Tubal pathologies in benign hysterectomies

Fallopian tube is a pair of hollow, muscular tubes that are located at the upper margin of the uterus's broad ligament on each side of the uterus. The most frequent illness among women in the reproductive age range is salpingitis, where about 11% of females are affected. Para tubal cysts, hydrosalpinx, endometriosis and walthard cell nests are one of the common lesions of the fallopian tubes. To evaluate the tubal pathologies in benign hysterectomies done in a tertiary care hospital. We conducted a retrospective observational study for 15 months from October 2022 to December 2023 on 110 women who underwent hysterectomies along with salpingectomies or undertook the procedure as a part of tuboovarian masses in our hospital. These surgically resected specimens of fallopian tube which were received during the study period were included. Haemotoxylin and eosin stained histopathology slides of these cases were examined for a detailed analysis of histological patterns of various fallopian tube lesions. The data was represented in percentages and frequencies. : Among the 110 study participants, the minimum age of the women were 35 years and the maximum age was 64 years. The most common diagnosis in our study was Abnormal uterine bleeding (AUB) which was among 87 (78.8%) of the patients, followed by ovarian cyst (8.1%) and fibroid (6.3%). The tubal pathology was abnormal in 54.5% of the study participants. Majority of the abnormal tubal pathology was found to be paratubal cyst corresponding to 30.6% and 18% in the right and left fallopian tubes respectively followed by hydrosalphinx in the right fallopian tubes corresponding to 10.8%. This study concluded that more than 50% of fallopian tubes had aberrant diseases. Thus, a salpingectomy along with hysterectomy is beneficial to the patient in order to prevent further morbidity.