doi":"10.36303/SAJS.01315","DOIUrl":"https://doi.org/10.36303/SAJS.01315","url":null,"abstract":"Background: Penetrating neck injuries account for a significant trauma burden on the provincial healthcare system. Penetrating neck trauma ranges from obvious aerodigestive and/or vascular injuries with unstable physiology, to stable patients with subtle injuries which may cause morbid complications in the future if overlooked. The majority of the hospitals in the province have major inadequacies in terms of radiology staff and equipment, leading to a significant burden on Inkosi Albert Luthuli Central Hospital (IALCH).Methods: A retrospective descriptive study was performed using data from the IALCH trauma unit databases, reviewing patient charts between 1 January 2018 and 31 December 2020. Data retrieved encompassed the age, demographics, referral hospitals, mechanism of injury, type of injuries, zones, imaging indications and results.Results: Patients were referred from surrounding hospitals, the majority of which were young males and the lead mechanism was stab wounds. The vast majority of injuries were found in zone 2 and the majority of patients were referred exclusively due to proximity of skin injury and positive imaging findings formed the minority.Conclusion: For patients with soft signs of vascular injury there is room for clinical observation without routine imaging. Similarly, patients with soft signs of oesophageal injury, such as proximity, dysphagia, dysphonia, odynophagia, retropharyngeal air on CT and hematemesis may be admitted for observation rather than routinely imaged, provided they can access surgical care if they fail non-operative management.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":"63 3","pages":"144-150"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240322","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

The epidemiology of acid burns in an academic hospital in South Africa: 9-year audit. 南非一家学术医院酸烧伤的流行病学：9年审计。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-09-01 DOI: 10.36303/SAJS.01401

B Beneke, S Znamerovskyi, A Muganza, T Netshiongolwe

{"title":"The epidemiology of acid burns in an academic hospital in South Africa: 9-year audit.","authors":"B Beneke, S Znamerovskyi, A Muganza, T Netshiongolwe","doi":"10.36303/SAJS.01401","DOIUrl":"https://doi.org/10.36303/SAJS.01401","url":null,"abstract":"Background: Chemical burns worldwide are caused by highly concentrated acidic and alkaline substances being placed onto exposed skin surface with resultant tissue injury. These chemical substances have high toxicity and deep tissue penetrability causing significant morbidity and mortality to patients. This study describes the epidemiology and mortality of acid-related burn injuries to improve patient assessment and management strategies.Methods: A cross-sectional retrospective analysis of the records of 66 patients admitted to Chris Hani Baragwanath Academic Hospital Adult Burns Unit over a period of 9 years between 2015 and 2024.Results: This study found that 91% of cases were due to assault, compared to 8% accidental injury. Patients admitted were predominantly male (n = 43; 65%). The mean total body surface area (TBSA) involved was 17.7% with the most common areas involved being the face and arms (n = 47, 72%). The neck was affected in 35 cases (54%), and the chest in 34 cases (52%). Other affected areas included the back (n = 24, 37%), eyes (n = 14, 22%), legs (n = 12, 19%), buttocks (n = 4, 6%), and genitalia (n = 3, 5%). Patient mortality is limited in cases where TBSA < 25%; however, when TBSA > 25% mortality is 75%, further increasing to 100% when patients were ventilated.Conclusion: This study showed a high rate of acid burns associated with domestic violence and assaults. Prevention strategies should be coordinated with strategies aimed at reducing interpersonal violence.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":"63 3","pages":"157-160"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240406","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

Outcomes of laparoscopic inguinal hernia repairs: an 11-year experience in a private surgical practice. 腹腔镜腹股沟疝修补的结果：11年的私人外科实践经验。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-09-01 DOI: 10.36303/SAJS.01347

K A Naidu, S B Ismail, S Ebrahim

{"title":"Outcomes of laparoscopic inguinal hernia repairs: an 11-year experience in a private surgical practice.","authors":"K A Naidu, S B Ismail, S Ebrahim","doi":"10.36303/SAJS.01347","DOIUrl":"https://doi.org/10.36303/SAJS.01347","url":null,"abstract":"Background: Inguinal hernia repairs are among the most common surgeries worldwide, with laparoscopic techniques being increasingly popular due to benefits like reduced pain, faster recovery, and better cosmetic outcomes. This study evaluated the outcomes of laparoscopic inguinal hernia repairs performed by a single surgeon in private practice.Methods: A retrospective audit was conducted on adults who underwent laparoscopic inguinal hernia repair between January 2010 and December 2020. Data on patient and procedural characteristics and outcomes were collected from hospital records and following telephonic contact with patients. The study was approved by the Biomedical Research Ethics Committee of the University of KwaZulu-Natal (BREC/00005605/2023).Results: The study included 188 patients (91.5% male, median age 49 years). All repairs were performed using the total extraperitoneal (TEP) approach for unilateral and bilateral hernias. Conversion to open surgery occurred in 13.8% of cases. The median procedure time was 94.9 minutes, the postoperative hospital stay was two days, and the return to work was two days. The median operative time was shorter in the latter study period (2015-2020) than the former (2010-2014): 81 minutes (IQR: 70-102) minutes versus 131 minutes (IQR: 108-148 minutes), p < 0.01. At the end of the follow-up period in 2024, 20.2% (38/188) were lost to follow-up. Of the remaining 150 patients who were contactable, 88.7% had no further complications, 4.7% had hernia recurrence, 4.0% reported inguinodynia, and 2.7% had demised.Conclusion: This study provides valuable insights into laparoscopic hernia repair performed by a single surgeon over an 11-year period. Laparoscopic inguinal hernia repair, even for primary cases, is feasible with shorter operative times and low complication and hernia recurrence rates when performed by an experienced surgeon.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":"63 3","pages":"133-138"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240366","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

Colonic obstruction secondary to trauma induced intramural haematoma: a rare case report. 外伤致腹壁血肿继发结肠梗阻1例。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-09-01 DOI: 10.36303/SAJS.02270

K S Möller, E Georgiou, Y Gurdayal

引用次数: 0

Colonoscopy training in South Africa - in crisis? - Response. 南非的结肠镜检查培训——危机？-响应。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-09-01 DOI: 10.36303/SAJS.02374

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

引用次数: 0

Gastrointestinal obstruction in neonates and infants - a four-year profile in Chris Hani Baragwanath Academic Hospital. 新生儿和婴儿的胃肠梗阻-克里斯哈尼巴拉格瓦纳特学术医院的四年概况。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-09-01 DOI: 10.36303/SAJS.01194

O Baratedi, J Scribante, A Withers, J Loveland

{"title":"Gastrointestinal obstruction in neonates and infants - a four-year profile in Chris Hani Baragwanath Academic Hospital.","authors":"O Baratedi, J Scribante, A Withers, J Loveland","doi":"10.36303/SAJS.01194","DOIUrl":"https://doi.org/10.36303/SAJS.01194","url":null,"abstract":"Background: Different disease entities that cause gastrointestinal (GI) obstruction have been studied in isolation; however, no description of GI obstruction in neonates and infants in South Africa could be identified. This study aims to describe the profile of GI obstruction in neonates and infants at Chris Hani Baragwanath Academic Hospital (CHBAH) from January 2016 to December 2019.Methods: This was a retrospective record review conducted on all patients < 1 year of age with GI obstruction admitted to CHBAH. Data on age at presentation, sex, presenting symptoms, aetiology, diagnostic imaging, operative and non-operative management, complications, and 30-day mortality were collected.Results: A total of 299 patients were enrolled in this study. They were predominantly male (n = 175, 58.53%) and were neonates at presentation (n = 177, 59.20%). Congenital malformations (n = 203, 67.89%) were more common than acquired conditions (n = 96, 32.11%). Anorectal malformation (ARM) and small bowel atresia were the most common congenital condition (n = 61, 20.40%; n = 34, 11.37% respectively). Intussusception was the most common acquired condition (n = 78, 26.08%). The morbidity rate was 95 (31.77%) with nosocomial sepsis and surgical site sepsis accounting for 49 (51.58%) of the morbidities. Mortality rate was 16 (5.35%) and 10 (62,5%) of the mortalities had associated nosocomial sepsis.Conclusion: Congenital malformations of the GI tract are more common than acquired pathologies in neonates and infants in CHBAH. Sepsis causes significant morbidity in the postoperative period.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":"63 3","pages":"139-143"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240407","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

Minimal access surgical research and training in South Africa - a scoping review. 南非外科研究和培训准入最低——范围审查。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-06-01 DOI: 10.36303/SAJS.00430

H Mangray, S Madziba, A Ngobese, Y Govender, D L Clarke

{"title":"Minimal access surgical research and training in South Africa - a scoping review.","authors":"H Mangray, S Madziba, A Ngobese, Y Govender, D L Clarke","doi":"10.36303/SAJS.00430","DOIUrl":"10.36303/SAJS.00430","url":null,"abstract":"Background: Minimal access surgery (MAS) has been on the rise internationally; however, there seems to be limited information regarding research and training in the general and paediatric surgical (GPS) disciplines in South Africa (SA). We performed a scoping review to identify knowledge gaps that will assist us in developing strategies to improve the delivery and training of MAS within the GPS disciplines in SA.Methods: The method of the review - 2020 JBI guide and PRISMA for scoping reviews. We searched online databases and websites for publications from 1990 to 2022. Interviews were conducted with senior MAS trainers from training sites.Results: Full texts of 194 articles were reviewed. Most publications were related to trauma, followed by laparoscopic appendicectomy and laparoscopic cholecystectomy. Paediatric MAS comprised 11.9% (21), and training was the focus in 4.5% (7) of all the publications. Published limitations regarding MAS included access to training and equipment.Conclusion: This scoping review has summarised the current MAS research and training within the GPS disciplines in SA. We have highlighted the limitations that exist, which can direct the focus of research and training to improve the delivery of MAS within the GPS disciplines.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":"63 2","pages":"50-54"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240311","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

Injury patterns in motorbike collisions - a retrospective review in an urban trauma unit in Johannesburg, South Africa. 摩托车碰撞中的损伤模式——南非约翰内斯堡城市创伤科的回顾性研究。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-06-01 DOI: 10.36303/SAJS.01417

S Makhadi, Q Qwabe, E Laney, M S Moeng

{"title":"Injury patterns in motorbike collisions - a retrospective review in an urban trauma unit in Johannesburg, South Africa.","authors":"S Makhadi, Q Qwabe, E Laney, M S Moeng","doi":"10.36303/SAJS.01417","DOIUrl":"https://doi.org/10.36303/SAJS.01417","url":null,"abstract":"Background: Motorbike collisions (MBC) pose significant public health challenges in low- to middle-income countries (LMICs), particularly in urban settings. This study examines the injury patterns of patients involved in MBCs at the Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) trauma unit over a two-year period (May 2022 to April 2024).Methods: This was a retrospective review of all patients involved in MBCs.Results: A total of 134 patients were identified, predominantly male (97.1%), with a mean age of 32 years (SD ± 8.8). Most of these incidents were work-related, highlighting the increasing use of motorbikes for commercial purposes, including food delivery. The analysis revealed that head injuries were present in 22.4% of patients, with 9.7% sustaining facial fractures and one patient presenting with a cervical spine injury. Chest injuries were reported in 21.6% of cases, while abdominal and pelvic injuries occurred in 8.2% and 6.7% of patients, respectively. The predominant injuries were long bone fractures, with 58 patients affected. The mean injury severity score (ISS) was 25 (SD plus-minus 2), indicating high levels of trauma. The mortality rate after an MBC was 2.2%. Two patients died in the emergency department due to severe injuries. The findings underscore the complexity of injuries sustained in MBCs, which often involve multiple body regions.Conclusion: This study highlights the urgent need for targeted interventions to enhance the safety of motorbike riders in urban areas, particularly as the prevalence of MBCs rises in association with commercial transport services. Improved trauma care and public health strategies are essential to address the ongoing challenge of motorbike-related injuries in Johannesburg and similar urban contexts.","PeriodicalId":51161,"journal":{"name":"South African Journal of Surgery","volume":"63 2","pages":"93-96"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240272","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

Breast tuberculosis - a review and diagnostic pathway. 乳腺结核——综述和诊断途径。

IF 0.6 4区医学

South African Journal of Surgery Pub Date : 2025-06-01 DOI: 10.36303/SAJS.00978

H Alzarooni, H Molabe, F Malherbe

引用次数: 0