Table 1.

Exclusion Criteria

Adnexal disease as primary indication for surgeryMinimally invasive hysterectomy converted intraoperatively
Adnexal torsionMüllerian or uterine anomalies
Age <18 yearsOvarian, fallopian tube, or primary peritoneal cancer
Cervical cancer more advanced than stage 1A1Pelvic kidney
Cesarean hysterectomyPlanned appendectomy, cholecystectomy, or bowel surgery
Concomitant anti-incontinence proceduresPlanned umbilical hernia repair affecting route choice
Concomitant pelvic organ prolapse operation other than pure uterineRadical hysterectomy
Emergent hysterectomyRisk-reducing surgery (ie, BRCA positive)
Endometrial hyperplasia of increased complexitySupracervical hysterectomy
History of multiple cone excisions with no available cervical tissueTubo-ovarian abscess
Laparoscopic hysterectomy or laparoscopy-assisted vaginal hysterectomyUterine cancer or suspicion for sarcoma
Mesh-related surgery or excision