Multivisceral Resection for Locally Advanced Rectal Cancer: Prognostic Factors Influencing Outcome
Conclusion: Lymph node involvement was associated with worse survival, whereas stage II and absence of lymph vascular invasion were associated with a better survival. Lymph vascular invasion was associated with a higher distant recurrence. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 21, 2015 Category: Surgery Authors: Manas, M. J., Espin, E., Lopez-Cano, M., Vallribera, F., Armengol-Carrasco, M. Tags: Original Articles Source Type: research

Stenting for Emergency Colorectal Obstruction: An Analysis of 204 Patients in Relation to Predictors of Failure and Complications
Conclusion: Colorectal stenting is less invasive than other means of emergency treatment for large bowel obstruction; it is generally safe and effective in different types of colorectal obstruction. However, relevant rates of failure and complications were recorded and predictors could be determined. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 21, 2015 Category: Surgery Authors: Kohler, G., Antoniou, S. A., Lechner, M., Mayer, F., Mair, J., Emmanuel, K. Tags: Original Articles Source Type: research

Risk factors for the periprosthetic fracture after total hip arthroplasty: a systematic review and meta-analysis
Conclusions: These medical conditions as reminder should be kept in clinicians’ mind and close follow-up should be implemented in patients involved for preventing the occurrence of periprosthetic fractures after total hip arthroplasty. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 21, 2015 Category: Surgery Authors: Zhu, Y., Chen, W., Sun, T., Zhang, X., Liu, S., Zhang, Y. Tags: Review Source Type: research

Too Many Unanswered Questions in Children's Forearm Shaft Fractures: High-Standard Epidemiological and Clinical Research in Pediatric Trauma is Warranted
(Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 21, 2015 Category: Surgery Authors: Sinikumpu, J.-J. Tags: Editorials Source Type: research

Surgical Rescue: An Essential Component of Acute Care Surgery
(Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - August 21, 2015 Category: Surgery Authors: Peitzman, A. B., Leppaniemi, A., Kutcher, M. E., Forsythe, R. M., Rosengart, M. R., Sperry, J. L., Zuckerbraun, B. S. Tags: Editorials Source Type: research

Incidence of Recreational Alpine Skiing and Snowboarding Injuries: six years experience in the largest ski resort in Finland
Conclusion: Skiing and snowboarding are related to a relatively high risk of injury. The most common injuries affect the knee in skiers and the upper extremity, especially the wrist, in snowboarders. A continuous and systematic review of injuries is needed to monitor the effects of changes made in terms of the safety. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Stenroos, A., Handolin, L. Tags: Original Articles Source Type: research

Pitfalls of femoral Titanium Elastic Nailing
Conclusions: Based on this study, two types of pitfalls in a small volume center were found. Titanium elastic nail ends were left unbent and too long. We recommend palpating the nail ends to exclude nail prominence and to verify free movement of the knee after nail cutting and bending. Fracture instability was caused by inserting titanium elastic nailing–nails that were too narrow. To avoid this complication, careful preoperative planning to select the proper-size titanium elastic nailing–nails and intraoperative testing of fracture stability under continuous fluoroscopy after the operation is advised. (Source:...
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Salonen, A., Lahdes-Vasama, T., Mattila, V. M., Valipakka, J., Pajulo, O. Tags: Original Articles Source Type: research

Factors associated with in-hospital outcomes in 594 consecutive patients suffering from severe blunt chest trauma
Conclusions: The number of rib fractures does not correlate with mortality or the length of stay in the intensive care unit in blunt trauma patients with severe thoracic injury. Mortality in these patients correlated with the degree of hypoperfusion (base excess) and coagulation abnormalities (tromboplastin time) on admission. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Soderlund, T., Ikonen, A., Pyhalto, T., Handolin, L. Tags: Original Articles Source Type: research

Epidemiology of electrical injury: Differences between low- and high-voltage electrical injuries during a 7-year study period in South Korea
Conclusions: The mean age of all patients was 33.4 ± 18.2 years. The ratio of males to females was 13.5 in the whole group. The mean total body surface are burned was 14.0% ± 13.8% in total. The majority of electrical burns in the low-tension group and high-tension group occurred in patients under 20 years and in patients aged 40–59 years, respectively. Steel chopstick insertions and high-voltage electrical work/repair were the most common injury modes in the low-tension group and the high-tension group, respectively. Groin and abdominal distant flap surgeries were commonly performed in both groups. It ...
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Kym, D., Seo, D. K., Hur, G. Y., Lee, J. W. Tags: Original Articles Source Type: research

Successful foot salvage with microvascular flaps in diabetic patients
Conclusion: Free tissue transfer enables successful wound healing and limb salvage rather than amputation in selected diabetic patients with difficult-to-heal wounds. Complete healing of tissue lesions is slow even after successful surgery. Preoperative assessment of the condition of patients is the key to success. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Eskelinen, E., Kaartinen, I., Kaariainen, M., Kuokkanen, H. Tags: Original Articles Source Type: research

Reduction Mammaplasty as an Outpatient Procedure: A Retrospective Analysis of Outcome and Success Rate
Conclusion: Reduction mammaplasty can be successfully and safely performed as an outpatient procedure in European public health care. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Carpelan, A., Kauhanen, S., Mattila, K., Jahkola, T., Tukiainen, E. Tags: Original Articles Source Type: research

Should asymptomatic retrosternal goitre be left untreated? A prospective single-centre study
Conclusion: Surgery for retrosternal goiters involves a higher risk for complications than do cervical goiters, and the risk does not differ between patients with and without symptoms. This, and the fact that no patient in this study had unsuspected cancer, calls into question the rationale for surgery in patients with asymptomatic retrosternal goiter without suspected cancer. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Landerholm, K., Jarhult, J. Tags: Original Articles Source Type: research

Post-Endoscopic Retrograde Cholangiopancreaticography complications in liver transplanted patients, a single-center experience
Conclusions: Complications were of surprisingly mild degree. The rates of post-ERCP complications in our study were in line with previous studies with liver transplantation patients. Cholangitis prior to ERCP may be another risk factor for post-ERCP pancreatitis. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Ambrus, R. B., Svendsen, L. B., Hillingso, J. G., Hansen, M. L., Achiam, M. P. Tags: Original Articles Source Type: research

Preoperative Biliary Decompression Preceding Pancreaticoduodenectomy With Plastic or Self-Expandable Metallic Stent
Conclusions: The stent failure rate was 7.4% for plastic stents and 3.4% for SEMS (p = 0.697). A bilirubin level under 50 µmol/L was reached by 80% of the patients with plastic stents and by 61% of the patients with SEMS (p = 0.058). A postoperative infection complication and/or a pancreatic fistula was found in 26% while using plastic stents and in 25% using SEMS (p = 1.000). In unstented patients with biliary obstruction, the bile juice was sterile significantly more often than in endoscopically stented patients (100% vs 1%, p < 0.001). When the stented and unstented patients were compared regarding postoperativ...
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Haapamaki, C., Seppanen, H., Udd, M., Juuti, A., Halttunen, J., Kiviluoto, T., Siren, J., Mustonen, H., Kylanpaa, L. Tags: Original Articles Source Type: research

The diagnostic value of a panel of serological markers in acute appendicitis
Conclusion: Combining blood markers was useful in predicting appendicitis and perforated appendicitis. In addition to C-reactive protein and white cell count, blood levels of bilirubin, and alanine transaminase may be useful. (Source: Scandinavian Journal of Surgery)
Source: Scandinavian Journal of Surgery - May 5, 2015 Category: Surgery Authors: Farooqui, W., Pommergaard, H.-C., Burcharth, J., Eriksen, J. R. Tags: Original Articles Source Type: research