Surgical Management of Renal Cell Cancer Liver Metastases
Conclusion: A total of 10 studies met inclusion criteria. Median overall survival ranged between 16 and 142 months. Major morbidity was rare while 30-day postoperative mortality was less than 5%. A disease-free interval of more than 2 years from nephrectomy to evidence of liver metastases and a radical, microscopically negative surgical resection (R0) were the most consistent prognostic factors that, in turn, could be used as potential selection criteria to identify patients who can benefit the most from liver-directed surgery. Liver surgery for renal cell cancer liver metastases can be performed with low mortality, accept...
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Pikoulis, E., Margonis, G. A., Antoniou, E. Tags: Review Article Source Type: research

Intracranial Suppurative Complications of Sinusitis
Conclusion: Patients with a sinusitis-related intracranial suppuration typically present with signs of raised intracranial pressure rather than signs of sinusitis. Most are likely to need neurosurgical intervention and evacuation of the abscess without delay. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Nicoli, T. K., Oinas, M., Niemelä, M., Mäkitie, A. A., Atula, T. Tags: Original Articles Source Type: research

Reconstruction of Vertebral Bone Defects using an Expandable Replacement Device and Bioactive Glass S53P4 in the Treatment of Vertebral Osteomyelitis: Three Patients and Three Pathogens
Conclusion: The antibacterial properties of bioactive glass S53P4 also make it a suitable bone substitute in the treatment of severe spondylodiscitis. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Kankare, J., Lindfors, N. C. Tags: Original Articles Source Type: research

Missed Injuries in Polytrauma Patients after Trauma Tertiary Survey in Trauma Intensive Care Unit
Conclusion: In conclusion, the missed injury rate in trauma patients admitted to trauma intensive care unit after trauma tertiary survey was very low in our system without formal trauma tertiary survey protocol. These missed injuries did not lead to prolonged hospital or trauma intensive care unit stay and did not contribute to mortality. Most of the missed injuries received non-surgical treatment. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Tammelin, E., Handolin, L., Söderlund, T. Tags: Original Articles Source Type: research

Ultrasound Screening of Men with Coronary Artery Disease for Abdominal Aortic Aneurysms: A Prospective Dual Center Study
Conclusion: The mean age of the study cohort was 70.0 years (standard deviation: 11.0). The prevalence of previously undiagnosed abdominal aortic aneurysms in the whole screened population of 407 men was 6.1% (n = 25/407). In a multivariate analysis of the whole study population, the only significant risk factors for abdominal aortic aneurysm were age (odds ratio: 1.04, 95% confidence interval: 1.00–1.09) and history of smoking (odds ratio: 3.13, 95% confidence interval: 1.26–7.80). Non-smokers with abdominal aortic aneurysm were significantly older than smokers (mean age: 80.7 (standard deviation: 8.0) vs 68.0...
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Vänni, V., Hakala, T., Mustonen, J., Turtiainen, J., Rissanen, T. T., Kajander, O., Ilveskoski, E., Koivumäki, J., Eskola, M., Hernesniemi, J. Tags: Original Articles Source Type: research

Laparoscopic Wide Mesocolic Excision and Central Vascular Ligation for Carcinoma of the Colon
Conclusion: Laparoscopic wide mesocolic excision and central vascular ligation for colon cancer resulted in good long-term oncologic outcome. Randomized trials are needed to show that laparoscopic complete mesocolic excision technique would become the standard of care for the carcinoma of the colon. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Ehrlich, A., Kairaluoma, M., Böhm, J., Vasala, K., Kautiainen, H., Kellokumpu, I. Tags: Original Articles Source Type: research

Does the Introduction of Laparoscopic Distal Pancreatectomy Jeopardize Patient Safety and Well-Being?
Background/Purpose: Despite retrospective data indicating short-term superiority for laparoscopic distal pancreatectomy compared to open distal pancreatectomy, the implementation of the procedure has been slow. The aim of this study was to investigate whether patients operated with laparoscopic distal pancreatectomy during the early phase of introduction are at higher risk for complications than patients operated with open distal pancreatectomy. Methods: A retrospective single-center analysis of patients operated with laparoscopic distal pancreatectomy (n = 37) from the introduction of the procedure and comparison regardi...
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Hasselgren, K., Halldestam, I., Fraser, M. P., Benjaminsson Nyberg, P., Gasslander, T., Björnsson, B. Tags: Original Articles Source Type: research

A Randomized Trial on the Efficacy of Prophylactic Active Drainage in Prevention of Complications after Pancreaticoduodenectomy
Conclusion: Prophylactic active drainage reveals significant reduction in severity of complications associated with pancreatic fistula and might be recommended as an alternative for patients with high risk of developing serious pancreatic fistula after pancreaticoduodenectomy. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Jiang, H., Liu, N., Zhang, M., Lu, L., Dou, R., Qu, L. Tags: Original Articles Source Type: research

Recent Advances in Pancreatic Surgery
(Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 19, 2016 Category: Surgery Authors: Sallinen, V. Tags: Editorial Source Type: research

Translation and Validation of the Finnish Version of the Patient-Rated Wrist Evaluation Questionnaire (PRWE) in Patients with Acute Distal Radius Fracture
Conclusion: Our study shows that the Finnish version of the PRWE is reliable, valid, and responsive for the evaluation of pain and disability after distal radius fracture. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Sandelin, H., Jalanko, T., Huhtala, H., Lassila, H., Haapala, J., Helkamaa, T. Tags: Original Articles Source Type: research

Abnormal Patella Height Based on Insall-Salvati Ratio and its Correlation with Patellar Cartilage Lesions: An Extremity-Dedicated Low-Field Magnetic Resonance Imaging Analysis of 1703 Chinese Cases
Background and aims: Diagnostic performance of patellar position for patellar cartilage lesions remains unclear. The aim of this study was to assess the abnormal patella height and its correlation with chondral lesions of the patellofemoral joint in China. Material and methods: A total of 1703 consecutive patients who performed knee joint examination using an extremity-dedicated low-field magnetic resonance imaging were enrolled in this study. Patellar cartilage lesions were diagnosed based on the result of magnetic resonance imaging and clinical data. Patella height was defined as the ratio of patellar tendon length to p...
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Lu, W., Yang, J., Chen, S., Zhu, Y., Zhu, C. Tags: Original Articles Source Type: research

Tibial Fractures in Alpine Skiing and Snowboarding in Finland: A Retrospective Study on Fracture Types and Injury Mechanisms in 363 Patients
Background and Aim: Alpine skiing and snowboarding share the hazards of accidents accounting for tibial fractures. The aim of this study was to evaluate the fracture patterns and mechanisms of injury of tibial fractures taking place in downhill skiing and snowboarding. Materials and methods: All patients with tibial fracture due to alpine skiing or snowboarding accident treated in four trauma centers next to the largest ski resorts in Finland were analyzed between 2006 and 2012. The hospital records were retrospectively reviewed for data collection: equipment used (skis or snowboard), age, gender, and mechanism of injury....
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Stenroos, A., Pakarinen, H., Jalkanen, J., Mälkiä, T., Handolin, L. Tags: Original Articles Source Type: research

Do Treatment Policies for Proximal Humerus Fractures Differ among Three Nordic Countries and Estonia? Results of a Survey Study
Conclusion: Our survey revealed a remarkable uniformity in the current practice of operative treatments and rehabilitation for proximal humerus fractures in the participant countries. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Launonen, A. P., Lepola, V., Laitinen, M., Mattila, V. M. Tags: Original Articles Source Type: research

The Use of Blood Products in Adult Patients with Burns
Introduction: Burn anemia represents a common complication following a burn injury. Burn anemia etiology carries distinct features occurring at each stage of the post-injury and treatment periods resulting from different causes. We aimed to analyze the use of blood components in Finnish burn victims and to identify patient- and injury-related factors influencing their use. Methods: To study the use of blood products in burn patients, we used data collected from the Optimal Use of Blood registry, developed through co-operation between 10 major hospital districts and the Finnish Red Cross Blood Service. Burn patients>=18...
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Koljonen, V., Tuimala, J., Haglund, C., Tukiainen, E., Vuola, J., Juvonen, E., Lauronen, J., Krusius, T. Tags: Original Articles Source Type: research

Endoscopic Treatment for Persistent Hematospermia: A Novel Technique Using a Holmium Laser
Conclusion: Endoscopic treatment using a holmium laser is minimally invasive and was effective for treating ejaculatory duct and seminal vesicle diseases, which are the main cause of hematospermia. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Oh, T. H., Seo, I. Y. Tags: Original Articles Source Type: research

Assessment of the Impact of Skeletonization on Pleuropulmonary Changes after Bilateral Internal Thoracic Artery Harvest for Coronary Artery Bypass Grafting
Conclusion: Patients in the skeletonized group were older (p
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Dennie, C. J., Oikonomou, A., Thornhill, R., Rubens, F. D. Tags: Original Articles Source Type: research

Poor Outcomes of Complicated Pouch-Related Fistulas after Ileal Pouch-Anal Anastomosis Surgery
Conclusion: The final analysis included 48 (10.7%) of the 447 total ileal pouch-anal anastomosis patients with complicated pouch-related fistulas. Pouch-vaginal fistulas, pouch-perianal fistulas, and other pouch-related fistulas were observed in 19 (63%), 29 (60%), and 10 (21%) patients, respectively, corresponding to an accumulated risk of 8%, 6%, and 2%, respectively. Time from ileal pouch-anal anastomosis surgery to fistula presentation was 24 (0.2–212) months. Overall pouch failure, defined as pouch excision or a diverting stoma, was seen in 34 (71%) patients, while pouch excision was seen in 23 (48%) of the pati...
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Kjaer, M. D., Kjeldsen, J., Qvist, N. Tags: Original Articles Source Type: research

Associating Liver Partition and Portal Vein Ligation for Primary Hepatobiliary Malignancies and Non-Colorectal Liver Metastases
Conclusion: Ten patients were included: four had hepatocellular cancer, three had intrahepatic cholangiocarcinoma, one had a Klatskin tumor, one had ocular melanoma metastasis, and one had a metastasis from a Wilms’ tumor. All patients completed both operations, and the highest grade of complication (according to the Clavien-Dindo classification) was 3A, which was observed in one patient. No 90-day mortality was observed. Radical resection (R0) was achieved in nine patients, while the resection was R2 in one patient. The low morbidity and mortality observed in this cohort compared with those of earlier reports on ass...
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Björnsson, B., Sparrelid, E., Hasselgren, K., Gasslander, T., Isaksson, B., Sandström, P. Tags: Original Articles Source Type: research

A Personal Computer Freeware as a Tool for Surgeons to Plan Liver Resections
Conclusions: A strong correlation between calculated and measured liver volume was found with sample concordance correlation coefficient (c) = 0.9950. The knowledge on the nature of liver resections sets liver surgeons in a unique position to be able to accurately predict the volumes to be resected and, therefore, also the volume that will remain after surgery. This becomes increasingly important with the evolvement of methods to extend the boundaries of liver surgery. ImageJ is a reliable tool to preoperatively assess liver volume. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Björnsson, B., Lundgren, L. Tags: Original Articles Source Type: research

Multivisceral Resection in Patients with Advanced Abdominal Tumors
Conclusion: Multivisceral resection can result in R0, potentially curing patients with advanced tumors. Here, no correlation between extensive resections and complications was observed. Only postoperative blood transfusion was correlated with severe complications. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Hasselgren, K., Sandström, P., Gasslander, T., Björnsson, B. Tags: Original Articles Source Type: research

Three-Year Results of a Single-Centre Single-Blinded Randomised Study Evaluating the Impact of Mesh Pore Size on Chronic Pain after Lichtenstein Hernioplasty
Conclusions: Mesh with larger pores, compared with mesh with smaller pores, has no advantages in reducing the rate of chronic pain. We speculate that the reason for the higher rate of chronic pain in the study group where the mesh with larger pores was used might have been the different composition of the meshes at implantation. Also, it is possible as development of chronic pain after inguinal hernia repair is multifactorial, we failed to find a plausible explanation for this difference. Low recurrence rates were achieved with both meshes used in our study. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 8, 2016 Category: Surgery Authors: Nikkolo, C., Vaasna, T., Murruste, M., Seepter, H., Kirsimägi, U., Lepner, U. Tags: Original Articles Source Type: research

Tendon Graft Healing in Multiligament Reconstructed Knee Detected by FDG-PET/CT: A Pilot Study
Conclusion: This pilot study shows a significant increase in tendon graft metabolism during two first years of postoperative healing. The fluorodeoxyglucose positron emission tomography combined with computer tomography imaging seems to be adequate method of assessment of graft metabolism and viability during postoperative healing. The clinical value of fluorodeoxyglucose positron emission tomography combined with computer tomography imaging, however, warrants further evaluation with longitudinal studies with a larger patient population. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Itälä, A., Alihanka, S., Kosola, J., Kemppainen, J., Ranne, J., Kajander, S. Tags: Original Articles Source Type: research

Long-Term Natural Outcome (7-26 Years) of Lichtman Stage III Kienböcks Lunatomalacia
Conclusions: The long-term natural history of Lichtman stage III KienboĢˆck’s disease is insufficiently good to suggest thoughtful observation alone as an option to treat it. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Viljakka, T., Tallroth, K., Vastamäki, M. Tags: Original Articles Source Type: research

Unreamed Intramedullary Nailing is a better alternative than External Fixator for Gustilo grade IIIB Tibial Fractures based on a meta-analysis
Conclusion: The existing evidence supports unreamed intramedullary nailing to be a better method for treating Gustilo grade IIIB tibial fractures, and this might aid in the management of this sever injury. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Zhang, F., Zhu, Y., Li, W., Chen, W., Tian, Y., Zhang, Y. Tags: Meta-Analysis Source Type: research

The Effect of Evolving Fluid Resuscitation on the Outcome of Severely Injured Patients: An 8-year Experience at a Tertiary Trauma Center
Conclusion: During the study period, no other major changes in the protocols on treatment of severely injured patients were implemented. The overall awareness of damage control fluid resuscitation and introduction of massive transfusion protocol in a trauma center has a significant positive effect on the outcome of severely injured patients. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Brinck, T., Handolin, L., Lefering, R. Tags: Original Articles Source Type: research

The Multidisciplinary Team Conferences Decision on M-Staging in Patients with Gastric- and Gastroesophageal Cancer is not Accurate without Staging Laparoscopy
Conclusion: The M-staging of the multidisciplinary team conference without staging laparoscopy lacks accuracy concerning peritoneal carcinomatosis. Staging laparoscopy remains an essential part of the preoperative detection of disseminated disease in patients with gastric- and gastroesophageal cancer. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Strandby, R. B., Svendsen, L. B., Fallentin, E., Egeland, C., Achiam, M. P. Tags: Original Articles Source Type: research

Dysphagia is not a Valuable Indicator of Tumor Response after Preoperative Chemotherapy for R0 Resected Patients with Adenocarcinoma of the Gastroesophageal Junction
Conclusion: In our study, improvement of dysphagia was not valid for tumor response evaluation after preoperative chemotherapy and was not correlated with the tumor response. The presence of dysphagia does not seem to be a predictor of recurrence or survival. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Strandby, R. B., Svendsen, L. B., Baeksgaard, L., Egeland, C., Achiam, M. P. Tags: Original Articles Source Type: research

Implementation of Endoscopic Submucosal Dissection for Gastric Lesions in Norway
Conclusion: This is the first report on gastric endoscopic submucosal dissection in Scandinavia. Preliminary results from an introductory phase indicate that endoscopic submucosal dissection for dysplasia or early gastric cancer may be conducted safely and with acceptable results even in a small-volume center, assuming that surgeons and gastroenterologists in a region direct cases to one individual who can learn this skill. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Rushfeldt, C., Aabakken, L. Tags: Original Articles Source Type: research

Palliative Surgery for Pseudomyxoma Peritonei
Conclusion: Palliative debulking is a safe procedure with an acceptable morbidity and mortality offering immediate disease control. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Funder, J. A., Jepsen, K. V., Stribolt, K., Iversen, L. H. Tags: Original Articles Source Type: research

Anterior Resection for Rectal Cancer and Visceral Blood Flow: An Explorative Study
Conclusion: High tie ligation did not seem to decrease colonic limb perfusion, while total mesorectal excision may decrease rectal blood flow. The posterior quadrant of the rectum might be particularly vulnerable to the dissection involved in total mesorectal excision. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Rutegard, M., Hassmen, N., Hemmingsson, O., Haapamäki, M. M., Matthiessen, P., Rutegard, J. Tags: Original Articles Source Type: research

Restorative Proctocolectomy for Ulcerative Colitis in 1985-2009
Conclusion: The ileal pouch-anal anastomosis technique used in restorative proctocolectomy had changed over the past years from hand-sewn to stapled anastomosis. Covering ileostomy seemed to protect against major complications. Pouchitis was the most common late complication. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Helavirta, I., Huhtala, H., Hyöty, M., Collin, P., Aitola, P. Tags: Original Articles Source Type: research

Etiology, Diagnosis and Treatment of Tendinous Knee Extensor Mechanism Injuries
Conclusion: Risk factors for patella and quadriceps tendon rupture include increasing age, repetitive micro-trauma, genetic predisposition, and systemic diseases, as well as certain medications. Diagnosis is based on history and clinical findings, but can be complemented by ultrasound or magnetic resonance imaging. Accurate diagnosis at an early stage is of utmost importance since delay in surgical repair of over 3 weeks results in significantly poorer outcomes. Operative treatment of acute ruptures yields good clinical results with low complication rates. Use of longitudinal transpatellar drill holes is the operative meth...
Source: Scandinavian Journal of Surgery - May 2, 2016 Category: Surgery Authors: Ibounig, T., Simons, T. A. Tags: Review Article Source Type: research

Acknowledgement of Reviewers
(Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Tags: Reviewer List Source Type: research

Mid-term Results of Oxford Phase 3 Unicompartmental Knee Arthroplasties at a Small-Volume Center
Conclusions: The mean follow-up time was 6.5 years, and the Kaplan–Meier estimated 9-year implant survival rate was 88.9% (95% confidence interval = 78.7%–99.1%). The median Knee Society score of 77 (range: 18–93) at follow-up was considered good (range: 70–79). In this study, we found out that medial knee pain remains in 10% of unicompartmental knee arthroplasties several years after surgery, although the reason for the pain remained unclear. These mid-term results are promising, and good results can be achieved also at a small-volume center when strict patient selection is followed. (Source: Scand...
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Miettinen, S. S. A., Torssonen, S. K., Miettinen, H. J. A., Soininvaara, T. Tags: Original Articles Source Type: research

Comparison of Injury Severity Between Moped and Motorcycle Crashes: A Finnish Two-Year Prospective Hospital-Based Study
Conclusions: According to the maximum Abbreviated Injury Scale and New Injury Severity Scores, the injury severity was equal for motorcycle and moped crashes. The degree of agreement between the hospital dataset and the official statistics was 32%. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Airaksinen, N., Nurmi-Lüthje, I., Lüthje, P. Tags: Original Articles Source Type: research

Amputation-Free Survival after Crural Percutaneous Transluminal Angioplasty for Critical Limb Ischemia
Conclusion: Below the knee percutaneous transluminal angioplasty in patients with end-stage peripheral arterial disease and critical limb ischemia is a safe procedure in relieving critical ischemia, reducing the short-term rate of a major amputation as opposed to best medical treatment alone. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Strom, M., Konge, L., Lönn, L., Schroeder, T. V., Rordam, P. Tags: Original Articles Source Type: research

Transaortic Transcatheter Aortic Valve Implantation as a second choice over the Transapical access
Conclusion: The trans transcatheter aortic valve implantation is a considerable choice to transapical approach. Despite a higher risk patient cohort, the clinical outcome is at least comparable to the transapical transcatheter aortic valve implantation, and it can be utilized as a second choice for patients with prohibitive iliac-femoral anatomy for transfemoral access. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Ropponen, J., Vainikka, T., Sinisalo, J., Rapola, J., Laine, M., Ihlberg, L. Tags: Original Articles Source Type: research

Feasibility of Day Surgery in Patients With Breast Conservation and Sentinel Node Biopsy: A Randomized Controlled Trial
Background and Aims: The aim of this study was to analyze feasibility of day surgery in breast cancer patients with breast conserving surgery and sentinel node biopsy. Material and Methods: The study was a randomized controlled trial comparing day surgery with one night hospital stay in breast cancer patients with breast conserving surgery and sentinel node biopsy. A total of 40 patients with
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Ojala, K., Vironen, J. H., Mattila, K., Eklund, A. M., Leidenius, M. H. K., Meretoja, T. J. Tags: Original Articles Source Type: research

Comparative Investigation of Postoperative Complications in Patients With Gastroesophageal Junction Cancer Treated With Preoperative Chemotherapy or Surgery Alone
Conclusion: Since perioperative chemotherapy does not appear to increase surgical complications, the future challenges include defining the optimal combination of chemo- and/or radiotherapy, but more importantly also to select the patients who will benefit the most from the different neoadjuvant strategies. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Achiam, M. P., Jensen, L. B., Larsson, H., Jensen, L. S., Larsen, A. C., Holm, J., Svendsen, L. B. Tags: Original Articles Source Type: research

Components separation technique is feasible for assisting delayed primary fascial closure of open abdomen
Conclusion: Components separation is a useful method in contributing to successful primary fascial closure in patients treated for open abdomen. Best results were obtained when components separation was performed simultaneously with primary fascial closure at the end of the open abdomen treatment. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Rasilainen, S. K., Mentula, P. J., Leppäniemi, A. K. Tags: Original Articles Source Type: research

Quality of Life after Ventral Hernia Repair with Endoscopic Component Separation Technique
Conclusions: Operating room time was median 204 min and correlated significantly with the hernia size. A total of 21 postoperative complications occurred in 14 patients. The length of stay was median 6 days and correlated significantly with duration of the operation. Of these, 15 patients participated in late follow-up visit. Two patients experienced recurrent hernias. Postoperative function level, cosmetic satisfaction, and self-estimated physical and mental health improved significantly. Alcohol consumption was significantly reduced. Endoscopic components separation is a reliable method to repair large ventral hernias, a...
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Thomsen, C. O., Brondum, T. L., Jorgensen, L. N. Tags: Original Articles Source Type: research

Amended Classification of the Open Abdomen
Conclusions: The authors believe that, with these changes, the requirements on a functional and dynamic classification system, useful in both research and training, will be fulfilled. We encourage future investigators to apply the system and report on its merits and constraints. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Björck, M., Kirkpatrick, A. W., Cheatham, M., Kaplan, M., Leppäniemi, A., De Waele, J. J. Tags: Original Articles Source Type: research

Antibiotics or Appendectomy for Acute Non-Perforated Appendicitis--How to Interpret the Evidence?
(Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - March 14, 2016 Category: Surgery Authors: Sallinen, V., Tikkinen, K. A. O. Tags: Editorial Source Type: research

Acetabular reconstruction with impaction bone grafting and cemented polyethylene socket in total hip revision arthroplasty
Conclusion: Our results were inferior compared to some previous studies. Impaction bone grafting of acetabular defects in revision total hip arthroplasty may not always provide a reliable bone stock in long-term. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 26, 2015 Category: Surgery Authors: Kostensalo, I., Seppänen, M., Virolainen, P., Mokka, J., Koivisto, M., Mäkelä, K. T. Tags: Original Articles Source Type: research

Optimal time for manipulation of frozen shoulder may be between 6 and 9 months
Conclusions: It seems that timing has statistically significant influence on results of manipulation of the idiopathic frozen shoulder. The best time for manipulation under anesthesia, if non-operative treatment has failed to alleviate pain or limitation of shoulder motion is too cumbersome, might be between 6 and 9 months from the onset of the symptoms. However, the clinical importance of results can be questioned. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 26, 2015 Category: Surgery Authors: Vastamäki, H., Varjonen, L., Vastamäki, M. Tags: Original Articles Source Type: research

Surgical complications following 1670 consecutive adult renal transplantations: a single center study
Background and Aims: The aim of the study was to clarify the frequency and the sequel of surgical complications occurring within 1 year after renal transplantation. Patients and Methods: Surgical complications after 1670 consecutive adult kidney transplantations performed between 2000 and 2009 were retrospectively analyzed. In 2%, a living-related allograft was used, and 10% were retransplantations. An intravesical technique without stenting was used for the ureteric implantation. Results: There were 282 surgical complications occurring in 259 (15.5%) transplantations. Ureteral obstruction occurred in 53 (3.1%), lymphoce...
Source: Scandinavian Journal of Surgery - October 26, 2015 Category: Surgery Authors: Lempinen, M., Stenman, J., Kyllönen, L., Salmela, K. Tags: Original Articles Source Type: research

Ethnicity differences in breast cancer stage at the time of diagnosis in norway
Background and aims: Several studies have demonstrated that breast cancer survival rates differ with ethnicity. Most of these studies analyzed discrepancies between African-American and Caucasian-American women and were performed in the United States. There are increasing concerns about differences in breast cancer survival among immigrants from Asia and Africa living in Europe, including those living in Scandinavian countries. There are few data on breast cancer survival in relation to race or ethnicity in Scandinavian countries, even though immigrants from Asia and Africa have lived in Scandinavian countries for decades....
Source: Scandinavian Journal of Surgery - October 26, 2015 Category: Surgery Authors: Latif, F., Helgeland, J., Bukholm, G., Bukholm, I. R. K. Tags: Original Articles Source Type: research

Computed tomography of the thorax for gastric cancer staging: is it necessary?
Conclusion: The rarity of isolated lung metastasis in gastric cancer suggests the limited value of computed tomography thorax as a routine staging tool for gastric cancers. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 26, 2015 Category: Surgery Authors: Chong, C. S., Ng, C. W.-Q., Shabbir, A., Kono, K., So, J. B. Y. Tags: Original Articles Source Type: research

Percutaneous Cholecystostomy is an Effective Definitive Treatment Option for Acute Acalculous Cholecystitis
Conclusion: Percutaneous cholecystostomy is successful as a definitive treatment option in the majority of patients with acute acalculous cholecystitis. It is associated with a low rate of mortality and subsequent cholecystectomy. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 26, 2015 Category: Surgery Authors: Kirkegard, J., Horn, T., Christensen, S. D., Larsen, L. P., Knudsen, A. R., Mortensen, F. V. Tags: Original Articles Source Type: research

Bile duct injuries following laparoscopic cholecystectomy
Conclusion: Half of injuries following cholecystectomies are related to the cystic duct, and most of these can be treated with endoscopic or percutaneous procedures. A considerable number of patients following hepaticojejunostomy will later on develop a stricture. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - October 26, 2015 Category: Surgery Authors: Viste, A., Horn, A., Ovrebo, K., Christensen, B., Angelsen, J.- H., Hoem, D. Tags: Original Articles Source Type: research