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Ville Sallinen @villesallinen.bsky.social · 20d

Assessment of D-FRS on external cohort in San Raffaele, Milan, Italy

AUC 0.49, discrimination and calibration poor.

👉 Shows nicely why external validation is so important!

Would love to see DISPAIR-FRS further validated externally!

link.springer.com/article/10.1... @stefanopartelli.bsky.social

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Ville Sallinen @villesallinen.bsky.social · Aug 5

Early leak more deadly after emergency resection (36% vs 7% after elective)

Late leak more deadly after elective resection (18% versus 7% early leak)

Read full accepted article online ahead of print open access : journals.lww.com/annalsofsurg... @laurakoskenvuo.bsky.social 2/2

Failure to Rescue in Early Versus Late Severe Anastomotic... : Annals of Surgery

omplication of colorectal surgery. Severe AL can occur within a variable timeframe post-surgery and is divided into EAL and LAL. Methods: This population-based, retrospective, multicenter cohort st...

journals.lww.com

Ville Sallinen @villesallinen.bsky.social · Aug 5

New: Failure to rescue (FTR) in early versus later severe anastomotic leakage after colorectal surgery - Annals of Surgery

8562 resections -> 3.3% severe leak rate

FTR higher after leak after emergency resection versus elective (29% vs 11%)

#OpenAccess 👇🧵1/2

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Ville Sallinen @villesallinen.bsky.social · Jun 20

Time flies and @bjsurgery.bsky.social / @bjsopen.bsky.social editorial assistants rotate. Huge gratitude goes to our out-going editorial assistants Yung Lee, @hansl16.bsky.social and Laura Maggino - I’ve learned a great deal from you! 🙏 Terms end, but you will be part of BJS Family forever!

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Ville Sallinen @villesallinen.bsky.social · Jun 18

New Impact Factors are out!

JAMA Surgery 14.9
BJS 8.8
Annals of Surgery 6.4
BJS Open 4.5
Dis Col Rectum 3.7
J Trauma 3.7
Ann Surg Oncol 3.5
JACS 3.4
EJSO 2.9
Surgery 2.7
Surg Endosc 2.7
Colorectal Dis 2.7
WJS 2.5
Hernia 2.4
HPB 2.4
JGIS 2.4
Langenbeck’s 1.8
Scand J Surg 1.8

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Reposted by Ville Sallinen

Antibiotic Steward 🅱️C🆔🅿️🌟 @absteward.bsky.social · May 14

🔥🆕PERFECT RCT
Preoperatively started antibiotic treatment did not decrease the risk of appendiceal perforation when appendectomy was performed within 24h in adult patients with presumed uncomplicated acute appendicitis. #IDsky
A new standard of care?
jamanetwork.com/journals/jam...

Role of Preoperative Antibiotic Treatment While Awaiting Appendectomy

This noninferiority randomized clinical trial investigates the effect of preoperatively started antibiotic treatment on the risk of appendiceal perforation.

jamanetwork.com

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Ville Sallinen @villesallinen.bsky.social · May 16

New 🇫🇮🇳🇴RCT out @jama.com/Surgery🔥 Results from antibiotics layer of the PERFECT trial:
Antibiotics or no while awaiting for appendectomy for presumed uncompl appendicitis

1797 patients
Perforations: 8.3% vs 8.9%
Surg site infections: 1.6% vs 3.2% (p=0.03)

jamanetwork.com/journals/jam...

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Ville Sallinen @villesallinen.bsky.social · May 8

Join us for NordicHPB/NOLCA conference in Helsinki 18.-19. September 2025. Stellar speakers on HPB surgery, advanced endoscopy (ERCP/EUS), robotic surgery and oncology!

10 days left to secure your place for early bird price (before May 19)!

See nordichpb.com for info!

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Ville Sallinen @villesallinen.bsky.social · Apr 13

Read also Invited Commentary by Sara Myers & Jennifer Davids in @jama.com/Surgery
-> LASER Focus on Long-Term Outcomes for Diverticular Disease

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Ville Sallinen @villesallinen.bsky.social · Apr 11

MedPage Today @medpagetoday.bsky.social :
Upfront Surgery for Diverticulitis Reduced Recurrence Without Affecting QOL
— At 4 years, LASER reported similar QOL and complications for surgery and conservative treatment

www.medpagetoday.com/gastroentero...

Upfront Surgery for Diverticulitis Reduced Recurrence Without Affecting QOL

At 4 years, LASER reported similar QOL and complications for surgery and conservative treatment

www.medpagetoday.com

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Ville Sallinen @villesallinen.bsky.social · Apr 10

Open Access Link: jamanetwork.com/journals/jam...

Sigmoid Resection vs Conservative Treatment After Diverticulitis

This prespecified 4-year analysis of the LASER randomized clinical trial compares quality-of-life, complication, and recurrence outcomes of surgery vs conservative treatment in patients with recurring...

jamanetwork.com

Ville Sallinen @villesallinen.bsky.social · Apr 10

LASER trial 4-year results @jama.com/Surgery

Sigmoid resection vs conservative treatment for recurrent diverticulitis:

No difference in QOL or complications

Recurrences 16% vs 92%

BUT, 32% crossed conservative>surgery (pts w low QOL)

Interpretation🤔: Surgery for pts w low QOL

Open Access Link👇

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Ville Sallinen @villesallinen.bsky.social · Apr 9

And this is how it looks like in full action! #DavosCourse

Ville Sallinen @villesallinen.bsky.social · Apr 5

DavosCourse GI Surgery Foundation president Walter Brunner opening the course -> 389 participants, with instructors >500 surgeons from 33 countries!

Ville Sallinen @villesallinen.bsky.social · Apr 5

All ready for Gastrointestinal Surgery DavosCourse! Record number of participants! Let’s go! 💪

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Reposted by Ville Sallinen

Deb Verran @debverran.medsky.social · Mar 21

From a really interesting thread posted by @scullingmonkey.bsky.social , this open access commentary is a real gem and should be of interest to all surgeons. There are discrepancies between what is being reported from the relevant RCT's versus what the data from a related registry actually reveal

Kasia @scullingmonkey.bsky.social · Mar 19

Post scriptum:

its also a great honour to have this invited commentary with @wannabehawkeye.bsky.social 's thoughts published alongside our work

🙏

academic.oup.com/bjsopen/arti...

The gap between trials and reality

Of 6300 people who apply to be NASA astronauts, eight will be selected for training, giving a 0.1% success rate1. One cannot use the achievements of astron

academic.oup.com

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Ville Sallinen @villesallinen.bsky.social · Mar 21

Link to article @bjsurgery.bsky.social (open access): academic.oup.com/bjs/article/11…

Link to calculator: tinyurl.com/the-dispair-frs

https://academic.oup.com/bjs/article/11…

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Ville Sallinen @villesallinen.bsky.social · Mar 21

Predicting risk for pancreatic fistula after left pancreatectomy:

2 risk scores were assessed in international cohort of 2284 patients from 🇫🇮🇬🇧🇸🇪🇫🇷🇳🇴🇨🇦🇩🇰

DISPAIR and D-FRS performed poorly

👉 We combined and validated new DISPAIR-FRS score with better performance

Links 👇

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Reposted by Ville Sallinen

Kasia @scullingmonkey.bsky.social · Mar 19

How do patients in clinical trials compare to those we see in our clinical practice. We asked just that:

Hot off the press in @bjsopen.bsky.social

#vascular #medksy #bettertrials #evidencebasedmedicine

Read here
👇

academic.oup.com/bjsopen/arti...

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External validity of randomized clinical trials in vascular surgery: systematic review of demographic factors of patients recruited to randomized clinical trials with comparison to the National Vascul...

Practicing evidence-based medicine requires that the patients we encounter in daily practice are represented in the populations recruited to randomized cli

academic.oup.com

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Ville Sallinen @villesallinen.bsky.social · Mar 20

Linkki: www.duodecimlehti.fi/duo18699

Ville Sallinen @villesallinen.bsky.social · Mar 20

Duodecim-lehden 140v juhlasarja:

Kommentoimme Panu Mentulan kanssa vuonna 1893 julkaistua kirjoitusta appendisiitista. Jo tuolloin tunnistettiin spontaanisti paraneva appendisiitti, jota silloin hoidettiin konservatiivisesti. Nyt ympyrä sulkeutuu, kun tähän ollaan palaamassa.

Linkki 👇

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Ville Sallinen @villesallinen.bsky.social · Mar 19

Prospective multicenter study to develop and validate two risk scores to improve treatment of adhesive small bowel obstruction @bjsurgery.bsky.social

STRISK: strangulation risk
NOFA: non-op treatment failure risk

Calc: www.tinyurl.com/strisk

academic.oup.com/bjs/article/112/3/znaf025/8086860

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Reposted by Ville Sallinen

Stefano Partelli @stefanopartelli.bsky.social · Mar 15

🔹 Another fantastic #ESSO course on #PancreaticCancer successfully completed! 🔹 This time in a new location: Hamburg ! 🇩🇪✨ A big thank you to #ThiloHackert and #FelixNickel for hosting us, and to the amazing faculty @erangelova.bsky.social, @villesallinen.bsky.social, #AlainSauvanet and #SvenMieog

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Reposted by Ville Sallinen

BJS Academy @bjsacademy.bsky.social · Mar 14

🔊 Editor Assistant Bursaries are now OPEN! 🔊

An exciting opportunity to join the BJS & BJS Open and gain hands-on editorial experience. Apply now or share with someone who’d be great for the role!
➡️ buff.ly/QJIDzFe

@bjsurgery.bsky.social @bjsopen.bsky.social
#SurgSky #MedSky

Editor assistant bursaries 2025

The BJS Foundation editor assistant bursaries aim to encourage young surgeons to take an interest in medical publishing. Recruited annually, editor assistant bursaries are suitable for applicants at…

buff.ly

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Ville Sallinen @villesallinen.bsky.social · Mar 14

Happy to say our group got funded. Big thanks to @sigridjuselius.bsky.social for the continuous support for our research!
www.sigridjuselius.fi/en/news/new-...

New grants awarded – the Sigrid Jusélius Foundation supports medical research with 28 million euro in 2025 - Sigrid Jusélius Foundation

The 1–3-year grants from the Sigrid Jusélius Foundation have been granted. In addition, the annual meeting of the Foundation approved the disbursement for the rest of the year: a total of 28 million e...

www.sigridjuselius.fi

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