A one year audit of the Colorectal Unit at Wits Donald Gordon Medical Centre: 2016–2017

  • D L Lutrin University of the Witwatersrand
  • H Etheredge Wits Donald Gordon Medical Centre
  • G J Oettle Wits Donald Gordon Medical Centre
  • N Harran University of the Witwatersrand
  • O Taback Wits Donald Gordon Medical Centre
  • N Lahoud
  • B Bebington Wits Donald Gordon Medical Centre
Keywords: Surgical Audit, Health Education, Outcomes, Colorectal Surgery

Abstract

Background: Colorectal surgery has developed into an established surgical subspecialty in South Africa, however there is a paucity of data regarding the epidemiology and surgical outcomes of patients with colorectal disease in this country. The objective is to present the findings of a one-year audit of the Wits Donald Gordon Medical Centre (WDGMC) Colorectal Unit with specific reference to indications, surgical procedures and patient outcomes.

Methods: Patient files from December 2016 to November 2017 were included in a retrospective analysis. The Mann-Whitney U test was used to analyse continuous variables and the Chi-squared test was used to compare categorical variables.

Results: During the audit period, 1264 patients were admitted to the Colorectal Unit and a further 564 outpatient endoscopic procedures were performed. There were 306 emergency admissions. 139 elective colorectal resections took place, with a 16% major complication rate, a 12% anastomotic leak rate and no deaths. Rectal resections constituted 66% of the operations and 34% were colonic resections. The median length of stay for all patients undergoing resection was 9 days and there was no statistically significant difference in length of stay between open and laparoscopic cases.

Conclusion: The WDGMC Colorectal Unit manages a high volume of patients presenting with the full spectrum of colorectal disease.

Author Biographies

D L Lutrin, University of the Witwatersrand

Colorectal Unit, Wits Donald Gordon Medical Centre and Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa

H Etheredge, Wits Donald Gordon Medical Centre

Wits Donald Gordon Medical Centre and Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

G J Oettle, Wits Donald Gordon Medical Centre

Colorectal Unit, Wits Donald Gordon Medical Centre and Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa

N Harran, University of the Witwatersrand

Colorectal Unit, Wits Donald Gordon Medical Centre and Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa

O Taback, Wits Donald Gordon Medical Centre

Colorectal Unit, Wits Donald Gordon Medical Centre, Johannesburg, South Africa

N Lahoud

Department of Surgery, Faculty of Health Sciences, University of the Witwatersrand, South Africa

B Bebington, Wits Donald Gordon Medical Centre

Colorectal Unit, Wits Donald Gordon Medical Centre, Johannesburg, South Africa

Published
2019-06-26
How to Cite
Lutrin, D., Etheredge, H., Oettle, G., Harran, N., Taback, O., Lahoud, N., & Bebington, B. (2019). A one year audit of the Colorectal Unit at Wits Donald Gordon Medical Centre: 2016–2017. South African Journal of Surgery, 57(3), 50-54. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2863
Section
General Surgery