Pedicled Tubular Omental Patch for Tamponade of Transfixing Gunshot Bilobar Liver Injury: A Case Report

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments: The Discussion explains the first presentation of the tubular patch used for the management of transfixing bilobar liver lesions providing relevant literature. It also provides a detailed account of the technique of using pedicled tubular omental patch (P-TOP). Lastly, this highlights the advantages and disadvantages of using the method. The Conclusion states that P-TOP may avoid complications associated with the balloon technique but requires a further prospective audit.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

Writing style

Q: Is it clear and understandable?

A: Good

Comments: There are few errors found in the manuscript which are as follows:

·       In Discussion, 13^th sentence, “This resulted in the use of a P-TOP for to tamponade the injury after digital exploration of the liver wound” must be written as “This resulted in the use of a P-TOP to tamponade the injury after digital exploration of the liver wound”. In 19^th sentence, “appropriate trimming of the omentum according to the size to the tract and maintain the blood supply” must be “appropriate trimming of the omentum according to the size of the tract and maintain the blood supply”.

·       In Conclusion, 3^rd sentence, “It may be able to avoid further complications associated the balloon technique but requires prospective audit” must be written as “It may be able to avoid further complications associated with the balloon technique but requires prospective audit”.

Further comments on the paper

Comments: This case presents a hemodynamically unstable 34-year-old male with multiple thoracoabdominal gunshot wounds, respiratory distress, and reduced consciousness. The examinations revealed a grade 3 transfixing bilobar hepatic wound with active hemorrhage. The report further illustrates the technique of tamponade of the wound tract using a pedicled tubular omental patch (P-TOP).

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Thanks,
Science Repository Team