Context: Hystrectomy is the frequently performed gynaecological surgery for various uterine and adnexal pathologies. Varied approaches depending on the clinical features and presentation have been practiced worldwide. A detailed histopathological examination of all the specimens is mandatory to establish a comprehensive diagnosis for the patients. Aims: The aim is to study the pattern of histopathological lesions in hysterectomy specimens in our institution and compare it with similar studies. And also to discuss briefly about the interesting incidental findings made in our institution during this study period. Settings and Design: A retrospective descriptive study was carried on 280 hysterectomised cases over a period of one year from January 2017 to December 2017. The data regarding the patient’s age, parity, type of hysterectomy and histopathological diagnosis were reviewed from the records and database was created and descriptive statistical measures were analysed using SPSS 22.0. Results: A total of 280 cases of hysterectomies were studied. The distribution of hysterectomies was over a wide age group ranging from 29 years to 80 years, most common age group being 41-50 years. Hysterectomies done through abdominal approach (85%) were more ubiquitously practiced in our setup. Histopathologically benign neoplasms (65%) outnumbered malignant ones with leiomyoma being the most common benign lesion to be encountered. Conclusions: Chronic cervicitis (chronic papillary endocervicitis and chronic superficial cervicitis) remains as the most frequent inflammatory pathology followed by leiomyoma. Histopathological analysis of all hysterectomy specimens is imperious in order not to miss incidental malignancies and to provide optimal management for the patient.

Keywords: Hysterectomy; Leiomyoma; Malignancy