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  1. Article ; Online: Anorectal side-effects of radical cystectomy.

    Gunnarsson, Ulf

    Scandinavian journal of urology

    2022  Volume 56, Issue 2, Page(s) 162–163

    MeSH term(s) Cystectomy/adverse effects ; Female ; Humans ; Iatrogenic Disease ; Male ; Treatment Outcome ; Urinary Bladder ; Urinary Bladder Neoplasms/surgery
    Language English
    Publishing date 2022-03-04
    Publishing country England
    Document type Editorial
    ZDB-ID 2701936-6
    ISSN 2168-1813 ; 2168-1805
    ISSN (online) 2168-1813
    ISSN 2168-1805
    DOI 10.1080/21681805.2022.2045353
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 601: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  2. Article ; Online: Nitrogen fertilization reduces Sphagnum production in bog communities.

    Gunnarsson, U / Rydin, H

    The New phytologist

    2021  Volume 147, Issue 3, Page(s) 527–537

    Abstract: The effects of increased nitrogen influx on Sphagnum growth and on interspecific competition between Sphagnum species were studied in a 3-yr experiment in mires situated in two areas with different rates of airborne N deposition. Sphagnum growth was ... ...

    Abstract The effects of increased nitrogen influx on Sphagnum growth and on interspecific competition between Sphagnum species were studied in a 3-yr experiment in mires situated in two areas with different rates of airborne N deposition. Sphagnum growth was recorded after various supplementary N influxes (0, 1, 3, 5 and 10 g m
    Language English
    Publishing date 2021-03-09
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 208885-x
    ISSN 1469-8137 ; 0028-646X
    ISSN (online) 1469-8137
    ISSN 0028-646X
    DOI 10.1046/j.1469-8137.2000.00717.x
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    Z 868: Show issues

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  3. Article ; Online: Could full thickness skin grafts in an onlay position be the new gold standard for incisional hernia repair? Author's reply.

    Holmdahl, V / Stark, B / Clay, L / Gunnarsson, U / Strigård, K

    Hernia : the journal of hernias and abdominal wall surgery

    2022  Volume 26, Issue 2, Page(s) 665–666

    MeSH term(s) Hernia, Ventral/surgery ; Herniorrhaphy ; Humans ; Incisional Hernia/surgery ; Skin Transplantation ; Surgical Mesh
    Language English
    Publishing date 2022-03-17
    Publishing country France
    Document type Letter ; Comment
    ZDB-ID 1388125-5
    ISSN 1248-9204 ; 1265-4906
    ISSN (online) 1248-9204
    ISSN 1265-4906
    DOI 10.1007/s10029-022-02589-8
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5390: Show issues Location:
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  4. Article ; Online: Health economic analysis of total extraperitoneal repair versus Lichtenstein surgery for inguinal hernia: data from a randomized clinical trial.

    Westin, L / Sandblom, G / Gunnarsson, U / Dahlstrand, U

    BJS open

    2021  Volume 5, Issue 3

    Abstract: Background: The aim was to compare cost-effectiveness of Lichtenstein under local anaesthesia (LLA) with total extraperitoneal repair (TEP) under general anaesthesia for primary inguinal hernia in men. An endoscopic approach to inguinal hernia repair is ...

    Abstract Background: The aim was to compare cost-effectiveness of Lichtenstein under local anaesthesia (LLA) with total extraperitoneal repair (TEP) under general anaesthesia for primary inguinal hernia in men. An endoscopic approach to inguinal hernia repair is often considered costlier. The cost of endoscopic hernia repair, however, has not been compared to open inguinal hernia repair in a cost-effective setting.
    Methods: Data from an RCT comparing TEP and Lichtenstein in a cost-effective setting, with health economy as a secondary endpoint, were used. Data on costs were collected prospectively. Data on sick leave were obtained from the Swedish Social Insurance Agency in order to compare lengths of sick leave.
    Results: In total, 384 patients were included and 374 (97.4 per cent) patients were available for analysis, 189 in the LLA group and 185 in the TEP group. The median operating time for LLA was 70 (i.q.r. 60-80) min compared with 60 (i.q.r. 50-75) min in the TEP group (P < 0.001). The median time in operating theatre was 114 (i.q.r. 95--125) min for LLA and 125 (i.q.r. 110-145) min for TEP (P < 0.001). The median cost including all materials was 2433 (i.q.r. 2084-2734) Euros for LLA and 2395 (i.q.r. 2093-2784) Euro for TEP (P = 0.650). Mean sick leave was 4.2 days in the LLA group and 6.2 days in the TEP group (P = 0.830).
    Conclusion: The overall cost to the hospital or length of sick leave did not differ between LLA and TEP.
    MeSH term(s) Anesthesia, Local ; Endoscopy ; Hernia, Inguinal/surgery ; Herniorrhaphy ; Humans ; Male ; Recurrence
    Language English
    Publishing date 2021-05-07
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ISSN 2474-9842
    ISSN (online) 2474-9842
    DOI 10.1093/bjsopen/zrab026
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  5. Article ; Online: Correction to: Do postoperative complications correlate to chronic pain following inguinal hernia repair? A prospective cohort study from the Swedish Hernia Register.

    Olsson, A / Sandblom, G / Franneby, U / Sondén, A / Gunnarsson, U / Dahlstrand, U

    Hernia : the journal of hernias and abdominal wall surgery

    2023  Volume 27, Issue 2, Page(s) 481

    Language English
    Publishing date 2023-01-18
    Publishing country France
    Document type Published Erratum
    ZDB-ID 1388125-5
    ISSN 1248-9204 ; 1265-4906
    ISSN (online) 1248-9204
    ISSN 1265-4906
    DOI 10.1007/s10029-023-02743-w
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 5390: Show issues Location:
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  6. Article: Autologous full-thickness skin in the repair of complex ventral hernias: an innovative step into the future of complex hernia repair?

    Holmdahl, Viktor / Strigård, Karin / Gunnarsson, Ulf

    Frontiers in surgery

    2023  Volume 10, Page(s) 1301702

    Abstract: The repair of complex ventral hernias, such as giant incisional or parastomal hernia, is associated with a high risk for complications and recurrence. Some serious complications are related to implantation of synthetic mesh as reinforcement material. ... ...

    Abstract The repair of complex ventral hernias, such as giant incisional or parastomal hernia, is associated with a high risk for complications and recurrence. Some serious complications are related to implantation of synthetic mesh as reinforcement material. Autologous full-thickness skin graft (FTSG) as reinforcement material in the repair of these complex hernias may offer a safe alternative. This is a review of the history of FTSG use in hernia surgery and the experiences of our research group regarding its application over the last decade. The results of FTSG used in the repair of giant ventral hernias are promising, and this method may already be recommended in selected cases. We have also conducted a translational chain of preclinical studies, based on a murine model, to gain a greater understanding of the behaviour of FTSG implanted in various positions in the abdominal wall. The use of intraperitoneal FTSG as reinforcement material in parastomal hernia repair is currently being evaluated in a randomised, controlled, multicentre study.
    Language English
    Publishing date 2023-12-15
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2773823-1
    ISSN 2296-875X
    ISSN 2296-875X
    DOI 10.3389/fsurg.2023.1301702
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  7. Article ; Online: Impact of parastomal hernia on colostomy costs at 1 year: Secondary analysis of a randomized clinical trial (STOMAMESH).

    Odensten, Christoffer / Gunnarsson, Ulf / Johansson, Jeaneth / Näsvall, Pia

    Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society

    2023  Volume 113, Issue 1, Page(s) 33–39

    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 ... ...

    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,
    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.
    MeSH term(s) Humans ; Colostomy/adverse effects ; Hernia, Ventral/epidemiology ; Surgical Mesh/adverse effects ; Incisional Hernia ; Surgical Stomas/adverse effects
    Language English
    Publishing date 2023-08-10
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2077691-3
    ISSN 1799-7267 ; 1457-4969
    ISSN (online) 1799-7267
    ISSN 1457-4969
    DOI 10.1177/14574969231188021
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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.224: Show issues Location:
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  8. Article ; Online: Ventral hernia repair with concurrent intra-abdominal surgery: Results from an eleven-year population-based cohort in Sweden.

    Lindmark, Mikael / Löwenmark, Thyra / Strigård, Karin / Gunnarsson, Ulf

    American journal of surgery

    2023  Volume 226, Issue 3, Page(s) 360–364

    Abstract: Background: One remaining question in ventral hernia repair is whether to perform concurrent abdominal surgery or plan two-stage procedures. The aim was to explore the risk for reoperation and mortality due to surgical complication during index ... ...

    Abstract Background: One remaining question in ventral hernia repair is whether to perform concurrent abdominal surgery or plan two-stage procedures. The aim was to explore the risk for reoperation and mortality due to surgical complication during index admission.
    Method: Eleven-year data were retrieved from the National Patient Register and 68,058 primary surgical admissions were included, divided into minor and major hernia surgery and concurrent abdominal surgery. Results were evaluated by logistic regression analysis.
    Results: The risk for reoperation during index admission was higher for patients with concurrent surgery. Major hernia surgery and major concurrent surgery had an OR 37.9 compared to major hernia surgery only. Mortality rate within 30 days increased, OR 9.32. The combined risk for serious adverse event was accumulative.
    Conclusion: These results stress the importance of critically evaluating needs for and planning of concurrent abdominal surgery during ventral hernia repair. Reoperation rate was a valid and useful outcome variable.
    MeSH term(s) Humans ; Sweden/epidemiology ; Hernia, Ventral/complications ; Reoperation ; Herniorrhaphy/methods ; Surgical Mesh ; Recurrence
    Language English
    Publishing date 2023-06-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2953-1
    ISSN 1879-1883 ; 0002-9610
    ISSN (online) 1879-1883
    ISSN 0002-9610
    DOI 10.1016/j.amjsurg.2023.06.006
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  9. Article ; Online: Response: Improved assessment of fecal incontinence in women with previous obstetric injury combining Low Anterior Resection Syndrome and Wexner scores.

    Almkvist, Louise / Gunnarsson, Ulf / Strigård, Karin

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 163, Issue 3, Page(s) 1057–1058

    MeSH term(s) Pregnancy ; Humans ; Female ; Fecal Incontinence/etiology ; Low Anterior Resection Syndrome ; Postoperative Complications ; Rectal Neoplasms ; Anal Canal/injuries ; Quality of Life
    Language English
    Publishing date 2023-10-06
    Publishing country United States
    Document type Letter
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.15194
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 355: Show issues Location:
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    Zs.MO 183: Show issues

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  10. Article ; Online: Improved assessment of fecal incontinence in women with previous obstetric injury combining Low Anterior Resection Syndrome and Wexner scores.

    Almkvist, Louise / Gunnarsson, Ulf / Strigård, Karin

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 161, Issue 3, Page(s) 839–846

    Abstract: Objective: The aim of the current study was to assess whether Low Anterior Resection Syndrome (LARS) score could provide additional unique information to the Wexner score when assessing fecal incontinence (FI) in women with previous obstetric injury, ... ...

    Abstract Objective: The aim of the current study was to assess whether Low Anterior Resection Syndrome (LARS) score could provide additional unique information to the Wexner score when assessing fecal incontinence (FI) in women with previous obstetric injury, thus providing a better foundation for treatment decisions.
    Methods: This was a retrospective cohort study with intraindividual comparison of two scoring systems. Women with previous obstetric injury and diagnosed with FI between January 1, 2015, and December 31, 2018, with valid LARS and Wexner scores were included. Statistical methods used were Spearman rank correlation, Kendall τ, scatterplot, and ratios.
    Results: Seventy women were included. Correlation coefficients varied from 0.42 to 0.66 (Spearman rank correlation) and 0.44 to 0.51 (Kendall τ). Cohen κ values varied from 0.33 to 0.67. No strong association was seen in the correlation analyses or the scatterplot.
    Conclusion: LARS score was shown to provide extra relevant information when assessing FI in women with previous obstetric injury. All symptoms should be considered relevant when assessing FI since it is a complex condition and should be approached accordingly. The authors suggest a combination of LARS and Wexner scores when assessing FI among women with previous obstetric injury.
    MeSH term(s) Pregnancy ; Humans ; Female ; Fecal Incontinence/epidemiology ; Fecal Incontinence/etiology ; Low Anterior Resection Syndrome ; Postoperative Complications ; Retrospective Studies ; Rectal Neoplasms ; Quality of Life ; Anal Canal/injuries
    Language English
    Publishing date 2023-02-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.14673
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    Zs.MO 183: Show issues

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