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The Art of Reducing Bleeding During Endoscopic Sinus Surgery
By Dr. Balasubramanian Thiagarajan , Dr. Srikamakshi Kothandaraman
Submited on: 14 Nov 2012 01:45:34 AM GMT
Published on: 14 Nov 2012 07:58:14 PM GMT
 
Review of Article on the Art of Reducing Bleeding During Endoscopic Sinus Surgery.
Posted by Prof. Sankaranarayanan Gopalakrishnan on 16 Nov 2012 07:45:26 AM GMT

  • What are the main claims of the paper and how important are they?

    Pre op Preparation and hypotensive anaesthesia in endoscopic sinus surgery is of paramount importance as claimed in this article and it is true.Eventhough the endoscope gives a better illumination a bloody field greatly slows down the surgery and is a potential threat and may lead to complications.


  • Are these claims novel? If not, please specify papers that weaken the claims to the originality of this one.

    I think that this article comes from a combined effort of ent surgeon and anaesthetist which is novel.This topic of bleeding during endoscopic surgery and hypotensive anaesthesia is repeatedly discussed in everyother sinus surgery workshops and conferences.The claim in this article about use of specific agents and methods will have to be tried by other surgeons to formulate their protocol for edoscopic sinus surgery.


  • Are the claims properly placed in the context of the previous literature?

    Yes


  • Do the results support the claims? If not, what other evidence is required?

    NA


  • If a protocol is provided, for example for a randomized controlled trial, are there any important deviations from it? If so, have the authors explained adequately why the deviations occurred?

    NA


  • Is the methodology valid? Does the paper offer enough details of its methodology that its experiments or its analyses could be reproduced?

    This is not a comprehensive study ,the authors have shared their experience for the benefit of other surgeons.


  • Would any other experiments or additional information improve the paper? How much better would the paper be if this extra work was done, and how difficult would such work be to do, or to provide?

    They can take a certain number of similar cases and divide between two arms ,one with hypotensive anaesthesia and other without and analyse a set of parameters from the outcome like comfort during surgery,time taken,safety profile ,disease clearance etc and present it as a study.


  • Is this paper outstanding in its discipline? (For example, would you like to see this work presented in a seminar at your hospital or university? Do you feel these results need to be incorporated in your next general lecture on the subject?) If yes, what makes it outstanding? If not, why not?

    NA


  • Other Comments:

    Nil

  • Competing interests:
    No
  • Invited by the author to review this article? :
    Yes
  • Have you previously published on this or a similar topic?:
    No
  • References:

    No

  • Experience and credentials in the specific area of science:

    I am an ENT surgeon who routinely do endoscopic sinus surgery .

  • How to cite:  Gopalakrishnan S .Review of Article on the Art of Reducing Bleeding During Endoscopic Sinus Surgery.[Review of the article 'The Art of Reducing Bleeding During Endoscopic Sinus Surgery ' by Kothandaraman S].WebmedCentral 2012;3(11):WMCRW002333
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