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Scandinavian Journal of Surgery: SJS

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https://www.readbyqxmd.com/read/28376656/international-study-group-of-pancreatic-surgery-definitions-for-postpancreatectomy-complications-applicability-at-a-high-volume-center
#1
N Dusch, A Lietzmann, F Barthels, M Niedergethmann, F Rückert, T J Wilhelm
INTRODUCTION: The perioperative morbidity following pancreas surgery remains high due to various specific complications: postoperative pancreatic fistula, postpancreatectomy hemorrhage, and delayed gastric emptying. The International Study Group of Pancreatic Surgery has defined these complications. The aim of this study is to evaluate the clinical applicability, to validate the International Study Group of Pancreatic Surgery definition, and to evaluate the postoperative morbidity. METHODS: Between 2004 and 2014, 769 patients underwent resection...
September 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27528695/greater-success-of-primary-fascial-closure-of-the-open-abdomen-a-retrospective-study-analyzing-applied-surgical-techniques-success-of-fascial-closure-and-variables-affecting-the-results
#2
M Kääriäinen, M Kuuskeri, M Helminen, H Kuokkanen
BACKGROUND AND AIMS: The open abdomen technique is a standard procedure in the treatment of intra-abdominal catastrophe. Achieving primary abdominal closure within the initial hospitalization is a main objective. This study aimed to analyze the success of closure rate and the effect of negative pressure wound therapy, mesh-mediated medial traction, and component separation on the results. We present the treatment algorithm used in our institution in open abdomen situations based on these findings...
June 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27465223/intra-abdominal-hypertension-and-abdominal-compartment-syndrome-after-abdominal-wall-reconstruction-quaternary-syndromes
#3
A W Kirkpatrick, D Nickerson, D J Roberts, M J Rosen, P B McBeth, C C Petro, Frederik Berrevoet, M Sugrue, Jimmy Xiao, C G Ball
BACKGROUND AND AIMS: Reconstruction with reconstitution of the container function of the abdominal compartment is increasingly being performed in patients with massive ventral hernia previously deemed inoperable. This situation places patients at great risk of severe intra-abdominal hypertension and abdominal compartment syndrome if organ failure ensues. Intra-abdominal hypertension and especially abdominal compartment syndrome may be devastating systemic complications with systematic and progressive organ failure and death...
June 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27369738/a-prospective-analysis-on-functional-outcomes-following-extended-latissimus-dorsi-flap-breast-reconstruction
#4
H Eyjolfsdottir, B Haraldsdottir, M Ragnarsdottir, K S Asgeirsson
BACKGROUND: To prospectively assess the functional effect of using the extended latissimus dorsi flap in immediate breast reconstructions. MATERIALS AND METHODS: A total of 15 consecutive patients undergoing breast reconstruction with extended latissimus dorsi flap participated. Shoulder range of motion, muscle strength, lateral flexion of the torso, and position of scapula were measured pre-operatively and 1, 6, and 12 months post-operatively, in addition to donor-site post-operative complications...
June 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27369737/effects-of-a-training-intervention-for-enhancing-recovery-after-ivor-lewis-esophagus-surgery-a-randomized-controlled-trial
#5
M Fagevik Olsén, G Kjellby Wendt, E Hammerlid, U Smedh
BACKGROUND AND AIMS: There is a risk of decreased physical function, quality of life and persistent pain after open surgery for esophageal cancer. There are currently no studies that evaluate the effect of any postoperative intervention, including physical exercises, after this type of surgery. The aim of the study was therefore to evaluate the effect of a training intervention after Ivor-Lewis resection of the esophagus. MATERIAL AND METHODS: Patients scheduled for esophagus resection according to Ivor-Lewis were randomized to an intervention group or a control group...
June 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27334795/predictors-of-morbidity-and-mortality-in-esophageal-perforation-retrospective-study-of-80-patients
#6
M Zimmermann, M Hoffmann, T Jungbluth, H P Bruch, T Keck, E Schloericke
BACKGROUND AND AIMS: Esophageal perforation is a life-threatening disease. Factors impacting morbidity and mortality include the cause and site of the perforation, the time to diagnosis, and the therapeutic procedure. This study aimed to identify risk factors for morbidity and mortality after esophageal perforation. PATIENTS AND METHODS: This retrospective study analyzed data collected from all patients treated for esophageal perforation at the Department of Surgery, University of Schleswig-Holstein, Luebeck Campus, from January 1986 through December 2011...
June 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27270469/peripheral-vascular-restenosis-a-retrospective-study-on-the-use-of-drug-eluting-balloons-in-native-arteries-vein-grafts-and-dialysis-accesses
#7
P Björkman, E Peltola, A Albäck, M Venermo
BACKGROUND AND AIMS: The objective of this study is to analyze outcomes of the first experiences with drug-eluting balloons in native arteries, vein grafts, and vascular accesses. The study is also a pilot for our future prospective, randomized, and controlled studies regarding the use of drug-eluting balloons in the treatment of the stenosis in bypass vein graft and dialysis access. MATERIALS AND METHODS: A total of 93 consecutive patients were retrospectively analyzed and in the end 81 were included in the study...
June 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/27215222/vascular-structures-of-the-right-colon-incidence-and-variations-with-their-clinical-implications
#8
J Alsabilah, W R Kim, N K Kim
BACKGROUND AND AIMS: There is a demand for a better understanding of the vascular structures around the right colonic area. Although right hemicolectomy with the recent concept of meticulous lymph node dissection is a standardized procedure for malignant diseases among most surgeons, variations in the actual anatomical vascular are not well understood. The aim of the present review was to present a detailed overview of the vascular variation pertinent to the surgery for right colon cancer...
June 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28516802/the-influence-of-heating-on-toe-pressure-in-patients-with-peripheral-arterial-disease
#9
N Settembre, T Kagayama, P Kauhanen, P Vikatmaa, Y Inoue, M Venermo
BACKGROUND AND AIM: The toe skin temperature in vascular patients can be low, making reliable toe pressure measurements difficult to obtain. The aim of this study was to evaluate the effect of heating on the toe pressure measurements. MATERIALS AND METHODS: A total of 86 legs were examined. Brachial pressure and toe pressure were measured at rest in a supine position using a laser Doppler device that also measured skin temperature. After heating the toes for 5 min with a heating pad, we re-measured the toe pressure...
May 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28485190/complications-and-morbidity-associated-with-loop-ileostomies-in-patients-with-ulcerative-colitis
#10
J Park, B Gessler, M Block, E Angenete
BACKGROUND AND AIMS: Loop ileostomies are frequently used as diversion of the fecal stream to protect a distal anastomosis. The aim of this study was to identify complications and morbidity related to loop ileostomies in patients with ulcerative colitis at a nonemergent setting. MATERIAL AND METHODS: Consecutive patients with ulcerative colitis who received a loop ileostomy at a tertiary referral center in Sweden from January 2006 until December 2012 were included and studied retrospectively...
May 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28464708/short-term-outcomes-of-colorectal-resection-for-cancer-in-elderly-in-the-era-of-enhanced-recovery
#11
A Venara, J Barbieux, S Mucci, M F Talbot, E Lermite, A Hamy
BACKGROUND AND AIMS: Early rehabilitation protocols should be assessed in elderly. We aimed to study the outcomes of colorectal surgery and the observance of the modalities of an early rehabilitation protocol in patients over 80 years. MATERIAL AND METHODS: All consecutive patients who underwent surgery for colorectal cancer in our center over a 19-month period were included. All of these patients were managed using the same early rehabilitation protocol. Patients older than 80 were compared to younger patients...
May 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28401796/unicompartmental-knee-arthroplasties-are-performed-on-the-patients-with-radiologically-too-mild-osteoarthritis
#12
J Knifsund, J Hatakka, H Keemu, K Mäkelä, M Koivisto, T Niinimäki
BACKGROUND: Patient selection for either total knee arthroplasty or unicompartmental knee arthroplasty remains controversial. The latter has several reported advantages over total knee arthroplasty, but it also appears to have significant drawbacks in terms of revision rates. AIMS: This study aimed to determine the influence of the preoperative degree of osteoarthritis on the risk of reoperation following unicompartmental knee arthroplasty. METHODS: Surgery was carried out on 294 knees in 241 patients between 2001 and 2012 at a single institute, using cemented Oxford phase III unicompartmental knee arthroplasty...
April 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28401771/preoperative-magnetic-resonance-imaging-in-patients-with-stage-i-invasive-ductal-breast-cancer-a-prospective-randomized-study
#13
N Brück, I Koskivuo, P Boström, J Saunavaara, R Aaltonen, R Parkkola
BACKGROUND AND AIMS: Preoperative magnetic resonance imaging has become an important complementary imaging technique in patients with breast cancer, providing additional information for preoperative local staging. Magnetic resonance imaging is recommended selectively in lobular breast cancer and in patients with dense breast tissue in the case when mammography and ultrasound fail to fully evaluate the lesion, but the routine use of magnetic resonance imaging in all patients with invasive ductal carcinoma is controversial...
April 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28385111/negative-pressure-wound-therapy-for-treatment-of-mesh-infection-after-abdominal-surgery-long-term-results-and-patient-reported-outcome
#14
S Nobaek, P Rogmark, U Petersson
BACKGROUND AND AIMS: Treatment of synthetic mesh infections has previously often resulted in mesh explantation. Negative pressure wound therapy has been used in these situations with encouraging results. The aims of this study were to evaluate wound healing, mesh preservation, and patient-reported outcome after negative pressure wound therapy of mesh infections. MATERIAL AND METHODS: Medical records of patients treated with negative pressure wound therapy for mesh infection and age-matched mesh-operated controls without postoperative complications were scrutinized in a retrospective study...
April 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28385102/introduction-of-the-abbreviated-westmead-post-traumatic-amnesia-scale-and-impact-on-length-of-stay
#15
C E Watson, E A Clous, M Jaeger, S K D'Amours
BACKGROUND AND AIMS: Mild traumatic brain injury is a common presentation to Emergency Departments. Early identification of patients with cognitive deficits and provision of discharge advice are important. The Abbreviated Westmead Post-traumatic Amnesia Scale provides an early and efficient assessment of post-traumatic amnesia for patients with mild traumatic brain injuries, compared with the previously used assessment, the Modified Oxford Post-traumatic Scale. MATERIAL AND METHODS: This retrospective cohort study reviewed 270 patients with mild traumatic brain injury assessed for post-traumatic amnesia over a 2-year period between February 2011 and February 2013...
April 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28385101/outcome-of-surgery-for-pediatric-gastroesophageal-reflux-clinical-and-endoscopic-follow-up-after-300-fundoplications-in-279-consecutive-patients
#16
A I Koivusalo, M P Pakarinen
PURPOSE: Clinical and endoscopic assessment of the outcome after fundoplication for pediatric gastroesophageal reflux. BASIC PROCEDURES: Hospital records of 279 consecutive patients who underwent fundoplication for gastroesophageal reflux from 1991 to 2014 were reviewed. Underlying disorders, clinical and endoscopic findings, imaging studies, pH monitoring, and surgical technique were assessed. Main outcome measures were patency of fundoplication, control of symptoms and esophagitis, complications, redo operations, and predictive factors of failures...
April 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28376683/analyzing-the-effects-of-psychotherapy-on-weight-loss-after-laparoscopic-gastric-bypass-or-laparoscopic-adjustable-gastric-banding-in-patients-with-borderline-personality-disorder-a-prospective-study
#17
F Gallé, A Cirella, A M Salzano, V Di Onofrio, P Belfiore, G Liguori
BACKGROUND AND AIMS: Personality disorders are frequently associated with eating disorders in obese patients and may negatively affect weight loss and maintenance after bariatric surgery. This non-randomized study aimed to assess the effects of different psychotherapeutic interventions on weight loss in a sample of patients with borderline personality disorder who underwent laparoscopic gastric bypass or laparoscopic adjustable gastric banding. MATERIALS AND METHODS: A total of 153 bariatric patients meeting borderline personality disorder criteria were chosen voluntarily and consecutively to undergo an interpersonal individual treatment (n = 50), a dialectical behavioral group treatment (n = 50), or treatment as usual (n = 53) for a year after surgery...
April 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28376652/prognostic-factors-for-survival-in-node-negative-gastric-cancer-patients-who-underwent-curative-resection
#18
Y Zhou, J-G Cui, F Huang, A Zhang, C Li, Z-C Zhao, W-D Li, W-H Fu
BACKGROUND AND AIM: Lymph node involvement is the strongest prognostic factor for patients with gastric cancer; patients with node-negative gastric cancer present with better survival. However, some patients develop recurrent gastric cancer. The aim of this study was to review the clinicopathological characteristics and factors for prognosis in patients with node-negative gastric cancer who underwent curative resection. METHODS: Between January 2004 and December 2015, the clinicopathological characteristics of 302 patients with node-negative gastric cancer who underwent curative gastrectomy in our hospital were retrospectively analyzed...
April 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28737112/preoperative-aspartate-aminotransferase-to-platelet-ratio-index-predicts-perioperative-liver-related-complications-following-liver-resection-for-colorectal-cancer-metastases
#19
S Amptoulach, G Gross, C Sturesson, P Rissler, E Kalaitzakis
BACKGROUND AND AIMS: There are limited data on the potential role of preoperative non-invasive markers, specifically the aspartate-to-alanine aminotransferase ratio and the aspartate aminotransferase-to-platelet ratio index, in predicting perioperative liver-related complications after hepatectomy for colorectal cancer metastases. METHODS: Patients undergoing liver resection for colorectal cancer metastases in a European institution during 2003-2010 were retrospectively enrolled...
March 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28737110/the-introduction-of-adult-appendicitis-score-reduced-negative-appendectomy-rate
#20
H E Sammalkorpi, P Mentula, H Savolainen, A Leppäniemi
BACKGROUND AND AIMS: Implementation of a clinical risk score into diagnostics of acute appendicitis may provide accurate diagnosis with selective use of imaging studies. The aim of this study was to prospectively validate recently described diagnostic scoring system, Adult Appendicitis Score, and evaluate its effects on negative appendectomy rate. MATERIAL AND METHODS: Adult Appendicitis Score stratifies patients into three groups: high, intermediate, and low risk of appendicitis...
March 1, 2017: Scandinavian Journal of Surgery: SJS
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