Reviewer’s report
Title: 
Lateral decubitus position to facilitate pelvic examination of the patient
with severe obesity
Version: 
1 
Date: 
15 Nov 2020
Reviewer's report:
This is a potentially-useful addition to the literature on this subject, considering
the number of morbidly-obese women in the USA and across the world.
Consequently, I am not sure that a sample size of 11 is 'acceptable', unless the
author wants to publish this as a pilot or preliminary case series.
Why are Physicians reluctant to examine women in the Sim's position in the
USA? The authors need to mention this, or put this in context, for readers.
There are 3 sizes of specula, and such could come as a recycle-able or disposable
plastic device. Furthermore, vaginal specula may be a bi-valve e.g. Cusco or
Sim's (single or double blade) or Auvard's weighed type. Which of these did the
author use?
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