Reviewer’s report
Title: 
Laparoscopic cervico-isthmic anastomosis for old traumatic disjunction
between the cervix and the uterine corpus: a case report and literature review.
Version: 
2 
Date: 
10 Feb 2023
Reviewer: 
Ibrahim A.
Reviewer's report:
Dear Respectable Editor
I am grateful to give me the opportunity to review the case report entitled
(Laparoscopic cervico-isthmic anastomosis for old traumatic disjunction between
the cervix and the uterine corpus: a case report and literature review.).
Old traumatic disjunction between the cervix and the uterine corpus caused by
pelvic trauma in the childhood is very rare. Most cases of cervico-isthmic
disjunction are not immediately noticed until the onset of other symptoms, such
as amenorrhea, and periodic abdominal pain. Authors present a case of cervico-
isthmic disjunction treated with successful cervico-isthmic anastomosis to
preserve fertility via a laparoscopic approach.
Authors present a 23-year-old young woman presented with primary amenorrhea
due to traumatic cervico-isthmic disjunction. She experienced periodic lower
abdominal pain since the age of 17 years. A complete disjunction between the
cervix and the uterine corpus diagnosed after MRI and confirmed
intraoperatively. She was treated with laparoscopic cervico-isthmic anastomosis
to restore the continuity of the endometrial cavity and cervical canal. After this
surgery, the case had normal menses without cyclic abdominal pain.
Authors present an interesting, well-designed case report with clear images and
relevant references which can be accepted for publication after the authors
corrections 
Regards
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