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Percutaneous cholecystostomy tube drainage for non-responsive acute cholecystitis

Percutaneous cholecystostomy tube drainage for non-responsive acute cholecystitis

Admission patterns in our unit shows late presentation of acute calculous cholecystitis.  Although most patients respond to conservative therapy and go on to uncomplicated, interval, laparoscopic cholecystectomies, a subset do not respond and are managed by percutaneous cholecystostomy tube drainage.  This research project that forms part of a master’s degree dissertation looks into the outcome of this cohort.

 

The burden of comorbidities in acute care surgery

The outcome of acute appendicitis in a tertiary referral centre

The outcome of acute appendicitis in a tertiary referral centre

 

Acute appendicitis remains a serious and very common surgical condition.  Patients from our referral base tend to present late, with advanced and complicated appendicitis.  This cohort provides an excellent marker of the quality of service at an institution.  This research project describes the cohort and the key performance indicators in their management.  It forms part of a master’s degree dissertation.

Other KRG projects are listed below

Acute appendicitis remains a serious and very common surgical condition.  Patients from our referral base tend to present late, with advanced and complicated appendicitis.  This cohort provides an excellent marker of the quality of service at an institution.  This research project describes the cohort and the key performance indicators in their management.  It forms part of a master’s degree dissertation.

Recurrent Upper GI Bleeding

Recurrent Upper GI Bleeding

The Acute Care Surgery Unit is responsible for the management of all suspected acute upper GI bleeds.  In this project we aim to identify all patients initially confirmed to be bleeding from a peptic ulcer.  We will then compare the group of patients who rebleed within the first week after index endoscopy to those that do not.

The results may help us identifying those at risk.

Age difference

Age difference

The Elderly in Acute Care Surgery

The Elderly in Acute Care Surgery

The average life expectancy is South Africa is less than 65 years (World Bank®). A subset of our patients in Acute Care Surgery are older than 65, though.
In this research project we aim to identify the differences in perioperative parameters and outcomes comparing this cohort with a matched random selection of younger patients.
Identifying such differences may help us optimize our care for this group.

The age distribution in Acute Care Surgery patients

The age distribution in Acute Care Surgery patients.