Adequacy of PLND During RC

Dear All,

An article by Rahul Jena et al (Published Online on 17th June) interested me and felt that this should be brought to light by placing it in Uroacademy.

 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8247657/pdf/fsurg-08-687636.pdf

Jena and his coauthors have highlighted the need for a uniform nomenclature to be employed by all. They reviewed existing literature and guidelines and have attempted to provide a few suggestions toward a uniform nomenclature for the various anatomical descriptions and the extent of PLND done while doing a radical cystectomy. They have suggested that where ever possible an extended PLND be performed. They further opined that Super-extended PLND appears to have no survival benefit over extended PLND and its use should be decided on a case-to-case basis.  They further mentioned that PLND should be deemed adequate if an anatomical template is followed and thorough dissection is done rather than relying on the number of harvested lymph nodes or the lymph node density.

I wonder why such an article of considerable value did not find a place in IJU. Could be it was not sent to IJU presuming that the work needed more visibility. But as far as Indian readers are concerned, the Journal in which this article is published is not frequented.

Another aspect that could be of importance is the fact that much space in IJU is provided for articles sent for publication from outside India. These articles do give weightage to our Journal but due to paucity of space, many articles sent for publication of Indian origin are politely turned down. I wish and pray that IJU will make it possible for Articles of Indian origin to find a place. This will help more to publish in IJU rather than looking outwards for publications.

With warm Regards,

Venu

 

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