Endometrial Ablation in the Management of Abnormal Uterine Bleeding

摘要: Abstract Background Abnormal uterine bleeding (AUB) is the direct cause of a significant health care burden for women, their families, and society as whole. Up to 30% women will seek medical assistance problem during reproductive years. Objective To provide current evidence-based guidelines on techniques technologies used in endometrial ablation (EA), minimally invasive technique management AUB benign origin. Methods Members guideline committee were selected basis individual expertise represent range practical academic experience terms both location Canada type practice, well subspecialty general background gynaecology. The reviewed all available evidence English literature, including published guidelines, evaluated surgical patient outcomes various EA techniques. Recommendations established by consensus. Evidence Published literature was retrieved through searches MEDLINE Cochrane Library 2013 2014 using appropriate controlled vocabulary key words (endometrial ablation, hysteroscopy, menorrhagia, heavy menstrual bleeding, AUB, hysterectomy). Results restricted systematic reviews, randomized control trials/controlled clinical trials, observational studies written from January 2000 November 2014. Searches updated regular incorporated December Grey (unpublished) identifies searching websites technology assessment technology-related agencies, practice collections, trial registries, national international specialty societies. Values quality this document rated criteria described Report Canadian Task Force Preventive Health Care (Table 1). This reviews regarding EA, preoperative postoperative care, operative set-up, anaesthesia, considerations practice. Benefits, harms, costs Implementation recommendations improve provision an effective treatment AUB. Following these would allow procedure be performed safely maximize success patients. Conclusions safe option etiology.