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Research Articles (Surgery)
Recent Submissions
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Endoscopic stenting for malignant biliary obstruction: results of a nationwide experience
(Korean Society of Gastrointestinal Endoscopy, 2021-05)Background/Aims: Many unanswered questions remain about the treatment of malignant hilar obstruction. We investigated endoscopic stenting for malignant biliary strictures, as reported in a nationwide registry. Methods: ... -
Extra anatomical bypass for common femoral artery pseudoaneurysm following Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)
(Orebro University Hospital, 2021-06-04)Background: Improvements in the instrumentation and guidelines for the use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) have increased its use as an adjunct in managing haemorrhagic shock. ... -
Microsurgical testicular sperm extraction for testicular failure: the South African experience and first successful pregnancy
(Medpharm Publications, 2021-06)BACKGROUND: In men with non-obstructive azoospermia (NOA), biological fatherhood is only possibly by specialised microsurgical sperm retrieval techniques (micro-TESE), only recently introduced to South Africa. This study ... -
Global surgery : a South African action plan
(SAJS, 2020-11-30)ENGLISH ABSTRACT: Global surgery is the study, research, and practice of improving access for all people to quality and timely surgical care locally and transnationally. This relatively new academic field was kick started ... -
Abdominoperineal resection in the prone position: early outcomes at a tertiary institution in the Western Cape, South Africa
(Medpharm, 2020-09)BACKGROUND: Extra-levator abdominoperineal resection (ELAPE) performed in the prone jack-knife position is a new technique in the developing world. Literature on the outcomes of ELAPE in a developing country context is ... -
Can computed tomographic angiography accurately exclude digestive tract injury after penetrating cervical trauma?
(Medpharm, 2020-12)ABSTRACT BACKGROUND: Multislice computed tomographic angiography (MCTA) has become the method of choice to screen for arterial injury in penetrating cervical trauma (PCT). There is, however, limited knowledge on its ... -
Efficacy and patterns of use of antimicrobial prophylaxis for gunshot wounds in a South African hospital setting : an observational study using propensity score-based analyses
(Medpharm, 2020-03)BACKGROUND: Limited evidence supports the efficacy of antimicrobial prophylaxis (AP) in prevention of gunshot wound-related (GSW-related) infection in resource restricted areas. At Tygerberg Hospital, South Africa, it is ... -
Delivering sustainable solutions through improved mix and structural design functions for bitumen stabilised materials
(Hindawi, 2020)ENGLISH ABSTRACT: The evolution of cold recycling using bitumen stabilisation technology has been supported by progressive research initiatives and best practice guidelines. The first generic guidelines for bitumen stabilised ... -
Surgery as a component of universal healthcare : where is South Africa?
(Health & Medical Publishing Group, 2019)ENGLISH ABSTRACT: No abstract available -
An analysis of adverse events and human error associated with the imaging of patients at a major trauma centre in South Africa
(Health & Medical Publishing Group, 2019)Background. There is growing realisation that human error contributes significantly to morbidity and mortality in modern healthcare. A number of taxonomies and classification systems have been developed in an attempt to ... -
2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy
(BioMed Central, 2021-06-10)ENGLISH ABSTRACT: Bile duct injury (BDI) is a dangerous complication of cholecystectomy, with significant postoperative sequelae for the patient in terms of morbidity, mortality, and long-term quality of life. BDIs have ... -
Baseline bone health status in multi-ethnic South African postmenopausal breast cancer patients at initiation of aromatase inhibitor therapy : a descriptive study
(PLoS, 2019-04-02)Introduction: Osteoporosis (OP) risk factor assessment and bone mineral density (BMD) testing are frequently omitted at baseline in aromatase inhibitor (AI) studies, which may lead to misinterpretation of AI associated ... -
The spectrum of self inflicted injuries managed at a major trauma centre in South Africa
(Health and Medical Publishing Group, 2019)ENGLISH ABSTRACT: Self-harm behaviour is a major public health problem that is commonly underreported. This study reviews the spectrum of these self inflicted injuries managed by a major trauma centre in South Africa. ... -
Metastatic screening for patients with newly diagnosed breast cancer : who and how?
(AOSIS, 2020-04-06)Background: Staging for breast cancer patients, as defined by the American Joint Committee on Cancer (AJCC), has historically been limited to anatomical staging. However, the eighth version of the AJCC guidelines has been ... -
Non-operative management for penetrating splenic trauma : how far can we go to save splenic function?
(BioMed Central, 2017-07-25)Background: Selective non-operative management (NOM) for the treatment of blunt splenic trauma is safe. Currently, the feasibility of selective NOM for penetrating splenic injury (PSI) is unclear. Unfortunately, little is ... -
Serum lipase should be the laboratory test of choice for suspected acute pancreatitis
(Medpharm Publications, 2014-08)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 ... -
Mammographic screening for breast cancer in a resource-restricted environment
(Health & Medical Publishing Group, 2014-04)Background. Mammographic screening is carried out at public sector hospitals as part of clinical practice. Objective. We report the experience of such screening at Tygerberg Academic Hospital (TBAH), a tertiary referral ... -
Results of a pilot programme of mammographic breast cancer screening in the Western Cape
(Health & Medical Publishing Group, 2014-04)Background. Mammographic screening programmes are now established in developing countries. We present an analysis of the first screening programme in sub-Saharan Africa. Methods. Women aged ≥40 years were identified at ... -
Young breast cancer patients in the developing world : incidence, choice of surgical treatment and genetic factors
(Medpharm Publications, 2007-10)Carcinoma of the breast is the most common cause of cancer in women in Western society. Although breast cancer occurs predominantly in older premenopausal and postmenopausal women, it also occurs in young women. Literature ... -
The 2-deoxy-d-glucose-neutral red test and vagotomy : an experimental study
(HMPG, 1977-09)The 2-deoxy-D-glucose neutral red test proved to be successful in assessing completeness of vagotomy in the baboon both intra- and postoperatively. There were no deleterious side-effects and we found that both products ...
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