Optimization of the surgical field in endoscopic sinus surgery: an evidence-based approach

S Alsaleh, J Manji, A Javer - Current allergy and asthma reports, 2019 - Springer
S Alsaleh, J Manji, A Javer
Current allergy and asthma reports, 2019Springer
Abstract Purpose of Review The advent of endoscopic sinus surgery (ESS) has enabled the
development of minimally invasive surgical procedures in Rhinology. However, proficiency
with ESS techniques can still be hampered by poorly controlled bleeding limiting visibility of
the surgical field (VSF). This can lead to increased operating time and, more importantly,
increased risk of major and minor complications. To optimize the VSF and mitigate the risk of
complications, many strategies have been explored. Recent Findings This is a narrative …
Purpose of Review
The advent of endoscopic sinus surgery (ESS) has enabled the development of minimally invasive surgical procedures in Rhinology. However, proficiency with ESS techniques can still be hampered by poorly controlled bleeding limiting visibility of the surgical field (VSF). This can lead to increased operating time and, more importantly, increased risk of major and minor complications. To optimize the VSF and mitigate the risk of complications, many strategies have been explored.
Recent Findings
This is a narrative review of the relative risks and benefits of pre- and intra-operative interventions aimed at optimizing intraoperative conditions during ESS. The value of these interventions is determined based on their impact on intraoperative blood loss, time of surgery, and the VSF, and weighed against their adverse event profile.
Summary
This review provides a comprehensive overview of the evidence relating to the safety and efficacy of interventions used to improve intraoperative conditions during ESS.
Springer
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