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Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding

  1. Rosalie J Fergusson1,
  2. Anne Lethaby2,*,
  3. Sasha Shepperd3,
  4. Cindy Farquhar4

Editorial Group: Cochrane Menstrual Disorders and Subfertility Group

Published Online: 29 NOV 2013

Assessed as up-to-date: 30 OCT 2013

DOI: 10.1002/14651858.CD000329.pub2


How to Cite

Fergusson RJ, Lethaby A, Shepperd S, Farquhar C. Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding. Cochrane Database of Systematic Reviews 2013, Issue 11. Art. No.: CD000329. DOI: 10.1002/14651858.CD000329.pub2.

Author Information

  1. 1

    Auckland District Health Board, Obstetrics and Gynaecology, Auckland City Hospital, Auckland, New Zealand

  2. 2

    University of Auckland, Department of Obstetrics and Gynaecology, Auckland, New Zealand

  3. 3

    University of Oxford, Nuffield Department of Population Health, Oxford, Oxfordshire, UK

  4. 4

    University of Auckland, Obstetrics and Gynaecology, Auckland, New Zealand

*Anne Lethaby, Department of Obstetrics and Gynaecology, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand. a.lethaby@auckland.ac.nz.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 29 NOV 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
Crosignani 1997 {published data only}
  • Crosignani PG, Vercellini P, Apolone G, De Giorgi O, Cortesi I, Meschia M. Endometrial resection versus vaginal hysterectomy for menorrhagia: long-term clinical and quality-of-life outcomes. American Journal of Obstetrics & Gynecology 1997;177:95-101.
Dickerson 2007 {published data only}
  • Dickerson K, Munro M, Langenberg P, Scherer R, Frick KD, Weber AM, et al. Surgical treatments outcomes project for dysfunctional uterine bleeding (STOP-DUB): design and methods. Controlled Clinical Trials 2003;24:591-609.
  • Dickerson K, Munro MG, Clark M, Langenberg P, Scherer R, Frick K, et al. Hysterectomy compared with endometrial ablation for dysfunctional uterine bleeding. Obstetrics and Gynecology 2007;110(6):1279-89.
  • Munro M, Dickerson K, Clark M, Langenberg P, Scherer R, Frick K. The Surgical Treatments Outcomes Project for Dysfunctional Uterine Bleeding: summary of an Agency for Health Research and Quality-sponsored randomized trial of endometrial ablation versus hysterectomy for women with heavy menstrual bleeding. Menopause 2011;18(4):451-8.
Dwyer 1993 {published data only}
Gannon 1991 {published data only}
  • Gannon MJ, Holt EM, Fairbank J, Fitzgerald M, Milne MA, Crystal AM, et al. A randomised trial comparing endometrial resection and abdominal hysterectomy for the treatment of menorrhagia. British Medical Journal 1991;303:1362-4.
O'Connor 1997 {published data only}
Pinion 1994 {published data only}
  • Aberdeen Endometrial Ablation Trials Group. A randomised trial of endometrial ablation versus hysterectomy for the treatment of dysfunctional uterine bleeding: outcome at four years. British Journal of Obstetrics & Gynaecology 1999;106:360-6.
  • Alexander DA, Naji AA, Pinion SB, Mollison J, Kitchener HC, Parkin DE, et al. Randomised trial comparing hysterectomy with endometrial ablation for dysfunctional uterine bleeding: psychiatric and psychosocial aspects. British Medical Journal 1996;312:280-4.
  • Cameron IM, Mollison J, Pinion SB, Atherton-Naji A, Buckingham K, Torgerson D. Cost comparison of hysterectomy and hysteroscopic surgery for the treatment of menorrhagia. European Journal of Obstetrics and Gynaecology 1996;70:87-92.
  • Pinion SB, Parkin DE, Abramovich DR, Naji A, Alexander DA, Russell IT, et al. Randomised trial of hysterectomy, endometrial laser ablation, and transcervical endometrial resection for dysfunctional uterine bleeding. British Medical Journal 1994;309:979-83.
Sesti 2011 {published data only}
Zupi 2003 {published data only}
  • Zupi E, Zullo F, Marconi D, Sbracia M, Pellicano M, Solima E, et al. Hysteroscopic endometrial resection versus laparoscopic supracervical hysterectomy for menorrhagia: a prospective randomized trial. American Journal of Obstetrics and Gynecology 2003;188:7-12.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
Lin 2006 {published data only}
Paddison 2003 {published data only}
  • Paddison K. Menorrhagia: endometrial ablation or hysterectomy. Nursing Standard 2003;18(1):33-7.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
Bhattacharya 2011
  • Bhattacharya S, Middleton L, Tsourapas A, Champaneria R, Daniels J, Roberts T, et al. Hysterectomy, endometrial ablation and Mirena for heavy menstrual bleeding: a systematic review of clinical effectiveness and cost-effectiveness analysis. Health Technology Assessment April 2011;19:1-252.
Bourdrez 2004
  • Bourdrez P, Bongers MY, Mol BWJ. Treatment of dysfunctional uterine bleeding: patient preferences for endometrial ablation, a levonorgestrel-releasing intrauterine device, or hysterectomy. Fertility and Sterility 2004;82(1):160-6.
Brazier 1993
Bridgman 1994
Clegg 2007
  • Clegg JP, Guest JF, Hurskainen R. Cost-utility of levonorgestrel intrauterine system compared with hysterectomy and second generation endometrial ablative techniques in managing patients with menorrhagia in the UK. Current Medical Research and Opinion 2007;23(7):1673-48.
Cooper 2011
Coulter 1991
Coulter 1994
Euroqol Group 1990
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Fernandez 2011
Garrat 1995
Garside 2004
Higgins 2008
Higgins 2011
  • Higgins JPT, Altman DG. Assessing risk of bias in included studies. In: Higgins JPT, Green S editor(s). Cochrane Handbook for Systematic Reviews of Interventions. Version 5.0.0. New York: John Wiley & Sons, 2011.
Kennedy 2002
  • Kennedy ADM, Sculpher MJ, Coulter A, Dwyer N, Rees M, Abrams KR, et al. Effects of decision aids for menorrhagia on treatment choices, health outcomes and costs. JAMA 2002;288(21):2701-8.
Lethaby 2005
  • Lethaby A, Hickey M, Garry R. Endometrial destruction techniques for heavy menstrual bleeding. Cochrane Database of Systematic Reviews. John Wiley, 2005, issue 4. [DOI: 10.1002/14651858]
Lethaby 2009
  • Lethaby A, Hickey M, Garry R, Penninx J. Endometrial resection/ablation techniques for heavy menstrual bleeding. Cochrane Database of Systematic Reviews 2009, (4):[DOI: 10.1002/14651858.CD001501.pub3].
Li 2012
  • Li M, Han Y, Feng YC. Single-port laparoscopic hysterectomy vs conventional laparoscopic hysterectomy: a prospective randomised trial. Journal of International Medical Research 2012;40(2):701-8.
Munro 2011
  • Munro MG, Critchley HO, Broder MS, Fraser IS. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. International Journal of Gynaecology and Obstetrics 2011;113(1):3-13.
Nagele 1998
NICE 2007
  • National Collaborating Centre for Women's and Children's Health. Heavy Menstrual Bleeding. London: RCOG Press, 2007.
Overton 1997
Reich 1989
Reid 2007
  • Reid PC. Endometrial ablation in England—coming of age? An examination of hospital episode statistics 1989/1990 to 2004/2005. European Journal of Obstetrics and Gynecology 2007;135:191-4.
Roberts 2011
  • Roberts T, Tsourapas A, Champaneria R, Daniels J, Cooper K, Bhattacharya S, et al. Hysterectomy, endometrial ablation, and levonorgestrel releasing intrauterine system (Mirena) for treatment of heavy menstrual bleeding: cost effectiveness analysis. BMJ April 2011;342:d2202.
Rust 1986
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Sculpher 1998
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Sharp 2012
  • Sharp HT. Endometrial ablation: postoperative complications. American Journal of Obstetrics and Gynaecology 2012;206:4.
Vessey 1992
Ware 1993
  • Ware JE, Snow KK, Kosiniski M, et al. Health survey: manual and interpretation guide. The Health Institute. Boston: New England Medical Centre, 1993.
Woolcock 2008
  • Woolcock JG, Critchley HO, Munro MG, et al. Review of the confusion in current and historical terminology and definitions for disturbances in menstrual bleeding. Fertility and Sterility 2008;90:2269.
You 2006
  • You JHS, Sahota DS, Yuen PM. A cost-utility analysis of hysterectomy, endometrial resection and ablation and medical therapy for menorrhagia. Human Reproduction 2006;21(7):1878-83.
Zigmond 1983