Title: Review of Asherman Syndrome and Its Hysteroscopic Treatment Outcomes: Experience
in a Low-resource Setting
Version: 0 Date: 10 Nov 2023
Reviewer's report:
1. Affirm the author’s research value of this article
2. Asherman Syndrome is an acquired uterine disease, which is the occurrence of scabs
and adhesion in the uterus. The uterine walls stick together. Most of them occur during
improper abortion and curettage, bleeding after childbirth and curettage. , after uterine cavity
surgery, oligomenorrhea or amenorrhea, cyclic abdominal pain, recurrent miscarriage, and even
infertility may occur. The data in the article (P.8) shows that the most commonly reported
problem is primary infertility (57.8%), which is inconsistent with the theory and needs to be
clarified
3. In the research structure, independent variables and dependent variables should be explored
in the literature to see if there are relevant influencing factors.
4. The data in Tables 1, 2, and 3 are inconsistent with the description in the text, such as patients
with mild (26.2%) and severe (71.4%) (Table 1, Table 2 and Table 3).
5. The use of antibiotics is not listed in the variables, and the literature has not been discussed.
However, the results are presented. Please add whether it is related to the disease.
6. The data in Tables 4 and 5 are inconsistent with the description in the text. What is the meaning
of the P value in Table 5? An explanation should be provided.
7. In the structure, there are many variables collected, but some items have no statistical
significance, such as address, religion, etc., so they do not need to be listed. If you think
the variables will have an impact, please add literature information and statistical analysis of
correlations.
8. The values in Tables 6 and 7 are inconsistent with the description in the text, and the meaning
of the values is not indicated.
9. Conclusion: “Endometrial tuberculosis was the underlying cause in many cases of Asherman
syndrome, giving insight into the high burden of tuberculosis in the general population. Early
identification, a strong index of suspicion, and early screening of Asherman syndrome and
tuberculosis are crucial for reversing disease states." This is a very meaningful discovery. The
cost of tuberculosis is regionally specific. It is recommended that the literature provide more
explanations.
10. P.1” At the time of the presentation and telephone interview, study participants' mean ages
were 31.4 years (range: 21-39 years) and 32.3 years (range: 22-40 years)” did not understand
the ages of the 2 ethnic groups What is the significance of separate descriptions? Because the
results do not explain their significance.
The structure of the article
1. Please list the page numbers
2. Introduction should be changed to Background according to the magazine format
3. The presentation format of the table is incorrect, such as the way to draw lines in the table,
the way to write values, percentages, etc. Please write according to the submission regulations.
In addition, the titles of Tables 1 and 4 are too long (more than 15 letters)
4. The first letter of the table title should be capitalized, and other letters should be lowercase.
5. For the title after P.13, the first letter should be capitalized, and other letters should be
lowercase.
6. Literature citations in the text should be [ ] instead of ( )
7. The decimal point should be presented consistently, taking the first digit after the decimal
point, as shown in Table 4 Stage I(Mild) 6(24)