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Scandinavian Journal of Surgery: SJS

I Kuitunen, E T Skyttä, A Eskelinen, H Huhtala, M Artama
BACKGROUND AND AIMS: No previous studies have analyzed the connection between total hip replacement and induced abortion. We evaluated the nationwide induced abortion rates among women with and without total hip replacement. MATERIALS AND METHODS: Data for this cohort study were gathered from national registers from 1987 to 2007. All fertile-aged (15-44 years old) females who had undergone primary total hip replacement in Finland were selected. The total hip replacement patient group comprised 1713 women and the reference group 5148 women...
November 16, 2018: Scandinavian Journal of Surgery: SJS
S Sun, H Zhou, Z-Z Ding, H Shi
BACKGROUND AND AIM: Post-traumatic hydrocephalus is a common complication that arises after head injury. However, risk factors associated with the outcome of post-traumatic hydrocephalus have seldom been addressed. Therefore, we performed this clinical study to analyze the risk factors affecting the outcome of post-traumatic hydrocephalus in patients with head injuries. METHODS: A total of 116 post-traumatic hydrocephalus patients, admitted in our hospital between March 2012 and October 2017 were reviewed...
November 14, 2018: Scandinavian Journal of Surgery: SJS
A Aavik, R-T Kibur, J Lieberg, U Lepner, M Aunapuu, A Arend
BACKGROUND: The saphenous vein is the most frequently used bypass conduit for vascular reconstructions, which may need to be stored for a prolonged time. The aim of this study was to compare the effect of different preservation solutions on the morphology of saphenous veins during the long-term cold storage. DESIGN: An in vitro study Material and Methods: Saphenous vein samples, collected from 29 patients undergoing varicose vein surgery, were stored at +4°C in (1) 10% formalin, (2) isotonic saline with heparin and antibiotic, (3) phosphate-buffered saline, (4) 2...
October 14, 2018: Scandinavian Journal of Surgery: SJS
M Ax, A Reito, M Koskimaa, A Uutela, J Paloneva
BACKGROUND AND AIMS: Traditionally, patients requiring an orthopedic emergency operation were admitted to an inpatient ward to await surgery. This often led to congestion of wards and operation rooms while, for less urgent traumas, the time spent waiting for the operation often became unacceptably long. The purpose of this study was to evaluate the flow of patients coded green in a traffic light-based coding process aimed at decreasing the burden on wards and enabling a scheduled emergency operation in Central Finland Hospital...
October 2, 2018: Scandinavian Journal of Surgery: SJS
M Papamichail, K Marmagkiolis, M Pizanias, C Koutserimpas, N Heaton
BACKGROUND AND AIMS: Patients with liver tumors involving the inferior vena cava have a poor outcome without surgery. Liver resection en bloc with inferior vena cava resection and reconstruction is now performed in many centers. The purpose of this study is to investigate the safety and efficacy of inferior vena cava reconstruction during hepatic resection. MATERIALS AND METHODS: A review of 12 centers reporting 240 patients with combined hepatectomy and inferior vena cava resection and reconstruction for malignant tumors was performed...
September 24, 2018: Scandinavian Journal of Surgery: SJS
S Aroori, C Mangan, L Reza, N Gafoor
BACKGROUND: Acute cholecystitis has the potential to cause sepsis and death, particularly in patients with poor physiological reserve. The gold standard treatment of acute cholecystitis (cholecystectomy) is often not safe in high-risk patients and recourse is made to percutaneous cholecystostomy as either definite treatment or temporizing measure. The aim of this study is to evaluate early and late outcomes following percutaneous cholecystostomy in patients with acute cholecystitis treated at our institution...
September 18, 2018: Scandinavian Journal of Surgery: SJS
K Fjørtoft, L Konge, I Gögenur, E Thinggaard
BACKGROUND AND AIMS: Simulation-based training in laparoscopy can improve patient safety and efficiency of care, but it depends on how it is used. Research in medical education has moved from demonstrating transferability of simulation training to the operating room to how to best implement it. This study aims to investigate how simulation-based training in laparoscopy has been implemented Scandinavia. MATERIAL AND METHODS: An online survey was sent out to medical doctors at surgical, gynecological, and urological departments at 138 hospitals in Denmark, Norway, and Sweden...
September 12, 2018: Scandinavian Journal of Surgery: SJS
R Tiihonen, R Alaranta, T Helkamaa, I Nurmi-Lüthje, J-P Kaukonen, P Lüthje
BACKGROUND AND AIMS: Reoperations after operative treatment of hip fracture patients may be associated with higher costs and inferior survival. We examined the acute hospital costs, long-term reoperation rates, and survival of patients with a new hip fracture. MATERIALS AND METHODS: A total of 490 consecutive new hip fracture patients treated at a single center between 31 December 2004 and 6 December 2006 were analyzed retrospectively. Fractures were classified according to Garden and AO...
September 12, 2018: Scandinavian Journal of Surgery: SJS
H Oksanen, M Lastikka, L Helenius, O Pajulo, I Helenius
BACKGROUND AND AIMS: To compare outcomes between posterior spinal fusion of juvenile idiopathic scoliosis and adolescent idiopathic scoliosis patients with a minimum of 2-year follow-up. The juvenile idiopathic scoliosis patients were fused to the stable vertebra and adolescent idiopathic scoliosis to the touched vertebra. We hypothesized that extending the spinal fusion to the stable vertebra in juvenile patients would provide similar outcomes compared with fusion to the touched vertebra in adolescents...
September 12, 2018: Scandinavian Journal of Surgery: SJS
E Birgin, W Tesfazgi, M Knoth, T J Wilhelm, S Post, F Rückert
BACKGROUND AND OBJECTIVES: The International Study Group of Liver Surgery established the first internationally standardized definitions and grading for posthepatectomy hemorrhage, posthepatectomy liver failure, and bile leakage. We aimed to correlate these definitions and grades of complications with objective parameters of the postoperative course, namely, mortality and length of stay, to assess the usefulness in clinical routine. METHODS: A total of 415 patients underwent hepatic surgery between 2004 and 2014...
September 10, 2018: Scandinavian Journal of Surgery: SJS
L J Lindberg, S Ladelund, I Bernstein, C Therkildsen, M Nilbert
BACKGROUND AND AIMS: The risk of synchronous and metachronous colorectal cancer is influenced by heritable and environmental factors. As a basis for comparative studies, we provide population-based estimates of synchronous and metachronous colorectal cancer with a focus on non-heritable cases. MATERIAL AND METHODS: Based on data from national Danish cancer registers, we estimated the proportion of synchronous colorectal cancer and the incidence rates and risks for metachronous colorectal cancer in 28,504 individuals, who developed 577 metachronous colorectal cancer above age 50...
September 10, 2018: Scandinavian Journal of Surgery: SJS
G Kask, I Barner-Rasmussen, J Repo, C Blomqvist, E Tukiainen
BACKGROUND AND AIMS: The present standard of care in treating lower extremity soft tissue sarcomas is function-sparing, limb-preserving resection and reconstruction with or without oncological therapy. The aim of this pilot study was to test the suitability and adequacy of the Finnish translations of two functional outcome questionnaires (Toronto Extremity Salvage Score and Musculoskeletal Tumor Society score) and to perform a preliminary investigation of functional outcomes of Finnish lower-limb soft tissue sarcoma patients after operative treatment...
September 6, 2018: Scandinavian Journal of Surgery: SJS
Y-H Huang, C Chen, C-H Lee, E-W Loh, K-W Tam
AIMS: Wound closure after thyroidectomy and parathyroidectomy is associated with patients' satisfaction, perception of cosmetic appearance, and experience of postoperative pain. Subcutaneous sutures, clips, and tissue adhesive are the three major methods of wound closure. In this study, we conducted a meta-analysis of randomized controlled trials to evaluate the outcomes of these methods. METHODS: Relevant studies published before December 2017 were identified from PubMed, Embase, Cochrane Library, Scopus, and the ClinicalTrials...
September 6, 2018: Scandinavian Journal of Surgery: SJS
D M Felsenreich, F B Langer, G Prager
BACKGROUND AND AIMS: Laparoscopic sleeve gastrectomy (SG) has massively increased in numbers over the last decade and is the most frequently performed bariatric procedure worldwide today. The aim of this review is to evaluate SG in terms of weight loss and resolution of comorbidities, based on data gained from the latest long-term studies available. MATERIAL AND METHODS: This review includes the results of any long-term studies on SG available at this point as well as a selection of short- and mid-term studies...
September 6, 2018: Scandinavian Journal of Surgery: SJS
B Furnes, K E Storli, H M Forsmo, A Karliczek, G E Eide, F Pfeffer
BACKGROUND: Rectal cancer surgery is standardized, resulting in improved survival. Colon cancer has fallen behind and therefore more radical surgical techniques have been introduced. One technique is complete mesocolic excision. The aim of this article was to study the complications after the introduction of standardized complete mesocolic excision in a single center. METHODS: Complete mesocolic excision was introduced in 2007, and data were collected from 286 patients prior to surgery (2007-2010)...
September 6, 2018: Scandinavian Journal of Surgery: SJS
Fikri M Abu-Zidan
No abstract text is available yet for this article.
September 6, 2018: Scandinavian Journal of Surgery: SJS
P Björkman, E-M Weselius, T Kokkonen, V Rauta, A Albäck, M Venermo
BACKGROUND AND AIMS: Stenosis due to intimal hyperplasia and restenosis after initially successful percutaneous angioplasty are common reasons for failing arteriovenous fistulas. The aim of this study was to evaluate the effect of drug-coated balloons in the treatment of arteriovenous fistula stenosis. DESIGN: Single-center, parallel group, randomized controlled trial. Block randomized by sealed envelope 1:1. MATERIALS AND METHODS: A total of 39 patients with primary or recurrent stenosis in a failing native arteriovenous fistulas were randomized to drug-coated balloon (n = 19) or standard balloon angioplasty (n = 20)...
September 5, 2018: Scandinavian Journal of Surgery: SJS
C Demirdover, H Vayvada, F A Ozturk, H S Yazgan, C Karaca
BACKGROUND AND AIMS: The reconstruction of the lower lip defects which may result from malignancy, trauma, and burn is necessary for mastication, oral competence, salivary retain, articulation, and aesthetic appearance of the face. While small (30% of the lower lip) and medium (30%-80% of the lower lip) size defects are reconstructed using primary repair and local flaps, reconstruction of the large defects including total and near-total of the lower lip is very challenging entity. We introduce a new modification of the fan flap named extended fan flap for reconstruction of the total and near-total lower lip defects...
September 4, 2018: Scandinavian Journal of Surgery: SJS
H Huhta, S Vuolio, I Typpö, A Rahko, K Suokanerva, J M Rintala
BACKGROUND AND AIMS: Over the past decades, laparoscopic colorectal surgery has become widely used for various indications. Large multicenter studies have demonstrated that laparoscopy has clear advantages over open surgery. Compared to open procedures, laparoscopy decreases perioperative blood loss, post-operative pain, and hospitalization time, but provides equivalent long-term oncological and surgical results. Most studies have been conducted in high-volume institutions with selected patients, which may have influenced the reported outcome of laparoscopy...
September 4, 2018: Scandinavian Journal of Surgery: SJS
T Rasmussen, S Fonnes, J Rosenberg
BACKGROUND AND AIMS: Appendectomy is a common surgical procedure, but no overview of the long-term consequences exists. Our aim was to systematically review the long-term complications of appendectomy for acute appendicitis. MATERIALS AND METHODS: This systematic review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A protocol was registered on PROSPERO (CRD42017064662). The databases PubMed and EMBASE were searched for original reports on appendectomy with n ≥ 500 and follow-up >30 days...
September 2018: Scandinavian Journal of Surgery: SJS
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