Review for 10.1186/s12876-021-01752-2 (2021)

Reviewer’s report
Title: 
Left-Side Incarcerated Amyand’s Hernia with Appendix and Caecum
provoke by Early Banana Diet: A Case Report
Version: 
1 
Date: 
16 Dec 2020
Reviewer's report:
I read your article titled "Left-Side Incarcerated Amyand's Hernia with
Appendicitis and Caecum provoke by Early Banana Diet: A Case Report" with
great interest. We have encountered Amyand hernia in right incarcerated hernias,
but so far I have never seen Amyand hernia on the left. When I looked at the
literature, I saw that it is generally seen in older ages and it is rare in children.
The most likely explanations are that it may be due to situs inversus, malrotation,
mobile cecum, and excessively long appendix. 
Today, it is thought that breast milk is sufficient in the first 6 months of life and
it is not necessary to start additional foods. Since it is known that chewing food
is the first and most important step of digestion, I think starting a solid
complementary food such as banana at this age may cause digestive problems. In
these patients, it is also possible that intestines filled with undigested banana get
stuck in the hernia sac. Likewise, we know from our experience that it is difficult
to reduce an incarcerated hernia, which is the intestine filled with hardened stool
in it. Therefore, although we cannot say whether eating bananas in this age group
increases Amyand's hernia on the left; we can think that it increases the risk of
incarcerated hernia and possibly the difficulty of reducing hernia.
I could not find any articles in the literature regarding banana eating and the
presence of left-sided Amyand hernia. For this reason, I believe that it would be
appropriate to publish the case report, as it was interesting and a problem that the
authors noticed in their own society was addressed. 
Also, I do not know the meaning of "cyto herniotomy" used by the authors in the
article. I couldn't find it in Google and Pubmed searches. Could be the term used
for emergency surgery for strangulated hernia?
Best regards
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