Reviewer’ s report
Title: comparison between bidirectional Stratafix barbed sature and conventional sature in
laparoscopic miomectomy: a retrospective study
Version: 0Date: 22 May 2020
Reviewer's report:
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The authors wanted to know the efficacy and safety of using barbed sutures in laparoscopicmyomectomy in Japan.The main limitation of the study is the retrospective design and small sample size. Several largerRCTs were published years ago.The control group included only 10 patients. This group should include at least 30 patients.The suturing time was not mentioned. Suturing time is more important than operative time. Thereduction in operative time with barbed sutures is due to reduction in suturing time.Inclusion and exclusion criteria were not mentioned.The technique of operation, type sutures used, laparoscopy used , were not mentioned.The authors did not mention how blood loss was measured.The authors mentioned Hb% instead of mentioning the change in Hb%.What is BMI, indication of operation, number of myomas, weight of myoma, size of uterus,paralytic ilies time and hospital stay??.
RCTs comparing barbed sutures with conventional sutures in laparoscopic myomectomy were not
mentioned in discussion .Figures are not neededThere should be at least two tables.The methods and discussion sections should be re-written.
Are the methods appropriate and well described?
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NoDoes the work include the necessary controls?
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NoAre the conclusions drawn adequately supported by the data shown?
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No
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additional statistical review?If an additional statistical review is recommended, please specify what aspects require furtherassessment in your comments to the editors.
Not relevant to this manuscript
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Needs some language corrections before being publishedDeclaration of competing interests
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