Laparoscopic supracervical hysterectomy vs endometrial ablation for women with heavy menstrual bleeding (HEALTH): A parallel-group, open-label, randomized controlled trial
The Lancet Sep 19, 2019
Cooper K, Breeman S, Scott NW, et al. - Through a parallel-group, multicentre, open-label, randomized controlled trial done in 31 hospitals in the UK, women younger than 50 years (n = 660) who were referred to a gynecologist for surgical treatment of heavy menstrual bleeding and who were qualified for endometrial ablation, researchers contrasted laparoscopic supracervical hysterectomy with endometrial ablation in females seeking surgical treatment for heavy menstrual bleeding. Women randomly assigned to laparoscopic supracervical hysterectomy were also more prone to have the best possible menorrhagia multi-attribute quality of life scale score of 100 in comparison with women allocated to endometrial ablation. At least one serious adverse event was noted in 14 of 309 women in the laparoscopic supracervical hysterectomy group and 11 of 307 women in the endometrial ablation group. Thus, laparoscopic supracervical hysterectomy was concluded as better than endometrial ablation in terms of clinical efficiency and had a comparable proportion of complications, although it took longer to perform and was correlated with a more prolonged recovery.
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