Abstract
Our study aimed to investigate the long-term follow-up in terms of quality of life of 2 different surgical techniques commonly used to treat abnormal uterine bleeding: hysteroscopic endometrial resection (HEA) and laparoscopic supracervical hysterectomy (LSH) [ 1 Zupi E. Centini G. Lazzeri L. et al. Hysteroscopic endometrial resection versus laparoscopic supracervical hysterectomy for abnormal uterine bleeding: long-term follow-up of a randomized trial. J Minim Invasive Gynecol. 2015; 22: 841-845 Abstract Full Text Full Text PDF PubMed Scopus (13) Google Scholar ]. This article does not represent a negative attack on hysteroscopic endometrial resection but rather a description of 15 years of follow-up in 2 different groups of women who underwent a different surgical treatment, focusing our attention on quality of life. In the comment to our article, the indication to HEA has been questioned. In our previous randomized clinical trial [ 2 Zupi E. Zullo F. Marconi D. et al. Hysteroscopic endometrial resection versus laparoscopic supracervical hysterectomy for menorrhagia: a prospective randomized trial. Am J Obstet Gynecol. 2003; 188: 7-12 Abstract Full Text Full Text PDF PubMed Scopus (58) Google Scholar ], patient characteristics and inclusion and exclusion criteria were correctly described, and in our opinion this point is not actually questionable if we refer to the article recently published. This could be done maybe in 2003 when the first randomized clinical trial was published but not nowadays, after 12 years. Letter to the Editor Regarding Zupi E, Centini G, Lazzeri L, et al. Hysteroscopic Endometrial Resection Versus Laparoscopic Supracervical Hysterectomy for Abnormal Uterine Bleeding : Long-Term Follow-up of a Randomized TrialJournal of Minimally Invasive GynecologyVol. 23Issue 2PreviewI found it interesting that the long-term results of endometrial ablation (EA) in the article by Zupi et al [1] were so poor. My own results and others suggest a much higher success rate [2]. I believe the answer to these different conclusions may lie in the indications chosen for EA. Full-Text PDF
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