Surgical approaches to hysterectomy in benign gynaecological conditions

Hysterectomy is among the most frequently performed major gynaecological procedures globally. The primary indications include various benign conditions that have not responded to conservative management, including heavy menstrual bleeding, symptomatic uterine fibroids, chronic pelvic pain and uterine prolapse. Surgeons must be well-versed in surgical anatomy and the various approaches for performing a hysterectomy. The appropriate approach should be tailored for each patient whilst taking into consideration surgical risk factors as well as modern management of complications of hysterectomy.