A Novel Negative Pressure Therapy Technique to Manage a Colo-Cutaneous Fistula following Emergency Aortic Surgery

Review Data

Q: Is the topic relevant to the journal's 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

Comments: The heading ‘Background’ has been replaced with ‘Abstract’.

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 the 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 puts forth the challenging procedure of the management of the open abdomen following the mortality rates. Further, the Discussion highlights the risk factors involved in the development of an entero-cutaneous fistula into an open abdominal wound. The objectives of the management in these complex cases are to contain fistula drainage, provide a healthy healing environment, avoid peri-stoma skin breakdown and avoid wound contamination. The study further described the use of Negative pressure wound therapy (NPWT) combined with the isolation of the fistula in the patient unfit to undergo definitive surgery. The conclusion emphasizes the importance of the careful assessment of the wound and fistula in determining the appropriate technique to be used for wound management.

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 for 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 legends and notations clear?

A: Good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments: The Case Report presents a case of a 52-year-old man, that shows the successful management of a complex abdominal wound in a morbidly obese patient complicated by a colo-cutaneous fistula which was followed by an emergency abdominal aortic aneurysm repair. The manuscript illustrates the detailed procedure for abdominal wound and fistula management.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team