{"id":49107,"date":"2023-08-01T10:48:13","date_gmt":"2023-08-01T08:48:13","guid":{"rendered":"https:\/\/novanews.co.za\/peoplespost\/i-have-an-opportunity-to-deliver-specialised-health-care-to-children-in-south-africa-everyday-20230801\/"},"modified":"2025-03-19T21:11:39","modified_gmt":"2025-03-19T19:11:39","slug":"i-have-an-opportunity-to-deliver-specialised-health-care-to-children-in-south-africa-everyday-20230801","status":"publish","type":"post","link":"https:\/\/novanews.co.za\/peoplespost\/i-have-an-opportunity-to-deliver-specialised-health-care-to-children-in-south-africa-everyday-20230801\/","title":{"rendered":"&#8216;I have an opportunity to deliver specialised health care to children in South Africa everyday&#8217;"},"content":{"rendered":"\n<p>Dr Thozama Siyotula (37), a paediatric surgeon at Red Cross War Memorial Children\u2019s Hospital, devotes her entire time daily to ensuring young patients receive the best treatment and their health is restored. She does it all with passion. <\/p>\n\n\n\n<p>Siyotula\u2019s day starts at 07:25 daily where she meets with the nursing staff to discuss cases that have been booked for theatre. <\/p>\n\n\n\n<p>On Wednesday 26 July, a group of journalists had the opportunity to spend a day in the life of three surgeons at Red Cross War Memorial Children\u2019s, Tygerberg and Groote Schuur hospitals. <\/p>\n\n\n\n<p>About 55 000 surgeries are executed between these three hospitals annually.<\/p>\n\n\n\n<p>August marks child health month and on Wednesday, Siyotula and a team of specialised surgeons performed a laparotomy to remove a tumour from a four-year-old patient\u2019s kidney. <\/p>\n\n\n\n<p>Siyotula says the tumour, known as the Wilms tumour is common among children. \u201cThe child was taken to theatre for a laparotomy, where we make a cut in the abdomen. Once inside the abdominal cavity we identified that the mass (a large body of matter with no definite shape) was there.<\/p>\n\n\n\n<p>\u201cIn the process you have to move other structures out of the way; for example the intestines, and ensure that we don\u2019t cause any injury to other structures such as the liver or the major blood vessels in this child and identify this tumour.\u201d<\/p>\n\n\n\n<p>She explains that the operation was challenging because of the position of the tumour. <\/p>\n\n\n\n<p>\u201cWe have to take it (tumour) off its blood supply because it\u2019s a tumour that involves a kidney. The kidney is supplied by certain vessels. We need to ensure that we tie off these vessels that supply the kidney and subsequently the tumour itself.\u201d<\/p>\n\n\n\n<p>\u201cIt was quite a big tumour \u2013 the size of a coconut. It started forming collateral vessels that were supplying the mass of the tumour. We needed to ensure that we were meticulous not to cause any major bleeding for this child. To ensure that, we take it off the major blood vessels of the body and don\u2019t cause any injuries.\u201d<\/p>\n\n\n\n<p>Siyotula explains that the operation, which lasted a few hours, was successful. \u201cThe child did well in theatre. We didn\u2019t have any major bleeding and went to ICU to recover. The child is recovering well. He is not on any supportive measures in terms of a ventilator. He was having breakfast a day after the operation.<\/p>\n\n\n\n<div contenteditable=\"false\" data-embed24=\"Images\" data-pos=\"Middle\" id=\"embed_0c0731a7\">\n<div class=\"slide\"><img decoding=\"async\" alt=\"\" data-smallsrc=\"https:\/\/cdn.24.co.za\/files\/Cms\/General\/d\/8947\/49f2c418d26a4c3e8d4279643160a31c.jpg\" src=\"https:\/\/novanews.co.za\/peoplespost\/wp-content\/uploads\/2025\/03\/b1332991ee234fbba4a9f6291b97ae55.jpg\" title=\"Medical equipment used during the procedure.PHOTO: KAYLYNNE BANTOM\"><p><\/p>\n<div class=\"caption\">Medical equipment used during the procedure.PHOTO: KAYLYNNE BANTOM<\/div>\n<div class=\"img_accreditation\"><span class=\"source\" style=\"display:none;\"><\/span><span class=\"photographer\" style=\"display:none;\"><\/span><\/div>\n<\/div>\n<div class=\"slide\"><img decoding=\"async\" alt=\"\" data-smallsrc=\"https:\/\/cdn.24.co.za\/files\/Cms\/General\/d\/8947\/05e6062faee24b21a1be4af1567e97d6.jpg\" src=\"https:\/\/novanews.co.za\/peoplespost\/wp-content\/uploads\/2025\/03\/c48b8b2537c74e2aa410a33498d90824.jpg\" title=\"Siyotula says the Wilms tumour is common among children.PHOTO: KAYLYNNE BANTOM\"><p><\/p>\n<div class=\"caption\">Siyotula says the Wilms tumour is common among children.PHOTO: KAYLYNNE BANTOM<\/div>\n<div class=\"img_accreditation\"><span class=\"source\" style=\"display:none;\"><\/span><span class=\"photographer\" style=\"display:none;\"><\/span><\/div>\n<\/div>\n<div class=\"slide\"><img decoding=\"async\" alt=\"\" data-smallsrc=\"https:\/\/cdn.24.co.za\/files\/Cms\/General\/d\/8947\/44b0370dd22241a589e8d6e8a2b59864.jpg\" src=\"https:\/\/novanews.co.za\/peoplespost\/wp-content\/uploads\/2025\/03\/f12bc8a0c2ce4c9f8e27cd80e259784a.jpg\" title=\"The operation lasted more than four hours.PHOTO: KAYLYNNE BANTOM\"><p><\/p>\n<div class=\"caption\">The operation lasted more than four hours.PHOTO: KAYLYNNE BANTOM<\/div>\n<div class=\"img_accreditation\"><span class=\"source\" style=\"display:none;\"><\/span><span class=\"photographer\" style=\"display:none;\"><\/span><\/div>\n<\/div>\n<\/div>\n\n\n\n<p>According to the doctor, the patient will recover speedily. <\/p>\n\n\n\n<p>\u201cWe are happy with the procedure. We were able to identify this child\u2019s problem quickly. \u201cWe were able to get the child to the theatre quickly after admission and operated on after all the investigations were done. <\/p>\n\n\n\n<p>\u201cIt was rewarding to see the tumour removed from the body with no complications and minimal bleeding and the child being up and recovering, having breakfast is really encouraging so that we can continue this work and offer safe surgery in our services.\u201d<\/p>\n\n\n\n<p>Siyotula, who has been in the medical field for about 12 years, says her role as a qualified specialist started more than a year ago at Red Cross. She says her curiosity for the paediatric profession was piqued as a child when her younger brother landed in a hospital.<\/p>\n\n\n\n<p>\u201cWhen my younger brother was admitted to the hospital with acute appendicitis, my experience of the hospital, service delivery and impact to restore health drew me to the possibility to want to become a part of changing children\u2019s lives through surgery.\u201d<\/p>\n\n\n\n<p>A decision she does not regret making. <\/p>\n\n\n\n<p>\u201cI have an opportunity to wake up every day and deliver specialised health care to children in South Africa. A child\u2019s resilience teaches me to never give up and continue to fight for the things I believe in and love. It is a privilege to work with children and in this institution.\u201d<\/p>\n\n\n\n<p>Siyotula believes teamwork in the theatre is imperative.<\/p>\n\n\n\n<p>\u201cMedicine is a team sport and collaboration is an important part of this. We are all goal-directed to ensure excellence in service delivery.\u201d<\/p>\n\n\n\n<p>The doctor describes paediatric surgery as a challenging field in medicine.<\/p>\n\n\n\n<p>\u201cThe delay of children accessing our specialised service as a result of the delayed presentation, referral or transport limitations which may have an impact on the outcome, is a challenge. We also have a long waiting list for children who need surgeries.\u201d<\/p>\n\n\n\n<p>She explains that she would like to see more surgeons and supporting staff employed to meet the demand for surgical services of a growing population. <\/p>\n\n\n\n<p>When asked what she sees for the future in surgery she says: \u201cTo impact change and hope in patients, their families and the health system. An increase in surgical access and care, improve global priority for children\u2019s surgery and have effective governance structures and facilities.\u201d <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr Thozama Siyotula (37), a paediatric surgeon at Red Cross War Memorial Children\u2019s Hospital, devotes her entire time daily to ensuring young patients receive the best treatment and their health is restored. She does it all with 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This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>&#039;I have an opportunity to deliver specialised health care to children in South Africa everyday&#039; | People&#039;s Post<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/novanews.co.za\/peoplespost\/i-have-an-opportunity-to-deliver-specialised-health-care-to-children-in-south-africa-everyday-20230801\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"&#039;I have an opportunity to deliver specialised health care to children in South Africa everyday&#039;\" \/>\n<meta property=\"og:description\" content=\"Dr Thozama Siyotula (37), a paediatric surgeon at Red Cross War Memorial Children\u2019s Hospital, devotes her 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She does it all with passion.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/novanews.co.za\/peoplespost\/i-have-an-opportunity-to-deliver-specialised-health-care-to-children-in-south-africa-everyday-20230801\/\" \/>\n<meta property=\"og:site_name\" content=\"People&#039;s Post\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/PeoplesPostNewsPaper\" \/>\n<meta property=\"article:published_time\" content=\"2023-08-01T08:48:13+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-03-19T19:11:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/novanews.co.za\/peoplespost\/wp-content\/uploads\/2025\/03\/f8b1ef0df5f941d4a5644dbca369d9eb.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1620\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Kaylynne Bantom @bantomkaylynne\" \/>\n<meta name=\"twitter:card\" 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