What do systematic reviews say?

Endometrial resection or ablation vs open hysterectomy

Endometrial resection or ablation probably leads to lower effectiveness Woman's perception (proportion with improvement in… compared with open hysterectomy (moderate certainty).

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  RR 0.9 [0.84, 0.95]
  2 studies · 247 participants
  Moderate

Endometrial resection or ablation vs open hysterectomy

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 155 participants
  Moderate

Endometrial resection or ablation vs open hysterectomy

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 247 participants
  Moderate

Endometrial resection or ablation vs open hysterectomy

Endometrial resection or ablation showed no clear difference in acceptability Proportion satisfied with treatment compared with open hysterectomy (moderate certainty).

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  RR 0.91 [0.82, 1]
  1 study · 194 participants
  Moderate

Endometrial resection or ablation vs open hysterectomy

Endometrial resection or ablation showed no clear difference in safety Any serious adverse events compared with open hysterectomy (low certainty).

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  RR 1.29 [0.32, 5.2]
  2 studies · 247 participants
  Low

Endometrial resection or ablation vs open hysterectomy

• Endometrial resection and ablation versus hysterectomy for heavy menstrual bleeding 2021 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 194 participants
  Moderate