-
Reviews
Back to Reviews
-
What are the main claims of the paper and how important are they?
To study management of intr-operative tracheal injuries during trans hiatal esophagectomy surgery important
-
Are these claims novel? If not, please specify papers that weaken the claims to the originality of this one.
Yes
-
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?
Yes
-
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?
Not applicable
-
Is the methodology valid? Does the paper offer enough details of its methodology that its experiments or its analyses could be reproduced?
Not applicable
-
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?
More number of cases should be incorporated regrding the injuries before ascertaning the general measures to prevent such injuries. focus should be to avoid the injuries intra-operatively & create a check list to prevent such injuries for future surgeons.
-
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?
No
-
Other Comments:
No
-
Competing interests:
0
-
Invited by the author to review this article? :
No -
Have you previously published on this or a similar topic?:
No
-
References:
None -
Experience and credentials in the specific area of science:
As incharge of cancer program of my institute, i come across similar situations often. our aim is to create a preventive check list for such occasions.
- How to cite: Belekar D M.Management of Intra-Operative Tracheal Injuries During Trans-Hiatal Esophagectomy for Carcinoma Esophagus[Review of the article 'Management of Intra-operative Tracheal Injuries during Trans-hiatal Esophagectomy for Carcinoma Esophagus ' by Mir ].WebmedCentral 2012;3(9):WMCRW002229
-
What are the main claims of the paper and how important are they?
The rare complication of trans-hiatal esophagectomy can be managed efficiently; if the surgeon and the anaesthetist are alert in recognising the hallmarks of major airway injury intraooperatibely. This manuscript provides the basic and important information for the intraoperative management of tracheal injuries during transhiatal esophajectomy.
-
Are these claims novel? If not, please specify papers that weaken the claims to the originality of this one.
The claims are not novel, but contains indisposable information for all the surgeons performing esophagectomies for benign or malignant diseases of esophagus. Most surgeons would prefer to go ahead with thoracotomy if they suspect tracheal injury intraoperatively.This manuscript provides important insight in elucidating the importance of trans-cervical approach if the tracheal tear is less than 3 cms.
-
Are the claims properly placed in the context of the previous literature?
Yes , but the authors have not uploaded the references of the manuscript. The corresponding author should be asked to provide the bibliography to substantiate the claims.
-
Do the results support the claims? If not, what other evidence is required?
Yes, but this manuscript is a case report and only 4 cases of major airway injuries have been reported and managed. This complication is rare and larger series with statistical power, would be needed before recommendations can be made for the management of this complication.
-
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?
Randomized controlled trials cannot be performed as this complication is rare.
-
Is the methodology valid? Does the paper offer enough details of its methodology that its experiments or its analyses could be reproduced?
Not applicable.
-
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?
Not applicable
-
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?
Yes, Every surgeon perfoming esophagectomy should have adequate knowledge of managing introperative major airway injury promply and efficiently; othervise there would be significant morbidity and mortality.
-
Other Comments:
Nil
-
Competing interests:
None
-
Invited by the author to review this article? :
Yes -
Have you previously published on this or a similar topic?:
No
-
References:
None -
Experience and credentials in the specific area of science:
My domain is mosly confined to thoracic surgery. My area of interst is carcinoma lung.
- How to cite: Anonymous.Management of Intra-operative Tracheal Injuries during Trans-hiatal Esophagectomy for Carcinoma Esophagus [Review of the article 'Management of Intra-operative Tracheal Injuries during Trans-hiatal Esophagectomy for Carcinoma Esophagus ' by Mir ].WebmedCentral 2012;3(9):WMCRW002226
All site content, except where otherwise noted, is licensed under a
The claim is to know the managment of intra-operative tracheal injuries during esophagectomy in esophageal carcinoma cases.
Claims are not novel, but there is to know the new results on this field for best treatment of malignant and benign lesions in esophagous.
Yes
Yes but unfortunately, this is a case report that adds little to the knowledge on this field.
NA
NA
NA
No. There are series of cases on this matter.
Nil
None
No
No
None