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Case Report
Peer-Review Record

Herlyn–Werner–Wunderlich Syndrome Complicated with Vesicovaginal Fistula: A Rare Case Report

Medicina 2024, 60(7), 1081; https://doi.org/10.3390/medicina60071081
by Ruei-Lin Wang 1,2, Yu-Kuen Wang 3,†, Chen-Hsien Lin 3,†, Jenq-Shyong Chan 1,2,4, Hang-Seng Liu 3,‡ and Po-Jen Hsiao 1,2,5,*,‡
Reviewer 1: Anonymous
Reviewer 2:
Medicina 2024, 60(7), 1081; https://doi.org/10.3390/medicina60071081
Submission received: 16 May 2024 / Revised: 24 June 2024 / Accepted: 26 June 2024 / Published: 1 July 2024
(This article belongs to the Special Issue Diagnosis and Treatment of Gynecological Diseases: 2nd Edition)

Round 1

Reviewer 1 Report

Comments and Suggestions for Authors

Dear Authors,

Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome, previously known as "Herlyn-Werner-Wunderlich Syndrome," is a rare congenital defect of the Mullerian ducts. 

The manuscript is interesting but lacks novelty. At least 10 cases have been published in the last five years. To improve the manuscript, I suggest the authors add a review to their presentation. 

Abstract - please include the final treatment.

l. 32-37 please include references

l. 58 did the authors performed pelvis ultrasound?

Figures - please include more images, and add some arrows for a better understanding

What happens to the vesicovaginal fistula?

Please include imaging aspects after the final treatment.

The Discussion section needs to be revised, regarding the treatment.

Comments on the Quality of English Language

The English is fine

Author Response

Please see the attachment.

Author Response File: Author Response.docx

Reviewer 2 Report

Comments and Suggestions for Authors

Dear Authors

-Your case is interesting and rare but there are many similar cases reported in the literature, what was the main reason you reported it? 

-please explain more technical details of your procedure.

-Did you perform vaginoscopy?  

-It would be more attractive if you added pictures of what you faced during the operation and a short video of the procedure.

Author Response

Please see the attachment.

Author Response File: Author Response.docx

Round 2

Reviewer 2 Report

Comments and Suggestions for Authors

Dear Authors

Thanks for your response. It is better to add short terms followup of your case.

Author Response

Comment : [Thanks for your response. It is better to add short terms followup of your case.]

Author Reply: 

Thank you for your valuable and practical comment. The patient had a good postoperative recovery, and was discharged successfully on the second day after surgery. After a 3-month follow-up, the patient had a complete recovery without any sequelae. We had revised our abstract and case presentation in manuscript, and uploaded it to Medicina.

Author Response File: Author Response.pdf

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