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 < 0.0001), had a lower preoperative hematocrit (p = 0.014), had higher prevalence of peripheral vascular disease (p = 0.001), were of female gender (p = 0.015), underwent off-pump surgery (p < 0.001), had urgent/emergent status (p = 0.024), and had chronic obstructive pulmonary disease (p = 0.019). There was no difference in the incidence of post-operative complications, ventilation time, or intensive care unit stay. There was no difference in the severity of post-operative atelectasis in both groups. More patients in the non-skeletonized group had a grade ...
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 Kienböck’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
