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• W2090504845 abstract "The Objectivity of the Editorialist Must Be Questioned In Response: We would agree with Dr. Saidman that there are many different reasons for writing editorials in medical journals, and it is important that the author(s) of an editorial have no conflict of interest when it is written about a specific article in the Journal. However, the Editorial in question (1) focused on a broader issue than the specific article (2) referred to in Dr. Saidman’s “Letter to the Editor.” Our unsolicited Editorial was intended to serve as the basis for debate and reconsideration of long-standing clinical practices. The Editorial was an attempt to bring to the attention of practitioners an apparent paradox between scientific data and clinical practice. Despite clinical data suggesting that local infiltration anesthesia with IV sedation is a superior anesthetic technique for inguinal hernia surgery (3,4), general and spinal anesthesia remain the most commonly used techniques for this operation (1). Similar findings have also been reported for anorectal (5), arthroscopy (6,7), and vein stripping (8) procedures. We also wanted to emphasize that future improvement in this field of clinical research will require multidisciplinary collaborations between anesthesiologists and surgeons. Therefore, our Editorial was not intended to be a critical discussion of the article describing an “unmonitored” local anesthetic technique for inguinal hernia repair (2). With all due respect to Dr. Saidman, we attempted to avoid any appearance of a conflict of interest in our reference to this article. Hopefully, this Editorial will serve its intended purpose of educating both surgeons and anesthesiologists regarding potential changes in clinical practice that may lead to improved patient outcomes. Henry Kehlet, MD Paul F. White, PhD, MD" @default.
• W2090504845 created "2016-06-24" @default.
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• W2090504845 date "2002-08-01" @default.
• W2090504845 modified "2023-09-27" @default.
• W2090504845 title "The Objectivity of the Editorialist Must Be Questioned" @default.
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• W2090504845 doi "https://doi.org/10.1097/00000539-200208000-00056" @default.
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