Reviewer’s report
Title: 
Laparoscopic adenomyomectomy combined with levonorgestrel-releasing
intrauterine system is effective for long-term management of adenomyosis
Version: 
1 
Date: 
14 Mar 2023
Reviewer's report:
I can't found remarkable change in the revised text.
Adenoymoectomy is not like myomectomy and It can be recur easily if it was not
completely excised.
IUD can prevent regrowing of adenomyosis, however most women who preserve
the uterus withoud hysterectomy wanted to preserve their fertility.
Only to prevent from surgery, most patient choose IUD device before the
surgery,
and when it was removed or ineffective the next step will be surgery.
Therefore, the authors need to explain, why the patiens choose conservative
surgery than hysterectomy even if they cannot have a child with IUD.
Also, Kaplan-meier curve is used for assesing survival data, not for evaluating
symptomatic improvement.
Your clinical outcomes might be effective, but I am sorry that it is questionable
that it has academic value.
A major change should be required for the study design, to objectively
understand the reviewers. 
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