Abstract

Background: Hysterectomy is the commonest major surgical procedure performed in gynaecology. It is important to conduct audit on hysterectomy to bring down rate of hysterectomies and to avoid unnecessary hysterectomies. Methods: It is a retrospective study. A total of 437 cases who underwent hysterectomy were studied over a period of 1year from January 1st 2022 to December 31st 2022. Objective: To evaluate the indications of hysterectomy and histopathological analysis of hysterectomy specimens for confirmation of preoperative diagnosis and to assess the pattern of lesions common in uterus and adnexae in the study population. Results: A total of 437 cases were studied. The peak age group of hysterectomy was 41-50 years with 225(51.49%) cases. The most common indication was fibroid uterus (289, 66.13%). The commonest route of hysterectomy was abdominal (370,84.67%). The most common endometrial finding was proliferative endometrium seen in 199(45.54%) cases. The most common pathology in myometrium was leiomyoma seen in 270(61.78%) cases. The most common pathology in cervix was chronic cervicitis seen 245(56.06%) cases. Conclusion: There is a need for shifting the route of hysterectomy from abdomen to vaginal route as complication rate is low in Vaginal route. Educating the patient regarding the non- surgical and less invasive management options available for benign conditions and about the sequele of hysterectomy to bring down the rate of hysterectomy.

Description