Malin Sund

Professor of Surgery, University of Helsinki and Umeå University. Editor BJS.

[BJS @BJSurgery]

Epidemiology of trauma deaths across a mature regional trauma system: patterns of prehospital and in-hospital fatalities
➡️https://t.co/V9DNnJpjEt

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

[BJS @BJSurgery]

Long-term oncological outcomes of robotic versuslaparoscopic total mesorectal excision for rectal cancer: COLRAR randomized clinical trial
➡️https://t.co/P8Y7tpXXda

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

[BJS @BJSurgery]

Concise stakeholder-informed tool for reporting modifications to innovative surgical procedures and devices: Surgical ModificAtion Reporting Tool (SMART) checklist
➡️ https://t.co/ZQlh1GrqgM

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

[BJS @BJSurgery]

Standard reporting on duodenal stump leakage after gastric cancer resections: multicentre analysis from the GASTRODATA Study Group (the STARDUST study)
➡️ https://t.co/Fb0Pbjjm1y

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

[BJS @BJSurgery]

Association of infrarenal aortic diameter in siblings within the Stockholm abdominal aortic aneurysm screening programme
➡️ https://t.co/7MQuRB6Axi

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

[BJS @BJSurgery]

Dehiscence, infection, seroma, haematoma (DISH): development and validation of a new classification of surgical site outcomes
➡️ https://t.co/0PdqKcMaJa

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

[BJS @BJSurgery]

Impact of safe-anastomosis digital training on 30-day anastomotic leak after right colectomy: international prospective cohort study (EAGLE-2)
➡️ https://t.co/p0nlP97utP

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

[The Nobel Prize @NobelPrize]

BREAKING NEWS
The 2026 #NobelPrize in Physiology or Medicine has been awarded to Karl Deisseroth, Peter Hegemann and Georg Nagel “for their discoveries concerning light-gated ion channels and optogenetics.”

[Oskar Franklin @OskarFranklin]

Proud to present this work by Jun Yoshino who spend a year as fellow at @umeauniversity @AsifHalimi @MalinASund @PeterNaredi

[BJS @BJSurgery]

Trimester-specific safety of laparoscopic versus open abdominal surgery during pregnancy: systematic review and meta-analysis
➡️ https://t.co/wpm8k2IdL4

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

[BJS @BJSurgery]

Aortic dissection incidence, management, and outcomes: national population-based study
➡️ https://t.co/5VHRjcftXF

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

[BJS @BJSurgery]

Surgical outcomes from nationwide implementation of the international best practice for locally advanced pancreatic cancer (PREOPANC-4) study
➡️ https://t.co/Of91znqIgn

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

[BJS @BJSurgery]

A randomized controlled trial comparing non-selective versus selective TIRADS-based cytology in thyroid cancer diagnostics
➡️ https://t.co/ElThn81Xkn

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

[BJS @BJSurgery]

Making the operating room (OR) work: sociomaterial study of ergonomics in the OR
➡️https://t.co/hto3X5Mkwk

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

[BJS @BJSurgery]

Patient-reported outcomes in masculinizing gender-affirming chest surgery: validation of the GENDER-Q Chest scales
➡️ https://t.co/sBP5W8GrSr

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

[BJS @BJSurgery]

Seeing the unseen: a theory of sexual misconduct perception in the surgical workplace
➡️ https://t.co/W0lN8f0Ich

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

[Malin Sund @MalinASund]

@HansL16 @BJSAcademy @womeninsurgery @SKFredaktion 🫣

[Malin Sund @MalinASund]

@HansL16 @BJSAcademy @womeninsurgery @SKFredaktion So strange - and what are the specific risks compared to any/many jobs? Or is this all medicine and not OR specifically 🤔? Our system would likely crash with such interpretations in place…

[Hans Lederhuber @HansL16]

@MalinASund @BJSAcademy @womeninsurgery @SKFredaktion Malin, similar to Italy in Germany. Problem is, it's defensive law, not a lack of safety standards, that stalls careers here. In Germany, hospital CEOs face personal criminal liability (and jail time) under the maternity laws if a pregnant surgeon is exposed to risks.