Browsing by Author "Boutall, Adam"
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- ItemOpen AccessA Clinical Approach to Common Surgical Scenarios: A Handbook for Students and Junior Doctors(The Authors, 2020-01) Panierie, Eugenio; Cairncross, Lydia; Boutall, Adam; Bernon, Marc; Malherbe, Francois; Panieri, Eugenio; Malherbe, FrancoisAimed at students and junior doctors, the purpose of this book is to provide a guide to the evaluation of common surgical problems as well as test diagnostic and troubleshooting skills when there is nobody to help or ask for advice.
- ItemOpen AccessComplications of ileostomy closure and their risk factors(2014) Banerjee, Deepanjali; Goldberg, Paul A; Boutall, AdamPrevious literature pertaining to complications following ileostomy closure and possible risk factors associated with ileostomy closure have been seen derived largely from developed countries. South Africa has its own unique patient population dynamics with regards to the colorectal disease burden including the, time and age at presentation, genetic variability, access to health care facilities, financial security, varying levels of social security and differences in sociocultural health seeking behaviour patterns. It would therefore be interesting to evaluate whether the type of complications seen at a tertiary teaching hospital in South Africa are comparable to that seen worldwide. Aim: To determine the complication rate after an ileostomy closure at Groote Schuur Hospital (GSH) between January 2008 and December 2012.
- ItemOpen AccessInfluence of Genetic Polymorphisms on the Age at Cancer Diagnosis in a Homogenous Lynch Syndrome Cohort of Individuals Carrying the MLH1:c.1528C>T South African Founder Variant(2024-09-27) Ndou, Lutricia; Chambuso, Ramadhani; Algar, Ursula; Goldberg, Paul; Boutall, Adam; Ramesar, Raj
- ItemOpen AccessThe Incidence of Anastomotic Leaks in a South African Healthcare Setting(2023) Karimbocus, Mohammad; Boutall, AdamIntroduction AL is known to be associated with increased morbidity and mortality. There are no studies reporting AL rate in sub-Saharan Africa. Methods A prospective multicentre snapshot study of 145 patients across the Cape Metro West healthcare platform was performed from 01/09/2020 to 31/12/2020. The study included all patients who had one or more intestinal anastomoses beyond the ligament of Treitz and excluded patients under 18 and patients undergoing simple appendectomies. Leaks were diagnosed clinically, radiologically or at relook laparotomy, outcomes and 30-day mortality were recorded. Results 102 males and 43 females were recruited, with a mean age of 41.9 years. 35 elective and 110 emergency procedures were performed. 120 patients had an uneventful postoperative course. 25 patients were investigated for AL and 15 leaks were confirmed. The overall leak rate was 10.3%, the leak rate for elective procedures was 8.6% and 10.9% for emergency procedures. 4 patients were diagnosed clinically, 4 were diagnosed at relaparotomy while 7 were found to have leaks on CT scans. 7 patients with AL needed a stoma, 1 needed a percutaneous drain, and 6 were treated conservatively. There were 3 deaths (overall mortality rate 2.07%), 1 in the AL group (mortality rate 6.67%), and 2 in the patients with no AL (1.54%). Conclusion This is the first study to look at AL in South Africa and it illustrates surgical practice across the entire healthcare platform. Anastomoses were performed safely in our healthcare service with a leak rate comparable to previous international studies.