Tehran University of Medical Sciences (TUMS) Academic Journal of Surgery 2423-3218 9 1 2026 10 25 34 49 Fatemeh Shokri Emami Department of Anesthesiology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. Alieh Zamani Kiasari Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran Samira Sobhani Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran 2026 05 09 Hysterectomy is one of the most common gynecological surgeries, recognized as the most frequently performed gynecological surgical procedure worldwide (1, 2). The main reasons for performing this surgery include uterine fibroids, abnormal uterine bleeding, and pelvic pain (2, 3). In Germany, 17.5% of women aged 18 to 79 have experienced this surgery, with most cases occurring in the 40 to 49 age group (4). The prevalence of hysterectomy in different countries is influenced by socio-economic factors and access to healthcare services (5). In Iran, the number of hysterectomy operations in a university clinic in Tehran averaged 219 cases per year between 2005 and 2009, and most women were in the 45 to 54 age group. https://ajs.tums.ac.ir/index.php/ajs/article/view/345