A retrospective study was performed on 13 patients with spontaneous bacterial peritonitis at Viet Duc Hospital between Jan 2000 and Dec 2004. Results: Most patients with spontaneous bacterial peritonitis were diagnosed as appendix peritonitis. The rate of spontaneous bacterial peritonitis in cirrhosis patients were highest (53.8%); unknown cause 30.8%, lupus erythematosus 7.7%; 3/13 cases did not have intraoperative bacteria culture , among 7 cases had the culture results positive with gastrointestinal bacteria, E.Coli accounted for 6/7. Postoperative results: mortality rate was high (46.1%), especially in cirrhosis patients.
Peritonitis ; Diagnosis ; Therapeutics

The prospective study was conducted in 5 cases (4 males, 1 female; aged from 8 months to 76 years old) with peritonitis induced by surgery perforation of Meckel’s diverticulum at Viet Duc Hospital from January 2000 to December 2004. Clinical symptoms included abdominal pain, fever, vomiting, infection syndrome, peritoneal induction, abdominal cramp. Preoperative diagnosis: appendicitis’ peritonitis in 3 patients; appendicitis’ peritonitis induced by perforation of stomach 1 patient; peritonitis due to left bubonocele 1 patient. Results: there were 3 patients had Meckel’s diverticulum removed; 2 patients had appendix removed plus; 3 patients with anatopathology tests. There was no patients had events during surgery and postoperative complication, all 5 patients completely recovered and discharged.
Peritonitis ; Diagnosis ; Therapeutics

12 patients with internal or surgery hemorrhoids at level 3, level 4 underwent Longo surgery at Viet Duc Hospital and Health Center of Dong Anh district from July to October 2005. The author reviewed indication, technique and primary results of Longo surgery on hemorrhoids treatment. Indication of Longo surgery: almost cases of internal and surgery hemorrhoids at level 3 or 4 underwent scheduled surgery, some cases underwent emergency surgery due to haemorrhoids prolapsed, thrombosis. It maybe difficult to place sonde to enlarge the anus; or combined operation can be done together with Longo surgery. The primarily results of the treatment were good; the patients had low pain, shorten hospitalization, without bleeding or incontinence diarrhea
Hemorrhoids ; Therapeutics ; Surgery

From January 1 to October 31, 2004, 93 patients with peritonitis due to different reasons (enteritis 60.2%) were treated at Viet Duc hospital. 18.7% of these patients were treated by laparoscopy and 81.7% treated by open operation to deal with reason causing peritonitis, cleaning and draining abdominal cavity. Bacterial culture for antibiograms was not implemented systematically. Combination of Cegotaxim and Flagry was a major antibiotic therapy. There were 20 cases were treated by three or more types of antibiotic. The mortality rate was 5.4%
Anti-Bacterial Agents ; Therapeutics ; Infection

Report a case of endometriosis under the skin of abdominal wall beside incision of post cesarean section which was surgery at Viet Duc hospital. The reason of admitting hospital: After one year of operation appeared mass beside the left on the old scar. This mass was pain, growing bigger during menstruation. Diagnosis before operation: endometriosis was at the old scar of cesarean section. Postoperated examination: one month postoperation, the incision was dry, the patient felt well, the mass of abdominal wall was disappeared and not pain while menstruation as before operation.
Endometriosis ; Cesarean Section ; Abdominal Wall

The study involved 12 cases with intestinal smooth muscle tumor underwent operation at Viet Duc Hospital from 1990 to 1995. Findings: intestinal smooth muscle tumor occupied about 16% of intestinal malignant tumors. Most of cases were not diagnosed before surgery. Common clinical signs are abdominal pain, digestive troubles and weigh loss. The tumor can be touched by hand. Most of patients were removed the tumor and the related intestinal segment. Post-operation, there was not death or dehiscence of the anastomosis. Rate of infection is 8.3%. There were not any patients received chemotherapy and radiotherapy.
Intestinal Neoplasms ; Muscle, Smooth

Because of fail of the first 7 cases of the intestinal transplantation in 1964, the intestinal transplantation was not regarded. Until 1985, the intestinal transplantation has been returned applied. The technique includes 2 phases: the collection and preservation of the intestine from donor and transplantation of this intestine. The resource of the intestine can be the intestine of someone that his (her) brain was dead or of the healthy people. The technique comprises the vascular transplantation and the establishment of the digestive system.
Transplantation ; Intestinal Diseases ; Digestive System

This study introduced the diagnosis, prognosis and the treatment of lesion that causes the digestive hemorrhage and peutzjeghers syndrome. The Diculafoy lesion commonly found in the stomach, esophagus, duodenum, intestine, large intestine and rectum with congenital cause. The treatment involved the surgery and endoscopic intervention. The peutz- jeghers syndrome manifested by polypolype in the digestive tract, skin pigment surround the mouth, lip, oral mucosa; treatment was mainly symptomatic management.
Syndrome ; Digestive System Diseases

The minimal condition for chemotherapy is the malignant nature of tumor must be identified exactly, the clinical criteria must be established adequately and accurately, contraindications should be excluded, the following-up factors were enough and the cooperation of patients should be available. In this clinical trial, patients were divided randomly into 3 groups. Group 1 received surgery alone. Group 2 received surgery plus 5FU. Groups 3 received surgery plus 5FU and false ginseng. Result: The 5-year survival rate increased more than 15% for groups received post-operative adjunctive therapy. The 5-year survival in adjunctive therapy groups is 45%.
Immunotherapy ; Drug Therapy ; neoplasms

A female patient with 33 ages suffered the ischiorectal lesion that experienced incision without removal of lesion. The features suggested the ischiorectal endometria included solid organ caused pain in the ischiorectal region, no fever, increased pain and bigger organ during menstruation. The total removal operation of this organ and microscopic tests was carried out to treat and affirm the ischiorectal endometria
Endometrium ; Microscopy, Interference