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Clinical Research

Surgeons for Little Lives continues to impact pediatric surgical care through our latest clinical research.

Globalization in Pediatric Surgical Training: The Benefit of an International Fellowship in a Low-to-Middle– Income Country Academic Hospital

A relative oversupply of pediatric surgeons led to increasing difficulties in surgical training in high-income countries (HIC), popularizing international fellowships in low-to-middle–income countries (LMIC). The aim of this study was to evaluate the benefit of an international fellowship in an LMIC for the training of pediatric surgery trainees from HICs.

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May 14, 2025
Damage control in the abdomen and beyond

Damage control is not a modern concept, but the application of this approach represents a new paradigm in surgery, borne out of a need to care for patients sustaining multiple high-energy injuries.

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May 14, 2025
Conservative management of intraabdominal injuries

Management of paediatric abdominal trauma has evolved over the last 4 decades. Current strategies for non-operative management of most blunt solid-organ injuries developed from the observation that most of these injuries would ‘heal themselves’ and that operative intervention could interfere with this process.

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May 14, 2025
Bilateral Wilms’ tumour: A ten-year experience of two academic centres in Johannesburg

Nephroblastoma is the most common paediatric renal malignancy, affecting 1 in 10 000 children worldwide. Between 5% and 10% present bilaterally.

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May 14, 2025
Mortality in paediatric burns victims: A retrospective review from 2009 to 2012 in a single centre

Childhood mortality is high in low- and middle-income countries. Burns are one of the five leading causes of childhood injury mortality in South Africa (SA). While there is an abundance of literature on burns in the developed world, there are far fewer publications dealing with childhood mortality related to burns in Africa and SA.

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May 14, 2025
Knowledge of breastfeeding and human milk banks amongst mothers at Chris Hani Baragwanath Academic Hospital: A descriptive study.

The World Health Organization (WHO) recommends exclusive breastfeeding for the first six months of life, followed by breastfeeding and complementary foods up to two years of age. Human milk banks serve as a source for breast milk in those mothers that cannot breastfeed. There is limited information on the knowledge of mothers with respect to breastfeeding and human milk banks in South Africa.

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April 28, 2025
The Burden of Disease and Pathology at a Rapidly Expanding Tertiary Paediatric Surgical Unit in South Africa.

The precise burden of paediatric surgical care in South Africa is unknown. In the absence of epidemiological data, hospital-based study is a first step to gauge the burden and profile of paediatric surgical disease. We aim to describe the profile of pathology, pattern of referrals, and complications of paediatric surgical care at Chris Hani Baragwanath Academic Hospital (CHBAH).

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April 28, 2025
Birth Prevalence of Anorectal Malformation in the Referral Area for the University of the Witwatersrand Tertiary Hospitals, South Africa.

Anorectal malformations (ARMs) are a major congenital anomaly in neonates. There is significant geographical variation in the birth prevalence varying from 1:1,500 to 1:5,000 live births. There is no published literature on the birth prevalence of ARM occurring within the referral area for The University of Witwatersrand tertiary hospitals in South Africa.

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April 28, 2025
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