Browsing by Author "Theron, Gerhardus Barnard"
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- ItemDie effektiwiteit van die Verloskunde handleiding van die Perinatale Self-Onderrig Program om voorgeboorte en intrapartum sorg te verbeter : 'n gekontroleerde studie(Stellenbosch : Stellenbosch University, 1997) Theron, Gerhardus Barnard; Stellenbosch University. Faculty of . Dept. of .
- ItemThe feasibility and advantages of laparoscopic surgery for ectopic pregnancy at a secondary hospital in South Africa(Health & Medical Publishing Group, 2019-12) Armatas, Denise; Theron, Gerhardus Barnard; Aronius, R.ABSTRACT: Background. Ectopic pregnancy (EP) is a gynaecological emergency with implications for maternal morbidity worldwide. Laparoscopic surgery is the preferred method of surgical management in most cases, as it has shown to improve patient outcomes and overall care and to be cost effective and efficient. Objectives. To investigate the feasibility of laparoscopic surgery for EP management at a secondary hospital, based on incidence rates and comparing surgery-associated variables and outcomes with those in laparotomy. Methods. A retrospective study design was used. All patients who were treated surgically for EP at the Worcester Provincial Hospital were included. The required sample size was 81. Data were collected from patient files and theatre reports. Cases were assigned to one of two cohorts based on the method of surgical management. Results. A total of 84 cases were identified, of which 48 (57.1%) were managed laparoscopically and 36 (42.9%) with laparotomy. The average surgical time was 34.6 minutes and 44.9 minutes for a laparotomy and a laparoscopy, respectively. Patients who were treated laparoscopically required significantly less postoperative pain relief and had shorter hospital stays. Conclusion. This study shows not only that laparoscopy treatment is a feasible option for EP in a secondary-hospital setting in South Africa, but also that the intervention is associated with significantly better patient outcomes than laparotomy. The demonstrated benefits make laparoscopy the preferred treatment modality for EP when surgical intervention is required.
- ItemPostpartum laparoscopic sterilisation : a role in South African healthcare?(Health and Medical Publishing Group, 2016-09) Prince, Deborah Lynne; Aronius, Ramon M.; Theron, Gerhardus Barnard; Obstetrics and GynaecologyObjective. To assess the advantages and feasibility of performing postpartum sterilisations laparoscopically in a public healthcare facility in South Africa (SA). Methods. Retrospective review of postpartum sterilisations between June 2012 and December 2013 at Worcester Hospital, Western Cape, SA. A total of 78 postpartum sterilisations were included in the study (open n=26, laparoscopic n=52). Data analysis was performed using means and medians with range and standard deviations, two-sample Wilcoxon rank sum test, two-sample t-test and χ2 test. Results. It was considered preferable to perform laparoscopic sterilisations than the open procedure on patients with a higher body mass index (BMI). Duration of surgery was shorter in the laparoscopic group, especially in patients with BMI >30, and more patients were discharged on the same day as surgery in the laparoscopic group. There were fewer overall complications in the laparoscopic group (odds ratio 0.35, 95% confidence interval 0.08 - 1.43). Conclusion. It is feasible to perform postpartum sterilisations laparoscopically in a public healthcare facility in SA. Advantages of the procedure are clinically significant and in keeping with international literature. Future research should be undertaken regarding acceptability of the procedure in the study population, laparoscopic training and the improvement of provision of requested postpartum sterilisations in public hospitals.