Malin Sund

Surgical innovation and technology ➡️ doi.org/10.1093/bjs/zn… The future of surgery will be more precise, personalized, and technology-enabled—but innovation must be judged by its impact on patient care, not by novelty alone This BJS Commission highlights how surgeons, engineers, scientists, and industry can work together to ensure new tools improve outcomes, equity, and value Work by @JBMatthews, Jelle P Ruurda , Peter G Vaughan-Shaw , Desmond C Winter , Andrew Beggs , Andrew Yiu , Brian Davidson , Barbara Seeliger , Chen Xin , Daniel Stoyanov , Daphne D Rietbergen , Fijs W B van Leeuwen , Gerlof M Kuiper , Guglielmo N Piozzi , Jianing Qiu , James M Kinross , João Ramalhinho , Jim S Khan , Kurinchi Gurusamy , Kyle Lam , Kai F Chan , Li Zhang , Matthew Boal , Matthew J Clarkson , Matthias N van Oosterom , Nader Francis , Neeraj Lal , Philip W Y Chiu , Tessa Buckle , Yafit Shasha , Israa F E Hussein #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

Surgical innovation and technology ➡️ doi.org/10.1093/bjs/zn… The future of surgery will be more precise, personalized, and technology-enabled—but innovation must be judged by its impact on patient care, not by novelty alone This BJS Commission highlights how surgeons, engineers, scientists, and industry can work together to ensure new tools improve outcomes, equity, and value Work by @JBMatthews, Jelle P Ruurda , Peter G Vaughan-Shaw , Desmond C Winter , Andrew Beggs , Andrew Yiu , Brian Davidson , Barbara Seeliger , Chen Xin , Daniel Stoyanov , Daphne D Rietbergen , Fijs W B van Leeuwen , Gerlof M Kuiper , Guglielmo N Piozzi , Jianing Qiu , James M Kinross , João Ramalhinho , Jim S Khan , Kurinchi Gurusamy , Kyle Lam , Kai F Chan , Li Zhang , Matthew Boal , Matthew J Clarkson , Matthias N van Oosterom , Nader Francis , Neeraj Lal , Philip W Y Chiu , Tessa Buckle , Yafit Shasha , Israa F E Hussein #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

Surgical innovation and technology ➡️ doi.org/10.1093/bjs/zn… The future of surgery will be more precise, personalized, and technology-enabled—but innovation must be judged by its impact on patient care, not by novelty alone This BJS Commission highlights how surgeons, engineers, scientists, and industry can work together to ensure new tools improve outcomes, equity, and value Work by @JBMatthews, Jelle P Ruurda , Peter G Vaughan-Shaw , Desmond C Winter , Andrew Beggs , Andrew Yiu , Brian Davidson , Barbara Seeliger , Chen Xin , Daniel Stoyanov , Daphne D Rietbergen , Fijs W B van Leeuwen , Gerlof M Kuiper , Guglielmo N Piozzi , Jianing Qiu , James M Kinross , João Ramalhinho , Jim S Khan , Kurinchi Gurusamy , Kyle Lam , Kai F Chan , Li Zhang , Matthew Boal , Matthew J Clarkson , Matthias N van Oosterom , Nader Francis , Neeraj Lal , Philip W Y Chiu , Tessa Buckle , Yafit Shasha , Israa F E Hussein #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

Standards for reporting research methods, interventions, and Outcomes in Surgical Prehabilitation studies (SOS-Prehab) ➡️doi.org/10.1093/bjs/zn… 🏋️ Prehabilitation trials need clearer and more consistent reporting to improve reproducibility and clinical implementation. 🌍 SOS-Prehab was developed through a two-round Delphi process with 53 international experts across exercise, nutrition, psychology, and perioperative care. 📋 The final checklist includes 40 items: 16 essential and 24 important reporting elements. 🔍 Key domains include intervention components, delivery methods, adherence, participant characteristics, and outcome measures. 📊 Used alongside CONSORT, SOS-Prehab may improve transparency, comparability, and evidence synthesis in prehabilitation research. 🎯 Better reporting can help accelerate translation of prehabilitation into clinical practice and policy. Work by Chelsia Gillis , Daniel I McIsaac , Daniel Santa Mina , Stéphanie Chevalier , Gabriele Baldini , Francesco Carli , Celena Scheede-Bergdahl , Linda Edgar , Vanessa Smrk , Leah Avery , Amal Bessissow , Miquel Coca Martinez , Robert Copeland , Susanne Oksbjerg Dalton , Gerad Danjoux , Linda Denehy , Dominique Engel , Chloe Grimmett , Michael P Grocott , Heather L Gill , Sandy Jack , Bente Thoft Jensen , Denny Levett , Graciela Martinez-Palli , Zoe Merchant , John Moore , Nicolò Pecorelli , Ian Randall , Bernhard Riedel , Geoff Schierbeck , Gerrit Slooter , Malcolm West , Julio F Fiore, Jr. , Collaborators #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 @asgbi @ASiTofficial @eurohernias @SEIQuirurgica @ESCP_tweets @YouESCP

@BJSurgery The key is that in this randomized dataset BC specific survival outcomes are in line with earlier RCTs and show that these are eqiuvalent in terms of BC survival. Breast conservation has many of benefits overall, but better survival is not one of them.

Survival after breast-conserving surgery and radiotherapy versusmastectomy: propensity score analyses within a randomized anaesthesiology trial ➡️ doi.org/10.1093/bjs/zn… Breast-conserving surgery plus radiotherapy provides equivalent breast cancer–specific survival to mastectomy, with differences in overall survival likely reflecting patient selection rather than treatment effect. Work by Charlotta Wadsten , Anders Berglund , Emma Söderberg , Greger Nilsson , Leif Bergkvist , Mats Enlund , Fredrik Wärnberg #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

@UsNdHealth @BJSurgery The key is that in this randomized dataset BC specific survival outcomes are in line with earlier RCTs and show that these are eqiuvalent in terms of BC survival. Breast conservation has many of benefits overall, but better survival is not one of them.

@BJSurgery LOOK at this! Equivalent survival without mastectomy. So important for how we counsel patients 👏👏

Survival after breast-conserving surgery and radiotherapy versusmastectomy: a propensity score-matched analysis within a randomized anaesthesiology trial ➡️doi.org/10.1093/bjs/zn… Breast-conserving surgery plus radiotherapy offers similar cancer-specific survival to mastectomy in this quasi-randomized analysis (n=830). Differences in overall survival appear driven by patient selection, with higher comorbidity in the mastectomy group. These findings reinforce BCS+RT as an oncologically sound option when feasible. Work by Charlotta Wadsten , Anders Berglund , Emma Söderberg , Greger Nilsson , Leif Bergkvist , Mats Enlund , Fredrik Wärnberg #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

👀 Ever wondered what it’s really like to be a BJS Editor Assistant? Supported by the BJS Foundation Charity Committee, our bursaries aim to support early-career surgeons who are curious about the world of surgical publishing. Hear from Jonothan Earnshaw (former BJS Editor-in-Chief) and Professor Malin Sund (former Editor Assistant, then BJS Editor, now joint BJS Editor-in-Chief) as they discuss the role, the application process, and how it helps shape future surgical leaders. 🗓️ Deadline: 30 April 🔗bjsacademy.com/bjs-academy/ne… #AcademicSurgery #Leadership #EarlyCareerSurgeons #AcademicMedicine #Surgery #Publishing @BJSurgery @BjsOpen @JJEarnshaw @MalinASund

Survival After Pathological Complete Response Following Neoadjuvant Chemotherapy vs Chemoradiotherapy in Esophageal Squamous Cell Carcinoma ➡️ doi.org/10.1093/bjs/zn… 📊 Individual patient data from 7 phase III RCTs (n=1,044 ESCC patients, 6 countries) 💊 NAC vs 🔥 NACRT → pCR rates: 6.9% vs 34.2% 🔎 Among patients achieving pCR (n=192):  • 5-year OS: 97.5% (NAC) vs 70.4% (NACRT)  • 5-year RFS: 80.8% (NAC) vs 63.7% (NACRT) 📈 Multivariable analysis confirmed a significant survival advantage for NAC in the pCR subgroup 🎯 Take-home: pCR is not biologically equivalent across modalities. ESCC patients achieving pCR after NAC have an exceptionally favourable prognosis—raising the question of whether this group could be considered for future surgery-avoidance or watch-and-wait strategies. Work by Jun Okui , Satoru Matsuda , Kengo Nagashima , Yasunori Sato , Hirofumi Kawakubo , Thomas Ruhstaller , Peter Thuss-Patience , Magnus Nilsson , Fredrik Klevebro , Lijie Tan , Shaoyuan Zhang , Thomas Aparicio , Guillaume Piessen , Charlène van der Zijden , Bianca Mostert , Bas P L Wijnhoven , Takahiro Tsushima , Hiroya Takeuchi , Ken Kato , Yuko Kitagawa #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

Major systemic infection following breast cancer surgery and oncological outcomes ➡️ doi.org/10.1093/bjs/zn… 🎗️ Postoperative infections are common after cancer surgery, but their impact on breast cancer recurrence has been unclear 📊 In a nationwide Swedish cohort (n=82,102, 2008–2019), 1.8% developed a major systemic infection within 90 days after surgery 📈 Major systemic infection was associated with a higher risk of distant recurrence (HR 1.23), overall mortality (HR 1.47), and breast cancer–specific death (HR 1.27) 📍 No significant association was seen with locoregional recurrence 🚨 These findings highlight that early recognition and effective treatment of postoperative infections may be critical to improving long-term oncological outcomes Work by Linda Adwall , Irma Fredriksson , Hella Hultin , Peter Stålberg , Maria Mani , Olov Norlén , Helena Sackey #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 #breastcancer #BreastCancerAwareness #breastsurgery

Märket, the world’s smallest island split between two nations, is a 3.3-hectare Baltic islet shared by Sweden and Finland. In 1885, Finland accidentally built a lighthouse on Sweden’s side, but as good friends and allies, they simply redrew the border in 1985 to fix it. 🇫🇮🤝🇸🇪

Long-term mortality rate and clinical outcomes associated with femoro-popliteal drug–coated balloon angioplasty and drug-eluting stents in chronic limb-threatening ischaemia: an analysis of the BASIL-3 RCT ➡️doi.org/10.1093/bjs/zn… 🦵 Paclitaxel-based endovascular devices (drug-coated balloons and drug-eluting stents) are widely used in chronic limb-threatening ischaemia (CLTI), but concerns have persisted about increased mortality 📊 In the BASIL-3 randomized trial (UK, n=481), outcomes with drug technologies were compared against plain balloon angioplasty ± bare metal stents ⏱️ After a median 5.6-year follow-up, overall survival was similar between groups (adjusted HR 0.83, 95% CI 0.64–1.07) 🦶 There were no significant differences in amputation-free survival, major amputations, limb events, cardiovascular events, or reinterventions ✅ These data do not support an increased all-cause mortality risk with paclitaxel drug-eluting technologies in patients with CLTI Work by Matthew Popplewell , Jack Hall , Lewis Meecham , Gareth Bate , Lisa Kelly , Jon J Deeks , Catherine A Moakes , Andrew Bradbury , the BASIL-3 Investigators #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

Anatomical basis for sensory preservation in robotic mastectomy ➡️ doi.org/10.1093/bjs/zn… 🎀 Preserving nipple–areolar complex (NAC) sensation is key for physical, psychological, and sexual well-being after mastectomy, and robotic nipple-sparing techniques may offer an advantage. 🧠 In a cadaveric anatomical study (3 donors, 6 breasts) plus a systematic review, the 4th intercostal nerve (ICN)emerged as the main sensory supply to the NAC. 🔬 The anterior cutaneous branch (ACB) of the 4th ICN followed a consistent, superficial subdermal course, while the lateral cutaneous branch (LCB) reached the NAC through deeper breast tissue. 🔀 Additional and variable contributions came from the 2nd, 3rd, and 5th ICNs, highlighting marked inter-individual anatomical variability. 🤖 The superficial and reliable pathway of the ACB of the 4th ICN provides a strong anatomical explanation for better sensory preservation with robotic nipple-sparing mastectomy, supporting refined nerve-preserving surgical strategies. Work by Hunter A Holley , Sandra Hembrecht , Níamh M Smyth , Mathieu Colbert , Fabio Quondamatteo , Arnold D K Hill #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 #breastcancer #BreastCancerAwareness #breastsurgery

Magnetic seed versus guidewire-based breast cancer localization with magnetic lymph node detection: cost-minimization analysis ➡️ doi.org/10.1093/bjs/zn… This predefined economic analysis of the MAGTOTAL #RCT compared magnetic seed with guidewire localization for non-palpable breast cancer in the context of magnetic sentinel node biopsy Despite the higher device cost, magnetic seed localization was associated with lower overall procedural costs due to shorter operating times and streamlined logistics These findings support the cost-efficiency and operational advantages of a totally magnetic surgical approach Work by Eirini Pantiora , Filipa Sampaio , Allan Jazrawi , Fredrik Wärnberg , Staffan Eriksson , Andreas Karakatsanis #SoMe4Surgery #MedTwitter #SurgEd #Surgery @RCPSGTrainees @aecirujanos @SEIQuirurgica @iss_sic #MedicalTechniques @BJSAcademy @young_bjs @BJSOpen @des_winter @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide #breastcancer #BreastCancerAwareness #BreastSurgery

🎇 2025 Highlights: End-of-Year Spotlight: BJS Award Professor James Shapiro was selected by a panel of experts from around the global surgical community, in a process similar to that of the selection for Nobel laureates, for his profound impact on patient care through his ground-breaking "Edmonton Protocol" for islet cell transplantation for type 1 diabetes, which has changed clinical practice and improved outcomes for patients around the world. Put your thinking caps on - nominations for the 2027 BJS Award will open in April 2026. #LeadingSurgicalEducation #ThankYou #BJS2025 #TogetherForSurgery #HappyNewYear2026 @bjsurgery @bjsopen #surgery #surgeon

Uunituore @DuodecimFi numero 23 - Teemana: Kohti parempaa kirurgiaa - Suomen Kirurgiyhdistys 100 vuotta. Erikoistoimittajina kanssani @MalinASund ja @AleksiReito. Lue koko lehti: duodecimlehti.fi/lehti/2025/23 Podcast: duodecimlehti.fi/duo19091/ sekä Spotifyssä : open.spotify.com/episode/3skfao…

Standardizing the reporting of postoperative hypoparathyroidism following thyroidectomy: consensus statement from the European Society of Endocrine Surgeons, the American Association of Endocrine Surgeons, and the International Association of Endocrine Surgeons ➡️doi.org/10.1093/bjs/zn… 🎯 Standardise definitions and reporting for postoperative hypoparathyroidism after thyroidectomy. Multinational joint societies (ESES, AAES, IAES). 🧮 Consensus guideline developed through society surveys and General Assembly (GA) votes (May 2025). Outcomes include standardised definitions, core surgical and biochemical variables, reporting framework and quality metrics, and follow-up data elements such as parathyroid hormone (PTH), calcium levels, symptoms, and therapy. 📊 Standardised definitions (biochemical/symptomatic/relative; transient <6 months; permanent ≥12 months); PTH within 24 hours recommended; GA agreement 78.25%; core variables and quality metrics specified; final statement approval 92.93%. 💡 Clear, harmonised definitions and a minimum reporting set (timed PTH/calcium, symptoms, supplementation, key surgical details) enable comparable prevalence estimates, benchmarking of thyroid surgery outcomes, and integration with national/multicentre registries—supporting safer discharges, targeted supplementation, and better identification of true permanent hypoparathyroidism at ≥12 months. Work by Barczyński Marcin, Van Den Heede Klaas, Lee James C., Lorenz Kerstin, Mihai Radu, Norlen Olov, Patel Kepal N., Raffaelli Marco, Sippel Rebecca S., Wang Tracy S., Solorzano Carmen C. #SoMe4Surgery #MedTwitter #SurgEd #Surgery @BJSAcademy @young_bjs @BJSOpen @des_winter @evanscolorectal @robhinchliffe1 @bplwijn @MalinASund @nfmkok @TejedorPat @paulo_sutt @PVaughanShaw @JJEarnshaw @juliomayol @ksoreide @TheAAES @IAESurgeons @eurocrine_eu #EndocrineSurgery #Thyroid #Hypoparathyroidism

@safesurg @villesallinen 🙏 Marja!

@villesallinen @MalinASund Two great leaders !

Today the torch was passed. Thank you @MalinASund for your fantastic leadership as president to Finnish Surgical Society! I’ll humbly take the role and hope to be able to serve surgical community towards unity and collegialism! Thanks to members and council for the support!