Reviewer ’s report  
 
Title:  Cesarean scar endometriosis: Presentation of 198 cases and literature review  
 
Version: 0 Date: 20 Sep 2018 
 
Reviewer:  ahmed  altraigey  
 
Reviewer’s report:  
 
thanks for great effort in dealing with this  interesting topic, but i have some comments:  
 
1. abstract needs to be improved especially conclusion (too hazy).  
 
2. introduction should be more directed towards pathophysiology of endometriosis and previous 
studies.  
 
3. methods section is lacking cesarean s ection technique and different modalities of closure, type 
of suture materials, layers of closure, operation duration, medication........etc which could affect 
the occurrence of endometriomas and this was reflected on results section as well as discussion 
and this point is the greatest pitfall of the manuscript and its value.  
 
4. manuscript must be edited for language rules and punctuation.  
 
5. statistical review is recommended also. some of values raise attention how they are not 
significant.  
 
6.table 2 to be  edited carefully.  
 
7. writing result section should address the key finding of each table and leave the numbers to be 
reviewed in the table itself.  
 
8. the figure has no actual value.  
 
9. discussion should be focused on your key results and previous studies (specifically) not 
putting hypothesis for each finding without proofs.  
 
10. you got a great chance to measure out the incidence of scar endomtrioma comparing cases to 
the number of CS in the study period, great chance to measure the recurrence, great chance  to 
search deeper through the CS details to find more data about contributing factors so kindly earn 
it. 
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
No 
Does the work include the necessary c ontrols?  
If not, please specify which controls are required in your comments to the authors.  
 
No 
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
No 
 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
If an additional statistical review is recommended, please specify what aspects require further 
assessment in your comments to the editors.  
 
I recommend additional statistical review  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Not suitable for publication unless extensively edited  
 
Declaration of competing interests  
Please complete a declaration of competing interests, considering the following questions:  
 
1. Have you in the past five years received reimbursements, fees, funding, or salary from an 
organisation that may in any way gain or lose financially from the publication of this 
manuscript, either now or in the future?  
 
2. Do you hold any stocks or shares in an organisati on that may in any way gain or lose 
financially from the publication of this manuscript, either now or in the future?  
 
3. Do you hold or are you currently applying for any patents relating to the content of the 
manuscript?  
 
4. Have you received reimbursements, f ees, funding, or salary from an organization that 
holds or has applied for patents relating to the content of the manuscript?  
 
5. Do you have any other financial competing interests?  
 
6. Do you have any non -financial competing interests in relation to this paper?  
 
If you can answer no to all of the above, write 'I declare that I have no competing interests' 
below. If your reply is yes to any, please give details below.  
 
I declare that I have no competing in terests  
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