Reviewer's report
Title:Emergency percutaneous needle decompression for tension
pneumoperitoneum
Version: 1Date:26 February 2011
Reviewer: Martin Lothar L Metzelder
Reviewer's report:
Reviewer comments: BMC-Gastroenterology
„Emergency percutaneous needle decompression for tension
pneumoperitoneum.”
The authors present a case series of 11 patients presenting with abdominal
pneumoperitoneum at CT-scan, due to iatrogenic bowel perforation, of which 3
underwent emergency needle decompression for manifest tension
pneumoperitoneum. This small series could be of interest, if the authors could
add some more important information in detail.
1. It is of interest for the reader to know the symptoms or parameters to
distinguish between the need of urgent needle decompression versus
non-decompression during the preoperative course of the presented patients. A
clear definition of a tension pneumoperitoneum and a detailed description of 11
patient´s condition (such as pain scale, former abdominal operation, area and
size of bowel perforation, etc.) would help the reader to understand the process
of decision making.
2. In 3 cases of needle decompression: How do we know, which needle size
needs to be used? Was only trapped air decompressed or discharged?
3. In one case, conservative management was successful. Despite the younger
age of this patient, there is more information needed on the criteria to perform
conservative management in this case.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests' below
Reviewer's report
Title:Emergency percutaneous needle decompression for tension
pneumoperitoneum
Version: 1Date:26 February 2011
Reviewer: Martin Lothar L Metzelder
Reviewer's report:
Reviewer comments: BMC-Gastroenterology
„Emergency percutaneous needle decompression for tension
pneumoperitoneum.”
The authors present a case series of 11 patients presenting with abdominal
pneumoperitoneum at CT-scan, due to iatrogenic bowel perforation, of which 3
underwent emergency needle decompression for manifest tension
pneumoperitoneum. This small series could be of interest, if the authors could
add some more important information in detail.
1. It is of interest for the reader to know the symptoms or parameters to
distinguish between the need of urgent needle decompression versus
non-decompression during the preoperative course of the presented patients. A
clear definition of a tension pneumoperitoneum and a detailed description of 11
patient´s condition (such as pain scale, former abdominal operation, area and
size of bowel perforation, etc.) would help the reader to understand the process
of decision making.
2. In 3 cases of needle decompression: How do we know, which needle size
needs to be used? Was only trapped air decompressed or discharged?
3. In one case, conservative management was successful. Despite the younger
age of this patient, there is more information needed on the criteria to perform
conservative management in this case.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests' below
Please review this paper.
user
Reviewer's report
Title:Emergency percutaneous needle decompression for tension
pneumoperitoneum
Version: 1Date:26 February 2011
Reviewer: Martin Lothar L Metzelder
Reviewer's report:
Reviewer comments: BMC-Gastroenterology
„Emergency percutaneous needle decompression for tension
pneumoperitoneum.”
The authors present a case series of 11 patients presenting with abdominal
pneumoperitoneum at CT-scan, due to iatrogenic bowel perforation, of which 3
underwent emergency needle decompression for manifest tension
pneumoperitoneum. This small series could be of interest, if the authors could
add some more important information in detail.
1. It is of interest for the reader to know the symptoms or parameters to
distinguish between the need of urgent needle decompression versus
non-decompression during the preoperative course of the presented patients. A
clear definition of a tension pneumoperitoneum and a detailed description of 11
patient´s condition (such as pain scale, former abdominal operation, area and
size of bowel perforation, etc.) would help the reader to understand the process
of decision making.
2. In 3 cases of needle decompression: How do we know, which needle size
needs to be used? Was only trapped air decompressed or discharged?
3. In one case, conservative management was successful. Despite the younger
age of this patient, there is more information needed on the criteria to perform
conservative management in this case.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
I declare that I have no competing interests' below
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