Total or subtotal abdominal hysterectomy in benign gynecological conditions: How, why, when?

Daniilidis Α, Spathopoulou S., Dinas Κ, Τantanasis T, Κartsea F, Giannoulis C, Balaouras D, Foteinakis I,Μakris V, Loufopoulos Α

2nd Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Hippokrateio hospital, Thessaloniki, Greece

Correspondence: Spathopoulou Sofia, 9 Tavaki St, GR-57001, Thessaloniki, Greece. E-mail:


Total and subtotal abdominal hysterectomy for benign indications have been compared in randomized clinical trials and observational studies. The aim of this review was to compare total and subtotal hysterectomy concerning incontinence, cervical stump problems, operation time, postoperative complications, quality of life, and prolapse. Incontinence, prolapse and cervical stumps problems showed a difference favoring the total hysterectomy. Operation time and postoperative complications were in favor of the subtotal hysterectomy. Quality of life did not differ between the two hysterectomy methods.

Keywords: hysterectomy, vaginal hemorrhage, sexual life, urinary incontinence, prolapse

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