Reviewer’s report
Title: 
Quality of life after laparoscopic hysterectomy versus abdominal hysterectomy
Version: 
2 
Date: 
12 Feb 2021
Reviewer's report:
Introduction
"Laparoscopic hysterectomy (LH) was first performed in the 1990s in the field of gynecology1." -
Hysterectomy is essentially a gynecological surgery, there are no other fields that commonly perform this
procedure, so this section should be reviewed due to redundancy
"Our department favors LH as it is less invasive than AH and vaginal hysterectomy4,5,6." - Problematic
statement once most of the guidelines from the main societies worldwide recommend the vaginal
approach as the first choice for performing hysterectomy since it is considered the least invasive route
performed by natural orifice
Methods
The authors report that the procedures were performed in different hospitals with different surgical teams.
This fact may imply changes in the standard of care, which represents a bias factor that can influence the
results
methodological deficiencies, very small samples not allowing to analyze the significance of the results
In table 1, the authors use terms such hypermenorrhea that have not been recommended by FIGO since
2007. The use of FIGO classification of uterine bleeding is recommended.
graphics without a good resolution
Redundant and repetitive informations mainly in introduction. English revision and adequacy of the text to
the English language are imperative.
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Is the study design appropriate to answer the research question (including the use of appropriate controls),
and are the conclusions supported by the evidence presented?
No
Are the methods sufficiently described to allow the study to be repeated?
No
Is the use of statistics and treatment of uncertainties appropriate?
No
Is the presentation of the work clear?
No
Are the images in this manuscript (including electrophoretic gels and blots) free from apparent
manipulation?
Yes