Researchers have reported that the introduction of alternative techniques for controlling abnormal uterine bleeding such as endometrial ablation have not had an impact on hysterectomy rates in the United States. They also reported that there has been minimal uptake of laparoscopic surgical techniques. In 1990 hysterectomy rates were 5.5 per 1000 women, by 1997 they had risen to 5.6 per 1000 women. By 1997, laparoscopic hysterectomies were accounting for only about 9.9% of cases.
(Obstet Gynecol, (2) 2002, pp 229 – 234)