Reviewer’s report
Title: 
Laparoscopic adenomyomectomy combined with levonorgestrel-releasing
intrauterine system is effective for long-term management of adenomyosis
Version: 
1 
Date: 
25 Mar 2023
Reviewer's report:
This is a retrospective study of the effect of laparoscopic adenomyectomy plus
LNG-IUS versus control. Despite the limitations of this retrospective study, the
content of the study is very understandable and provides useful suggestions for
clinical practice, although some improvements can be found.
It is necessary to mention in detail what criteria the patients in this study used
to decide whether or not to use postoperative LNG-IUS. Once the background of
treatment selection is known, it will be easier to understand what selection bias
exists behind the present results. (The occurrence of bias itself is natural and not
a problem.)
Table 3 is not clear at first glance. It should be a line chart Figure. Also, it
should be clearly indicated how many people were followed up at each point in
the evaluation.
In Figure 1, the x-axis is "months," but it is easier to see when recurrence was
assessed if the x-axis is "years."
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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?
Yes
Are the methods sufficiently described to allow the study to be repeated?
Yes
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Yes
Is the presentation of the work clear?
Yes
Are the images in this manuscript (including electrophoretic gels and blots) free
from apparent manipulation?
Yes
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