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 Pseudotumor inflammatory of appendix was a rare clinical condition. The cecum was thickened, the ilececal angle became a block due to inflammatory and swollen of mesentery node which allowed surgeons to think of cecal tumor during operation. The left large intestinal resection indicated for Pseudotumor inflammatory of appendix.
Appendicitis ; Rare Diseases

A restrospective study on 11 patients with the small intestinal epithelioma in Viet Duc hospital during 1990- 1999 was carried out. The results have shown that the small intestinal epithelionma account for 25% the malignant tumors in the small intestine; more than 80% patients were emergency operated due to the intestinal obstruction, digestive haemorrhage, peritonitis due to the tumor perforation. Most of the small intestinal epithelioma were diagnosed after the abdominal open and microstructure tests. The disease most frequently occurred in men with average ages of 44, rarely touch the abdominal tumor and the localization comonly occurred in the jajunum. The rate of the radical operation was low, the post operative infection was high; the chemotherapy after operation is not considered properly; the average survival after operation was 7.2 months.
Intestinal Neoplasms ; Therapeutics

A restrospective study on the 13 patients with primary malignant non-Hodgkin lymphoma of the small intestine operated in Viet Duc hospital from 1990 to 1999 has shown that the clinical features with general changes of symptoms: weakness, anorexia, weight loss, abdominal pain and abdominal node. No patients were diagnosed by X-ray. 8 patients with ileal tumor and 2 patients with duodenal tumor were diagnosed. The histopathology was not distinguished. The basic treatment is operation for removal. The classification the disease’s period which helps the combination of chemicals with radiation after operation for prolonging the life of patients.
Intestinal Neoplasms ; Diagnosis ; Therapeutics

Some major conditions that related to indication of splenectomy are 1. Rupture; 2. Abscess; 3. Tumors and cysts; 4. Artery aneurysm; 5. Displacement of spleen; 6. Bone marrow failure; 7. Faconi’s anemia; 8. Diamond-Blackfan’s anemia; 9. Gaucher’s disease; 10. Hemolytic anemia; 11. Essential trombocytopenia hemorrhage. 12. Felty syndrome; 13. Essential myelodysplasia; 14. Hairy leucocyte disease; 15. Hodgkin disease. Indications included splenectomy for diagnosis and for treatment and splenectomy for cases of spleen enlargement with spleen hyperactivity syndrome.
Splenectomy ; Learning

The ectopic pancreas is rare abnormal anatomy. This paper introduced 4 cases of the ectopic pancreas, which had occurred when patients were fetuses. The ectopic pancreas mainly focused in the upper digestive tract. In generally, there were no symptoms. If have, the symptoms were various which depended on the position and size such as digestive bleeding, ileus, intussuseption and pancreatic pathology such as acute or chronic pancreatitis. The ectopic pancreas usually was diagnosed before operation. It should remove the ectopic pancreas if it is the pathogen.
Pancreas ; diagnosis ; Anatomy

Extragenital endometriosis makes up 10-15%. The most common site is gastrointestinal tract. In urinary tract, endometriosis of urethra makes up 0.6%, of bladder is 37.6%, of ureter is 61.2%. 89% of ureteral lesions develop laterally. Cause of endometriosis has been unknown. Several hypotheses are available. It can be treated by medication, surgery or by combining the medication with surgery or can be left without treatment. Each procedure is indicated depend on clinical situation, site of tumor, progress of disease, medication and equipment condition and clinician’s knowledge
Ureteral Diseases ; Endometriosis

A study on the surgical pathology of the Cao Bang hospital in the summer- autumn, 2000 has shown that the emergency operation: included the digestive operation (mainly) folowings were traumatic, cardiovascular operations, cranial and cerebral operation and urological operation(rarely). The schedule operations comprised the thyroid disease, plastic surgeries and the digestive operation. The results suggested that it should strengthen the medical equipments for the digestive operation theatre and traumatic operation theatre.
Operations Research ; Milieu Therapy

A study on 3 patients with Klaskin tumor (male: 2, female: 1) in strasbourg, France during 1996-1997 has shown that the diagnosis involved in the clinical examination, biochemical and functional test, tumor markers, hepatobiliary ultrasound, hepatic angiography; the surgical treatment included the local tumor resection, combination of local tumor resection and PTI resection, local tumor resection + PTI resection + liver resection and anastomosis.
Neoplasms ; diagnosis ; surgery ; therapeutics