Elective hysterectomy--trends at Angthong Hospital.

From October 1988 to September 1992, 240 women in Angthong Hospital had elective hysterectomy. Myoma uteri was found as the first leading indication representing 47.9 per cent. Genital prolapse was the second (20.4%), and endometriosis was the third (14.2%). Elective hysterectomy was also performed in benign ovarian tumors (8.3%), dysfunctional uterine bleeding (6.3%) and chronic PID (2.9%). Emergency hysterectomy for obstetrical and gynaecological issues accounted for 2.0 per cent and 1.6 per cent respectively. Most hysterectomies (39.2%) were performed on women aged between 40 and 49 years. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was also the first leading type of surgery (52.5%). No serious intraoperative or postoperative complications were found. The study showed satisfactory results for evaluation of the new trends of hysterectomy and the achievement of the goal in developing the hospital potential to be the best general hospital for tertiary care and as the center for referral patients in Obstetrics and Gynaecology from nearby general and community hospitals.