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Open Cholecystectomy for Gallstone Disease

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Usman Ghani · Posted 8 months ago · reply  

why is jomi publishing all these articles from phillipines without first reviewing them whether they are worth publishing. this guy took cystic artery without any thought; at least i never did like that nor did i see any good surgeon doing like that, poor retraction, no traction on gallbladder and this guy just divided some vessel and said this is cystic artery!!! Please ensure quality of videos before publishing them. many unworthy videos from phillipines are on site.

Nikita Bernstein · Posted 8 months ago · reply  

Dr. Ghani: JOMI is an academic journal and forum - discourse must remain respectful or you will not be allowed to participate. Please note that articles marked as “Preprint” have gone through our internal editorial review, but have not yet undergone full peer review. It sounds like you raise the following legitimate concerns: You challenge technique. If so, you seem to identify a) the way cystic artery was taken, b) retraction on gallbladder, and c) misidentification of the cystic artery. Is this correct? You believe other articles on JOMI do not meet the standard. Please be more specific and our editorial team take appropriate action. You can a) post comments on the articles, b) respond here, or c) email us at editorial@jomi.com. We are looking forward to hearing from you, Nikita

Nikita Bernstein · Posted 8 months ago · reply  

Apologies - typo: editorial team *will* take.

Usman Ghani · Posted 8 months ago · reply  

My sincere apologies for sounding rude but i really enjoyed nice gen surgery videos on JOMI especially the ones on Whipples procedure but lately had seen some material which i felt could fit only youtube audience. I will stick to this particular video in this comment so yes the surgeon did not put traction on gallbladder before embarking on to take cystic artery and strangely after taking the artery went on to do a fundus first or retrograde cholecystectomy so he could either had applied retraction on gallbladder and then started dissection in hepatocystic triangle or he could have gone for a retrograde approach so it didn't feel right to me. Another point regarding retraction by the assistance was not adequate (or relaxation of patient was not adequate) as assistant was not showing the area of interest clearly. Lastly, the video needed a bit of zooming otherwise it's very difficult for someone watching the video for educational purpose to see things clearly. I am also planning to send you some nice footage for my video article publication which i hope your audience will like and can try using educational purpose. Thanks again for taking the time to explain things well.

Nikita Bernstein · Posted 8 months ago · reply  

Thank you for your comments. Re: questions regarding the procedure, our editorial team will review and respond shortly. Re: zoom - that's appreciated. I will forward your feedback to the video production team to see if we can improve that for this video.

Usman Ghani · Posted 8 months ago · reply  

And one more thing which is inappropriate in my view for so many reasons including patient privacy, theatre antisepsis etc; you can seen in background on many instances but at least once for your confirmation at 22:16 that there is another patient in the same theatre space behind the operating surgeon another patient is being prepared for surgery (though no face or other identifiables are visible).

Nikita Bernstein · Posted 8 months ago · reply  

This was a volunteer surgical mission in rural Philippines, so the work was performed in sub-optimal conditions due to resource limitations and significant patient need. We could reach out to the organizers for comment if there are any specific questions.


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