**4. Types**

There are different types of hysterectomy. A subtotal hysterectomy, also known as supracervical hysterectomy, removes the uterus and leaves the cervix intact. A small proportion of patients undergoing subtotal hysterectomy continue to have cyclical bleeding until menopause [7, 8].

To minimize the possibility of this, the procedure of supracervical hysterectomy is combined with a reverse cone excision of the endocervical endometrium to avoid having very light menstruation.

A total hysterectomy removes the uterus and cervix. A radical hysterectomy may be indicated in certain cases of malignancy where the uterus, cervix and part of the vagina, ovaries, fallopian tubes, and nearby lymph nodes are removed.

A peripartum hysterectomy or emergency peripartum hysterectomy is a lifesaving procedure to remove the uterus after 20 weeks of gestation, occurring during or after delivery or during the puerperium due to severe hemorrhage that fails to respond to conservative medical therapy and other modalities. Uterine atony and morbid placentation are the leading abnormalities [9–11].

Compared with non-obstetric hysterectomy, peripartum hysterectomy is associated with a six-fold increase in blood loss, and a 25-fold increase in mortality due to the increased incidence of coagulopathies and other perioperative complications [12].
