Malin Sund

Epidemiology of trauma deaths across a mature regional trauma system: patterns of prehospital and in-hospital fatalities ➡️doi.org/10.1093/bjs/znag030 In mature trauma systems, most trauma deaths now occur before arrival in hospital, with many due to potentially reversible causes The greatest opportunities to improve trauma outcomes now lie in the prehospital phase of care Work by Aditi Nijhawan , Ewoud ter Avest , Callum J Twohig , Stacey J Webster , Jared M Wohlgemut , Jason Morris , Robbie Lendrum , Virginia Fitzpatrick-Swallow , David J Lockey , Zane B Perkins #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #SoMe4Trauma #emgensurg @WSESurgery @NELANews

Long-term oncological outcomes of robotic versuslaparoscopic total mesorectal excision for rectal cancer: COLRAR randomized clinical trial ➡️doi.org/10.1093/bjs/znag114 R-TME and L-TME produced equivalent 5-year oncological outcomes. A post-hoc analysis suggested improved local control with robotic surgery after neoadjuvant chemoradiotherapy, requiring confirmation in prospectively designed studies. Work by Seung Ho Song , Byung Soh Min , Jun Seok Park , Kang Young Lee , Nam Kyu Kim , Seon-Hahn Kim , Soo Yeun Park , Hye Jin Kim , Sung-Min Lee , Gyu-Seog Choi #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto

Concise stakeholder-informed tool for reporting modifications to innovative surgical procedures and devices: Surgical ModificAtion Reporting Tool (SMART) checklist ➡️ doi.org/10.1093/bjs/znag117 SMART is a concise, stakeholder-informed prepublication tool to guide prospective tracking and consistent reporting of modifications to innovative invasive procedures and devices Used alongside the IDEAL framework, it has the potential to improve the quality and interpretability of surgical innovation research Work by James B Olivier , Rhiannon C Macefield , Maeve Coyle , Kerry N L Avery , Natalie S Blencowe , Daisy Elliott #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Standard reporting on duodenal stump leakage after gastric cancer resections: multicentre analysis from the GASTRODATA Study Group (the STARDUST study) ➡️ doi.org/10.1093/bjs/znag105 Postoperative DSL was uncommon (2.6%), but it was associated with a 90-day mortality rate of 17.2%, which varied according to the severity of the clinical presentation and the invasiveness of the treatment Preoperative weight loss, unreinforced duodenal stump, Billroth II reconstruction, and postoperative blood transfusion were prognostic factors associated with complication occurrence. Work by Mattia Molteni , Francesco Puccetti , Gian Luca Baiocchi , Guillaume Piessen , William Allum , Andrew Davies , Arnulf Hoelscher , Ines Gockel , Daniel Reim , Paolo Morgagni , Uberto Fumagalli Romario , Domenico D’Ugo , Rossella Reddavid , Giovanni De Manzoni , Johanna van Sandick , Suzanne Gisbertz , Bas Wijnhoven , Wojciech Polkowski , Piotr Kołodziejczyk , Wojciech Kielan , Paulo Matos da Costa , Lucio Lara Santos , Manuel Pera , Stefan Moenig , Paul M Schneider , Christian A Gutschow , Ugo Elmore , Riccardo Rosati , Other Members of the GASTRODATA Study Group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Association of infrarenal aortic diameter in siblings within the Stockholm abdominal aortic aneurysm screening programme ➡️ doi.org/10.1093/bjs/znag108 This study provides further evidence for familial aggregation and heritability of IAD and pathologies of the infrarenal aorta, which reinforces the advice for screening of siblings, and especially twins, of individuals with an abnormal aortic diameter including subaneurysms Work by Antti Siika , Rebecka Hultgren , Jonas Brinck , Daniel P Andersson #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery @VascularSVS

Dehiscence, infection, seroma, haematoma (DISH): development and validation of a new classification of surgical site outcomes ➡️ doi.org/10.1093/bjs/znag112 The proposed cross-specialty, global DISH Classification facilitates more comprehensive surveillance and audit of SSOs in clinical practice and research, by standardizing reporting of all relevant grades of clinical presentation and management of SSOs Work by Giles Bond-Smith , Marja A Boermeester , David J Leaper , Philip L Russo , Antonia F Chen , the SSO Working Group Authors , the SSO Expert Panel , the SSO Validation Study Panel #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Impact of safe-anastomosis digital training on 30-day anastomotic leak after right colectomy: international prospective cohort study (EAGLE-2) ➡️ doi.org/10.1093/bjs/znag107 Completion of a brief digital training programme was associated with a clinically and statistically significant lower rate of AL after right colectomy, alongside lower rates of reoperation, readmission, and death Scalable digital education should be embedded into colorectal quality improvement programmes worldwide Work by ESCP EAGLE Safe Anastomosis Collaborative and NIHR Global Surgery Unit #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto

Trimester-specific safety of laparoscopic versus open abdominal surgery during pregnancy: systematic review and meta-analysis ➡️ doi.org/10.1093/bjs/znag084 Laparoscopy confers maternal benefits and reduces preterm delivery but is associated with higher fetal loss and elevated composite adverse outcomes in the second trimester. Work by Siran Wan , Wei Lin , Xue Zhang , Saidi Hu , Chenchen Luo , Shunhong Zhang , Elaine dos Ramos Amado dos Ramos , Lucilia Fernandes de Almeida , Lin-yong Zhao #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Aortic dissection incidence, management, and outcomes: national population-based study ➡️ doi.org/10.1093/bjs/znag101 The incidence of AD is increasing in Sweden, with persisting sex disparities in management and outcomes. These findings underscore the need for targeted interventions to improve the diagnosis, management, and prognostication of AD, especially in women Work by Erin C Saricilar , Christian Smedberg , Rebecka Hultgren , Jacob Budtz-Lilly , Kevin Mani #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery @VascularSVS @FutureVascSurgn

Surgical outcomes from nationwide implementation of the international best practice for locally advanced pancreatic cancer (PREOPANC-4) study ➡️ doi.org/10.1093/bjs/znag075 Nationwide implementation of the international best practice for LAPC was feasible with nearly three times more resections performed than expected, while morbidity and mortality remained well within predefined safety benchmarks Work by Thomas F Stoop , Leonard W F Seelen , Freek R van ‘t Land , Jacobien C M Scheepens , Mahsoem Ali , Anna C van der Hout , B Marion van der Kolk , Bert A Bonsing , Daan J Lips , Eric R Manusama , François E J A Willemsen , Freek Daams , Geert Kazemier , Gijs A Patijn , Ignace H de Hingh , Jan H Wijsman , Jennifer Schreinemakers , Joris I Erdmann , J Sven D Mieog , Joost M Klaase , Judith A C Rietjens , Koop Bosscha , Lysanne P M Beuk , Maarten W Nijkamp , Marcel den Dulk , Marnix P M Kop , Mike S L Liem , Misha Luyer , Martijn W J Stommel , Olivier R Busch , Sebastiaan Festen , Stefan Bouwense , Tom M Karsten , Tom W van Ravens , Ulff P Neumann , Vincent E de Meijer , Vincent B Nieuwenhuijs , Werner A Draaisma , Wouter Derksen , Thomas L Bollen , Bas Groot Koerkamp , Casper H J van Eijck , I Quintus Molenaar , Christopher L Wolfgang , Marco Del Chiaro , Matthew H G Katz , Thilo Hackert , Johanna W Wilmink , Hjalmar C van Santvoort , Roeland F de Wilde , Marc G Besselink , the Dutch Pancreatic Cancer Group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery

A randomized controlled trial comparing non-selective versus selective TIRADS-based cytology in thyroid cancer diagnostics ➡️ doi.org/10.1093/bjs/znag076 This randomized controlled trial supports the use of EU-TIRADS to correctly select neoplastic nodules for FNA without missing thyroid cancer. The proportion of patients where FNA can be safely omitted using EU-TIRADS may however be exaggerated, indicating a need for further refinement of risk stratification systems for thyroid cancer diagnostics. Work by Jakob Dahlberg , Jeanette Carlqvist , Ann Örtoft , Lilian Hammarstedt , Ekaterina Aula , Mikael Hellström , Erik Elias , Andreas Muth #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #endocrine @BalibreaJose #thyroid @CirEnd_AEC

Making the operating room (OR) work: sociomaterial study of ergonomics in the OR ➡️doi.org/10.1093/bjs/znag083 OR ergonomic challenges extend beyond equipment and workspace design—social position, individual agency, team collaboration and understanding of roles all play a major part Many barriers are system-level problems for which solutions are still being left to individuals Work by Alexis Mah , Csilla Kalocsai , Fahad Alam , Allia Karim , Jeremie Larouche , M Susan Hallbeck , Tara Cohen , Anna Ding , Jessica Armah , Julie Hallet , the SORE Research Group #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Patient-reported outcomes in masculinizing gender-affirming chest surgery: validation of the GENDER-Q Chest scales ➡️ doi.org/10.1093/bjs/znag089 The GENDER-Q Chest scales evidenced construct validity to measure appearance of chest, nipples and areolas, and scars for individuals seeking or undergoing masculinizing gender-affirming chest surgery The GENDER-Q Chest scales provide a robust, validated approach for assessing outcomes in this context and are well suited for generating high-quality evidence on patient-reported outcomes Work by Caleb Haley , Shane D Morrison , Manraj N Kaur , Charlene Rae , Megan Lane , Danny A Young-Afat , Tim C van de Grift , Nicola R Dean , Kathleen A Armstrong , Devin Coon , Zac A Cannell , Christian X Lava , Sylvie D Cornacchi , Alexis Laungani , Margriet G Mullender , Jens A Sørensen , Lotte Poulsen , Jack G Graesser , Thomas Satterwhite , Allison C Hu , Gerhard S Mundinger , Hilliard T Brydges , Jessica J Hsu , Blair R Peters , Jens U Berli , Christodoulos Kaoutzanis , Nargis Kalia , Rachel Bluebond-Langner , Oren Ganor , Alireza Hamidian Jahromi , Bashar A Hassan , Fan Liang , John H Pang , Edward C Ray , Gabriel A Del Corral , Kenneth L Fan , Lily R Mundy , Andrea L Pusic , Anne F Klassen #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #BreastCancerAwareness #BreastSurgery

Seeing the unseen: a theory of sexual misconduct perception in the surgical workplace ➡️ doi.org/10.1093/bjs/znag077 Sexual misconduct is experienced very differently across the surgical workforce - but why do colleagues working in the same department often perceive completely different realities? This study introduces the Lateral View X-ray theory, showing how personal experience, power, and workplace culture shape what individuals see—or fail to see Understanding these different perspectives is essential to improving responses and driving meaningful cultural change Work by Rebecca A Fisher , Philippa C Jackson , Greta McLachlan , Carrie Newlands , Christopher T Begeny , Rosalind Searle #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #some4hpb #some4tpl @DPCG_official @pancreatitis_nl @PancreasClub #PancreasClub2023 #PancreaticCancer #Pancreatitis #HCC @PanCAN #PanCANawareness @EurPancClub @P_C_E_ @dice_europe #PancreaticCancer #cholangiocarcinoma #HPBSurgery #GallbladderCancer #Oncology #LiverSurgery #SoMe4Trauma #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto #some4UGI #uppergi #esophagealcancer #gastriccancer #reflux @ISDE_net @Augishealth @roux_group @T4UGIS @SARONG_Trial @YoungIFSO #bariatricsurgery

Anal high-grade squamous intraepithelial lesions: identification, classification, and management ➡️ doi.org/10.1093/bjs/znag006 Early detection and treatment of anal squamous intraepithelial lesions are key to preventing anal cancer This review highlights the evolving role of high-resolution anoscopy in modern screening and management Work by Emanuel Cavazzoni , Mariangela Desantis , Carlo Vivaldi , Hartmut Schäfer , Massimiliano Mistrangelo #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #colorectalsurgery #StepUp4CRC @FightCRC @ACPGBI #ERAS @dice_europe #Crohn #proctology @Dukes_Club @ACPGBI_EduTrain @AECP_FAECP @PelvExGroup @escp_tweets @YouESCP #TeachMeColoproctology #Some4COLoprocto

Economic evaluation of lymphaticovenous anastomosis versus conservative therapy for breast cancer-related lymphoedema: secondary outcome analysis of a randomized clinical trial ➡️doi.org/10.1093/bjs/znag062 LVA combined with CDT was more costly than CDT alone, but generated slightly more QALYs and may be cost-effective from a societal perspective, particularly when performed under local anaesthesia Work by Alieske Kleeven , Yasmine M J Jonis , Olivia Currie , Joost Wolfs , Merel Kimman , Hanneke Tielemans , René R W J van der Hulst , Stefan Hummelink , Shan Shan Qiu #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #vascularsurgery #vascular #Ischemia @vascularsurgery @VascularSVS