The Dilemma of the Level of the Inferior Mesenteric Artery Ligation in the Treatment of Diverticular Disease: A Systematic Review of the Literature
, Giulio Mari 2,*, Bruno Amato 3, Giovanni Domenico Tebala 4, Georgi Popivanov 5, Stefano Avenia 1 and Riccardo Nascimbeni 6
Round 1
Reviewer 1 Report
Paying attention to the following references can be useful
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Author Response
Thank you for the sharp and effective medline search suggested. We incorporated the article by Jolivet M. et al. and by Campbell A et al in the discussion.
Reviewer 2 Report
The authors analyzed twelve studies comparing ligation of the Arteria mesenterica inferior (AMI) and AMI-preserving technique in sigmoidectomy for diverticular diseases with regard to functional outcomes (bowel function, urinary function and sexual function; primary endpoints) as well as further secondary endpoints.
They found no significant differences regarding the primary endpoints, but a significant longer procedure time and a significant higher conversion rate.
The study is well done and the results are well interpreted.
I would recommend to make some minor revisions:
- Please list the abbreviation "RS" in table 1.
- I would delete the figure 2a, figure 2b is quite sufficient.
- May the different techniques of AMI-preserving influence the conversion rate and the procedure time? Could you perform subgroup analyses due to the technique of IMA preservation?
Author Response
Thank you for the suggestion provided.
Table 1 was corrected accordingly.
We incorporated as new sub analysis (fig 9 and 11) the requested sub analysis on the different types of IMA preservation.
Figure 2.a was deleted
