South African Journal of Surgery - Volume 47, Issue 1, 2009
Volume 47, Issue 1, 2009
Author R.C. FranzSource: South African Journal of Surgery 47, pp 2 –6 (2009)More Less
At the turn of the century, a significant advance in the rapidly expanding field of rotational thrombelastography (ROTEG), known at present as thrombelastometry or ROTEM analysis, was developed at the Ludwig-Maximillian University in Munich.The measuring unit is operated by a laptop computer. There are four temperature-controlled measuring channels in which the global assays not only detect coagulation factor defects but also platelet function, abnormal fibrinogen polymerisation, anticoagulant defects and hyperfibrinolysis.
ROTEM has steadily increased in popularity, particularly because of its well-established application as a diagnostic aid at the point of care in the critical care situation. It also provides a useful guide in the choice of an appropriate therapeutic option in the bleeding patient, reducing costs by avoiding administration of costly component therapy such as fresh-frozen plasma, cryoprecipitate, platelet concentrates or antifibrinolytic agents.
Source: South African Journal of Surgery 47, pp 7 –9 (2009)More Less
With the advent of a new infectious era involving the HIV and hepatitis B and C viruses, concern has arisen about transmission of these viruses through ocular blood splashes during surgery. The purpose of the study was to determine the risk of ocular blood splashes to surgeons and their assistants during surgery.
Antibiotic prophylaxis for patients undergoing elective endoscopic retrograde cholangiopancreatography : general surgerySource: South African Journal of Surgery 47, pp 10 –13 (2009)More Less
Antibiotic prophylaxis for endoscopic retrograde cholangiopancreatography (ERCP) is controversial. We set out to assess the current antibiotic prescribing practice among South African endoscopists who perform ERCPs, and then reviewed international guidelines and relevant studies.
Author M.L. Van NiekerkSource: South African Journal of Surgery 47, pp 14 –16 (2009)More Less
Minimal invasive surgery allows for excellent visualisation of the diaphragm, and is increasingly used for the repair of diaphragmatic hernias in children. This report describes laparoscopic repairs between 2001 and 2007 of four Morgagni hernias in children. All defects were treated successfully using the laparoscopic method, with no recurrences. The laparoscopic method is an ideal way to treat this type of diaphragmatic hernia.
Source: South African Journal of Surgery 47, pp 17 –18 (2009)More Less
Variations of biliary anatomy are well described. Those of most relevance to the operative surgeon are the variations of the extrahepatic ducts and their relationships to the right hepatic artery and its branches. We describe another even rarer congenital anomaly of a preduodenal portal vein. Its embryological derivation and presentation are discussed to heighten awareness of its recognition and reduce the potential of a serious operative misadventure.
Source: South African Journal of Surgery 47, pp 19 –30 (2009)More Less
Source: South African Journal of Surgery 47, pp 31 –32 (2009)More Less
Author M. Afzal Ud DinSource: South African Journal of Surgery 47 (2009)More Less