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South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie

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https://www.readbyqxmd.com/read/26489111/robert-maurice-andr%C3%A3-giraud
#1
H H Lawson
No abstract text is available yet for this article.
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26489110/selective-angioembolisation-for-splenic-salvage-following-blunt-abdominal-trauma
#2
G L Laing, J L Bruce, J Islam, D L Clarke
Isolated high-grade splenic injury following blunt abdominal trauma is an uncommon finding. The selected use of catheter-directed angiography and angioembolisation for splenic salvage has been successful in haemodynamically stable patients.
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26489109/lessons-learned-from-the-endovascular-management-of-blunt-thoracic-aortic-injuries-a-single-centre-experience
#3
J Pillai, C Yazicioglu, T Monareng, T B Rangaka, R Jayakrishnan, M G Veller
BACKGROUND: Blunt thoracic aortic injuries (BTAIs) remain a leading cause of death after blunt trauma. In severe injuries, thoracic endovascular aortic repair (TEVAR) has provided a less invasive alternative to conventional open repair. OBJECTIVE: To report the TEVAR-related complications and uncertainties in patients who presented with traumatic pseudoaneurysms (grade III BTAI). METHODS: From April 2004 to February 2012, 55 patients (42 male, mean age 34...
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26449604/the-vascular-society-of-southern-africa-vassa
#4
EDITORIAL
Martin Veller, Jay Pillai
No abstract text is available yet for this article.
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26449603/a-case-of-endovascular-treatment-of-blunt-aortic-bifurcation-transection-using-peripheral-stentgraft
#5
Jayandiran Pillai, Thomas B Rangaka, Taalib Monareng, Ceyhan Yazicioglu, Martin G Veller
We present a case of endovascular management of aortic transection at the aortic bifurcation in a polytrauma patient.
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26449602/aorto-internal-iliac-artery-endovascular-reconstruction-for-critical-limb-ischaemia-a-case-report
#6
Jayandiran Pillai, Taalib Monareng, Thomas B Rangaka, Ceyhan Yazicioglu, Raj Jayakrishnan, Martin G Veller
The internal iliac artery and cruciate anastomosis are important collateral vessels in severe aortoiliac occlusive disease. This report describes a patient with left leg rest pain due to occlusion of the left common and external iliac arteries. In addition, there was a high-grade stenosis of the right common iliac artery. Direct catheter canulation of the left internal iliac artery revealed that it was patent. Endovascular stent placement was successful in re-establishing blood flow into the left internal iliac artery...
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26449601/neurogenic-thoracic-outlet-syndrome-are-anatomical-anomalies-significant
#7
Laura Redman, John Robbs
BACKGROUND: Thoracic outlet syndrome (TOS) is one of the most poorly understood syndromes. Neurogenic TOS is found in 95% of cases. The described anatomical spaces transform and evolve into 'entrapment spaces'. The aetiology is unclear. This study was based on the observation by a single surgeon that there appeared to be a high incidence of anatomical abnormalities in patients with neurogenic TOS. OBJECTIVE: To attempt to clearly define anatomical anomalies causing TOS...
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26449600/time-since-injury-is-the-major-factor-in-preventing-tranexamic-acid-use-in-the-trauma-setting-an-observational-cohort-study-from-a-major-trauma-centre-in-a-middle-income-country
#8
Ben Thurston, Sharfuddin Chowdhury, Sorin Edu, Andrew J Nicol, Pradeep Harkison Navsaria
BACKGROUND: Haemorrhage is responsible for about a third of in-hospital trauma deaths. The CRASH-2 trial demonstrated that early administration of tranexamic acid, ideally within 3 hours, can reduce mortality from trauma-associated bleeding by up to 32%. OBJECTIVE: To explore whether, in our trauma network in a middle-income country, patients arrived at hospital soon enough after injury for tranexamic acid administration to be effective and safe. METHODS: A prospective cohort study of 50 consecutive patients admitted to our trauma unit was undertaken...
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26449599/the-influence-of-diabetes-mellitus-on-early-outcome-following-carotid-endarterectomy
#9
Thanyani Victor Mulaudzi, John V Robbs
BACKGROUND: There are few studies that look at the influence of diabetes mellitus on early outcome following carotid endarterectomy (CEA). Those available have reported conflicting results, with some showing poor outcome and others similar outcome to those without diabetes mellitus. OBJECTIVE: To assess the influence of diabetes mellitus on early outcome following CEA. METHODS: Clinical data on patients who had CEA over a 5-year period were acquired from a prospectively maintained computerised database...
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/26449598/stent-graft-repair-of-subclavian-and-axillary-vascular-injuries-the-groote-schuur-experience
#10
N G Naidoo, P Navsaria, S J Beningfield, B Natha, N Cloete, H Gill
BACKGROUND: Trauma-related subclavian and axillary vascular injuries (SAVIs) are generally associated with high morbidity and mortality rates in the surgical literature. There is an emerging trend towards increasing use of stent grafts (covered stents) for repair, with evidence limited to small case series and case reports. OBJECTIVES: To report on the clinical and device-related outcomes of stent graft repair of trauma-related SAVIs at a single institution. METHODS: A retrospective chart review of all patients with trauma-related SAVIs requiring stent graft repair was performed...
March 2015: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25215957/perspectives-of-south-african-general-surgeons-regarding-their-postgraduate-training
#11
Martin D Smith
This editorial accompanies an article by De Beer et al. in the same issue of SAJS analysing the views of South African surgeons on aspects of training, research and the practice of surgery in South Africa.
August 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25215956/tracheal-resection-for-laryngotracheal-stenosis-a-retrospective-analysis
#12
Johan Grobbelaar, T Daniller
Laryngotracheal stenosis develops when scar tissue forms in the trachea and, rarely, in the larynx itself. Symptoms depend on the degree of airway obstruction and can range from asymptomatic to upper airway obstruction severe enough to cause death. We report on 21 patients who underwent tracheal resection for severe stenosis. Resection remains a good option in this situation, and there is a minimal need for specialised postoperative care or intensive care unit admission in the majority of cases.
August 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25215955/altemeier-operation-for-gangrenous-rectal-prolapse
#13
Cherif Abdelhedi, F Frikha, S Bardaa, A Kchaw, R Mzali
A stranguled rectal prolapse is a rare cause of intestinal occlusion. It requires emergency surgery. A patient who underwent emergency perineal proctectomy, the Altemeier operation, combined with diverting loop sigmoid colostomy is described. The postoperative course was uneventful, with an excellent final result after colostomy closure. The successful treatment of this patient illustrates the value of the Altemeier procedure in the difficult and unusual scenario of bowel incarceration.
August 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25215954/clinical-non-histological-diagnosis-of-advanced-prostate-cancer-evaluation-of-treatment-outcome-after-androgen-deprivation-therapy
#14
Chris F Heyns, Jacque Basson, Andre Van der Merwe, Amir D Zarrabi
Introduction. Transrectal biopsy in suspected adenocarcinoma of the prostate (ACP) may cause significant morbidity and even mortality. A strong association between serum prostate-specific antigen (PSA) and tumour burden exists. If biopsy can be avoided in advanced disease, much morbidity and cost may be saved.Objective. To evaluate the reliability of using PSA and clinical features to establish a non-histological diagnosis of ACP.Methods. Androgen deprivation therapy (ADT) was used in 825 (56.2%) of 1 467 men with ACP...
August 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25215953/successful-selective-angiographic-embolisation-of-a-gastroduodenal-pseudoaneurysm-following-penetrating-abdominal-trauma
#15
Shaun Adam, John Lambert Bruce, Grant L Laing, Damian L Clarke
New endoscopic and endovascular therapies have revolutionised the management of complex traumatic visceral aneurysms. A pseudoaneurysm of the gastroduodenal artery following penetrating abdominal trauma was successfully managed by selective angiographic embolisation.
August 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25215952/intraoperative-examination-of-sentinel-lymph-nodes-using-scrape-cytology
#16
Aylwyn Mannell, Brunton Wium, Charles Thatcher
Background. In breast cancer, sentinel lymph node biopsy (SLNB) is widely used to assess the axilla when the nodes appear normal on palpation and ultrasonography. When the sentinel lymph nodes (SLNs) are negative, no further dissection is required. Surgical dissection or radiotherapy of the axilla is indicated for macrometastases, as well as adjuvant therapy for macrometastases and micrometastasic spread.Aim. To determine the accuracy of scrape cytology (SC) for intraoperative examination of the SLNs.Methods...
August 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25215951/serum-lipase-should-be-the-laboratory-test-of-choice-for-suspected-acute-pancreatitis
#17
Stefan Hofmeyr, Carel Meyer, Brian L Warren
Background. Serum lipase and amylase are biochemical analyses used to establish the diagnosis of acute pancreatitis (AP). Despite lipase having been shown internationally to be a more sensitive and specific test, amylase remains a popular first-line test.Objective. To provide a local basis for the recommendation of the best first-line laboratory test, an assessment of their performance in our local setting was undertaken.Methods. From a prospective dataset on patients with acute abdominal pain and raised serum lipase and/or amylase values, the sensitivity and specificity of serum lipase, amylase and the two in combination was calculated for the diagnosis of AP, as defined by the Atlanta criteria...
August 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25215950/the-perspectives-of-south-african-general-surgeons-regarding-their-postgraduate-training
#18
M M De Beer, V O L Karusseit, B H Pienaar
Background. There is a perception among general surgeons that there are deficiencies in surgical training in South Africa (SA). Dependence on under-resourced state training institutions possibly plays a role. The opinions of qualified surgeons may make an invaluable contribution in this regard.Objectives. To canvass the perceptions of SA general surgeons regarding certain aspects of their training.Methods. An electronic postal survey was conducted. All general surgeons on the Association of Surgeons of South Africa database were requested to complete a structured questionnaire...
August 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25216093/is-routine-biopsy-of-sonographically-benign-breast-lesions-in-black-african-women-under-40-years-of-age-recommended
#19
Marnie Laura Kemp, S Andronikou, S Lucas, G Rubin
INTRODUCTION: Breast lesions that appear benign on ultrasound examination continue to be biopsied, and no relevant data from Africa exist. OBJECTIVE: To determine the histological spectrum of sonographically benign lesions measuring >3 cm in women in Johannesburg, South Africa, by age and population group, and establish associations between the histological findings and the size of the lesion and the patient's HIV status and family history. METHODS: Biopsy results of breast masses that appeared benign on ultrasound were reviewed and the prevalence of histological subtypes was determined according to HIV status and family history...
June 6, 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/25216099/mesenteric-plasmacytoma-an-unusual-cause-of-an-abdominal-mass
#20
Todor Rosic, Douglas Ross, Gladness Dakalo Nethathe
Plasmacytoma is a rare plasma cell tumour that arises from plasma cells. The tumour accounts for about 3 - 5% of all plasma cell malignancies and most often affects the head and neck, but may also occur in the gastrointestinal tract. To our knowledge, mesenteric plasmacytoma has not been described previously. We describe the presentation and management of a case of mesenteric plasmacytoma presenting as an abdominal mass in a 69-year-old HIV-positive man.
June 2014: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
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