title: Hysterectomy for heavy menstrual bleeding.
abstract: Hysterectomy is the most frequently performed major surgical intervention in gynecology. Although surgically removing the uterus is invasive, it represents the most definitive treatment option for heavy menstrual bleeding. In this article, we will discuss the indications for hysterectomy as a treatment for heavy menstrual bleeding, the different approaches to perform the hysterectomy, the complications which may occur during and after this procedure and finally the outcomes in comparison with other treatment options.
authors.affiliation: Department of Obstetrics & Gynecology, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: Eva
authors.initials: E
authors.lastname: van der Meij
authors.affiliation: Department of Obstetrics & Gynecology, Spaarne Gasthuis, Haarlem/Hoofddorp, The Netherlands.
authors.forename: Mark Hans
authors.initials: MH
authors.lastname: Emanuel
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D008595:Menorrhagia / Q000601:surgery*; D055357:Uterine Artery Embolization / Q000379:methods; D014599:Uterus / Q000098:blood supply* / Q000601:surgery; D016387:Women's Health
keywords: abdominal hysterectomy; laparoscopic hysterectomy; oophorectomy; robot-assisted hysterectomy; salpingectomy; subtotal or supravaginal hysterectomy; total hysterectomy; vaginal hysterectomy