Scandinavian Journal of Surgery最新文献_第6页

Stoma formation: An underestimated challenge in emergency surgery. 造口形成：急诊手术中被低估的挑战。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2024-03-04 DOI: 10.1177/14574969241234987

Tom Øresland, Johannes Kurt Schultz

引用次数: 0

Biodegradable biomaterials in orthopedic surgery: A narrative review of the current evidence. 骨科手术中的可生物降解生物材料：对现有证据的叙述性综述。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2023-10-10 DOI: 10.1177/14574969231200650

Arimatias Raitio, Antti J Saarinen, Juha-Jaakko Sinikumpu, Ilkka Helenius

{"title":"Biodegradable biomaterials in orthopedic surgery: A narrative review of the current evidence.","authors":"Arimatias Raitio, Antti J Saarinen, Juha-Jaakko Sinikumpu, Ilkka Helenius","doi":"10.1177/14574969231200650","DOIUrl":"10.1177/14574969231200650","url":null,"abstract":"Background: Biomaterials are routinely used in orthopedic surgery to fill bone defects, improve bone healing, and as degradable fixation material. A wide range of materials are currently in use, and the materials are chosen according to their bioactive properties. Osteoinductive materials stimulate bone healing by promoting osteogenesis. Osteoconductive materials facilitate bone growth on the surface of the material. Despite the many materials in use and an increasing number of published studies, randomized controlled trials on the subject are scarce.Methods: This review aims to summarize the history of biodegradable biomaterials and also the published level I evidence currently available on orthopedic biomaterials.Results: Most of the studies have been superiority trials with non-significant differences compared to conventional treatment options, confirming that several biomaterials are suitable treatment options for multiple indications including bone and/or tendon fixation, filling bone defects, and spinal fusion. Biomaterials help to avoid donor site complications associated with autogenous bone grafts and often eliminate the need for implant removal. However, the surgical technique may in some cases be more demanding than with conventional methods. Careful consideration of the pros and cons is therefore recommended in clinical practice.Conclusion: Biodegradable biomaterials complement the range of available treatment options in several fields of orthopedic surgery. However, some biomaterials performed worse than expected and were not recommended for clinical use, emphasizing the need for high-quality randomized trials. It is also noteworthy that several trials included only a limited number of patients, rendering the interpretation of the results of these underpowered studies challenging.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"62-70"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Invited commentary: Training and generation of solid evidence are the shoulders of giants in robotic surgery. 特邀评论：培训和生成可靠证据是机器人手术巨人的肩膀。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2024-02-27 DOI: 10.1177/14574969241234739

José M Balibrea, Jordi Tarascó, Pau Moreno

引用次数: 0

Preoperative stoma site marking reduces postoperative stoma-related complications in emergency surgery: A single center retrospective cohort study. 术前造口部位标记可减少急诊手术中与造口相关的术后并发症：单中心回顾性队列研究。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2023-07-18 DOI: 10.1177/14574969231186282

Hiroaki Nozawa, Sanae Sasaki, Chieko Hayashi, Akiko Kawasaki, Kazuhito Sasaki, Koji Murono, Shigenobu Emoto, Soichiro Ishihara

{"title":"Preoperative stoma site marking reduces postoperative stoma-related complications in emergency surgery: A single center retrospective cohort study.","authors":"Hiroaki Nozawa, Sanae Sasaki, Chieko Hayashi, Akiko Kawasaki, Kazuhito Sasaki, Koji Murono, Shigenobu Emoto, Soichiro Ishihara","doi":"10.1177/14574969231186282","DOIUrl":"10.1177/14574969231186282","url":null,"abstract":"Background and objective: Stoma site marking is an important factor in reducing stoma-related complications, thereby influencing the long-term quality of life in the elective setting. The impact of preoperative stoma site marking in emergency stoma creation is largely unknown. We aimed to determine whether preoperative stoma site marking in emergency stoma creation reduces stoma-related complications.Methods: Patients who underwent emergency stoma creation at our hospital between 2009 and 2022 were examined by reviewing our prospective database and retrospective chart review. Subjects were classified into the \"marking (+)\" or \"marking (-)\" group according to stoma site marking (194 and 151 patients, respectively). The changes in the frequency of stoma marking over time and the effects of stoma marking on stoma-related complications were analyzed.Results: The overall frequency of grade 2 or higher stoma-related complications was lower in the marking (+) group than in the marking (-) group (24% versus 36%, p = 0.010). Stoma site marking was associated with fewer soma site bleeding (2% versus 10%, p < 0.001), and the frequency of peristomal dermatitis was also lower (10%) in the marking (+) group (versus 18%, p = 0.042). Moreover, the lack of stoma site marking was an independent risk factor for overall stoma-related complications (adjusted odds ratio: 1.69, p = 0.034).Conclusions: Preoperative stoma site marking was associated with stoma-related complications in emergency surgery. The clinical significance of our attempt is worth validating with prospective studies.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"40-49"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of parastomal hernia on colostomy costs at 1 year: Secondary analysis of a randomized clinical trial (STOMAMESH). 吻合口旁疝对结肠造口术 1 年费用的影响：随机临床试验（STOMAMESH）的二次分析。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2023-08-10 DOI: 10.1177/14574969231188021

Christoffer Odensten, Ulf Gunnarsson, Jeaneth Johansson, Pia Näsvall

{"title":"Impact of parastomal hernia on colostomy costs at 1 year: Secondary analysis of a randomized clinical trial (STOMAMESH).","authors":"Christoffer Odensten, Ulf Gunnarsson, Jeaneth Johansson, Pia Näsvall","doi":"10.1177/14574969231188021","DOIUrl":"10.1177/14574969231188021","url":null,"abstract":"Background and aims: Parastomal hernia (PSH) is a common complication after the creation of a colostomy, with a prevalence of approximately 50%. Despite the high frequency, little is known how PSH affects the cost of colostomy care.The hypothesis in this study was that PSH increases the cost of colostomy care compared with not having a PSH.Methods: Two groups with (N = 61) and without (n = 147) PSH were compared regarding costs of stoma appliances and visits. The population from a large randomized trial comparing construction of colostomy with or without prophylactic mesh (STOMAMESH) was used and cross-matched with health economic data from the National Pharmaceutical Register, 1 year after initial surgery.Results: Patients with and without a PSH were similar in basic demographic data. No difference in cost of stoma appliances (with PSH 2668.3 EUR versus no PSH 2724.5 EUR, p = 0.938) or number of visits to a stoma therapist (p = 0.987) was seen, regardless of the presence or not of a PSH.Conclusions: PSH appears not to affect costs due to colostomy appliances or the need to visit a stoma therapist, in the first year. The lesson to be learnt is that PSHs are not a driver for costs. Other factors may be determinants of the cost of a colostomy, including manufacturers' price and persuasion, means of procurement, and presence of guidelines.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"33-39"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10327488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robot-assisted pelvic and renal surgery compared with laparoscopic or open surgery: Literature review of cost-effectiveness and clinical outcomes. 机器人辅助盆腔和肾脏手术与腹腔镜或开放手术的比较：关于成本效益和临床结果的文献综述。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2023-08-09 DOI: 10.1177/14574969231186283

Thomas Davidson, Rune Sjödahl, Åke Aldman, Claes Lennmarken, Ann-Sofi Kammerlind, Elvar Theodorsson

{"title":"Robot-assisted pelvic and renal surgery compared with laparoscopic or open surgery: Literature review of cost-effectiveness and clinical outcomes.","authors":"Thomas Davidson, Rune Sjödahl, Åke Aldman, Claes Lennmarken, Ann-Sofi Kammerlind, Elvar Theodorsson","doi":"10.1177/14574969231186283","DOIUrl":"10.1177/14574969231186283","url":null,"abstract":"Background and aim: The purpose of this study was to evaluate clinical experiences and cost-effectiveness by comparing robot-assisted surgery with laparoscopic- or open surgery for pelvic and renal operations.Methods: A narrative review was carried out.Results: When using robotic-assisted surgery, oncological and functional results are similar to after laparoscopic or open surgery. One exception may be a shorter survival in cancer of the cervix uteri. In addition, postoperative complications after robotic-assisted surgery are similar, bleeding and transfusion needs are less, and the hospital stay is shorter but the preparation of the operating theater before and after surgery and the operation times are longer. Finally, robot-assisted surgery has, in several studies, been reported to be not cost-effective primarily due to high investment costs. However, more recent studies provide improved cost-effectiveness estimates due to more effective preparation of the operating theater before surgery, improved surgeon experience, and decreased investment costs.Conclusions: Complications and functional and oncological outcomes after robot-assisted surgery are similar to open surgery and laparoscopic surgery. The cost-effectiveness of robot-assisted surgery is likely to equal or surpass the alternatives.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"13-20"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9951553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The current application and evidence for robotic approach in abdominal surgery: A narrative literature review. 腹部手术中机器人方法的当前应用和证据：文献综述。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2024-03-18 DOI: 10.1177/14574969241232737

Niclas Dohrn, Stefan Kobbelgaard Burgdorf, Pieter de Heer, Mads Falk Klein, Kristian Kiim Jensen

引用次数: 0

Short-term results after robot-assisted surgery for primary rectal cancers requiring beyond total mesorectal excision in multiple compartments. 机器人辅助原发性直肠癌手术后的短期结果，需要在多个隔间进行全直肠系膜切除术。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2023-10-03 DOI: 10.1177/14574969231200654

Ebbe B Thorgersen, Arne M Solbakken, Tuva K Strøm, Mariusz Goscinski, Milan Spasojevic, Stein G Larsen, Kjersti Flatmark

{"title":"Short-term results after robot-assisted surgery for primary rectal cancers requiring beyond total mesorectal excision in multiple compartments.","authors":"Ebbe B Thorgersen, Arne M Solbakken, Tuva K Strøm, Mariusz Goscinski, Milan Spasojevic, Stein G Larsen, Kjersti Flatmark","doi":"10.1177/14574969231200654","DOIUrl":"10.1177/14574969231200654","url":null,"abstract":"Aim: Rectal cancers requiring beyond total mesorectal excision (bTME) are traditionally operated using an open approach, but the use of minimally invasive robot-assisted procedures is increasing. Introduction of minimal invasive surgery for complex cancer cases could be associated with compromised surgical margins or increased complication rates. Therefore, reporting results both clinical and oncological in large series is important. Since bTME procedure reports are heterogeneous, comparing results is often difficult. In this study, a magnetic resonance imaging (MRI) classification system was used to describe the bTME surgery according to pelvic compartments.Methods: Consecutive patients with primary rectal cancer operated with laparoscopic robot-assisted bTME were prospectively included for 2 years. All patients had tumors that threatened the mesorectal fascia, invaded adjacent organs, and/or involved metastatic pelvic lateral lymph nodes. Short-term clinical outcomes and oncological specimen quality were registered. Surgery was classified according to pelvic compartments resected.Results: Clear resection margins (R0 resection) were achieved in 95 out of 105 patients (90.5%). About 26% had Accordion Severity Grading System of Surgical Complications grade 3-4 complications and 15% required re-operations. About 7% were converted to open surgery. The number of compartments resected ranged from one to the maximum seven, with 83% having two or three compartments resected. All 10 R1 resections occurred in the lateral and posterior compartments.Conclusions: The short-term clinical outcomes and oncological specimen quality after robot-assisted bTME surgery were comparable to previously published open bTME surgery. The description of surgical procedures using the Royal Marsden MRI compartment classification was feasible.","PeriodicalId":49566,"journal":{"name":"Scandinavian Journal of Surgery","volume":" ","pages":"3-12"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current status and outlook of robotic surgery in the Nordic countries. 北欧国家机器人手术的现状与展望。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2024-03-01 Epub Date: 2023-11-16 DOI: 10.1177/14574969231211078

John C F Glent, Ebbe B Thorgersen

引用次数: 0

Five-year follow-up of appendiceal neoplasm risk in periappendicular abscess in the Peri-Appendicitis Acuta Randomized Clinical Trial. 急性阑尾炎随机临床试验中阑尾周围脓肿患阑尾肿瘤风险的5年随访。

IF 2.4 3区医学

Scandinavian Journal of Surgery Pub Date : 2023-12-01 Epub Date: 2023-09-01 DOI: 10.1177/14574969231192128

Roosa Salminen, Tero Rautio, Pia Nordström, Tuomo Rantanen, Jari Mällinen, Juha Grönroos, Paulina Salminen

引用次数: 0