Study on 21 patients with horse shoe- like anal fistula are treated in Digestive Surgical Department of Viet Duc National Hospital during 1988 -1995 has shown that male:19 (90%); ages:18 -74; relapsed fistula: 81% operated 2 or 3 times: 45% the distance from anal fistula to rear of anal: 4 cm (76%).
Fissure in Ano ; diagnosis ; therapy ; therapeutics

Surgery of the parotid gland is usually indicated for the relief of an inflammatory disorder or for control of neoplasia. In all these procedures, the overriding critical factor is the management of the facial nerve. The facial nerve is embedded within the substance of the gland and is at risk of injury during any parotid gland operation. The various surgical approaches described in our study comprised a common thread, the surgeon’s awareness of facial nerve anatomy and efforts to protect the nerve from an inadvertent injury.
Parotid Gland ; Facial Nerve ; surgery ; Wounds and Injuries

[Objective]Although “If it is not thriving but it is surviving, maintain it with Sutra ”is considered the most important treatment principle in acupuncture, its interpretation is confusing and inconsistent. Thus, in order to clarify this principle, we examined its original meaning and report the results here.
[Method]After investigating the source of “If it is not thriving but it is surviving, maintain it with Sutra ”within the “Huang-di nei-jing”(traditional Chinese medical text) and revealing the state of past research regarding this principle and its associated problems, we identified its background and used the “Zhangjiashan Han bamboo text Maishu”and “Dashu ,”which are only quoted in the “Jin fu” chapter of the Huangdi Neijing-Lingshu (the Yellow Emperor’s Canon), to trace a path back to the roots of “If it is not thriving but it is surviving, maintain it with Sutra ”and to elucidate its original meaning.
[Results]We were able to confirm that although there have heretofore been a total of four theories and 13opinions, none have been rationally interpreted.
[Conclusion]The facts that 1. “If it is not thriving but it is surviving, maintain it with Sutra”is based on a method of diagnosing pulses across the entire body, 2. the interpretation of the “Jin fu”chapter of the Huangdi Neijing-Lingshu contradicts the “Dashu ,”which is quoted in this text, and 3. the statement in the “Zhangjiashan Han bamboo text Maishu”that “when it is calm, then maintain it ”is the original form of “If it is not thriving but it is surviving, maintain it with Sutra ,”suggest that the original meaning of “If it is not thriving but it is surviving, maintain it with Sutra ”was likely that in cases where the form and rhythm of a pulse were normal, it should not be treated but instead addressed as usual.

In order to address conflicting accounts of the Huiyin-vessel and CV1 (Huiyin) in the Wang Bing version of "Huang-di nei-jing Su Wen", we analyzed the origins of the Huiyin-vessel based on its relationship to hemorrhoids in ancient sources on the topic. Furthermore, by considering the curing methods used by health scholars during the Warring States period in China and hemorrhoid treatments until the Song dynasty, we demonstrated the specificity of the posterior yin (anus) and identified the reason behind moving the location of the Huiyin-vessel. We also clarified the way of determining the location of CV1 (Huiyin) and factors that have until now caused confusion related to CV1 (Huiyin).

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

A prospective study was carried out on 120 perineal canal patients with normal anus who were treated at Pediatric Hospital, Ho Chi Minh City from September 1999 to August 2003. Patients were divided into group I: active inflammation, group II: vulvar excoriation, group III: no inflammation. Group I and II were treated medically until no more inflammation. The fistula was closed by the Tsuchida’s technique. Results: there were 2 patients healed spontaneously after internal treatment and 118 patients were closed fistula, among them there were 90 cases without colostomy and 28 with colostomy. There were 72 patients in group I, 12 in group II, and 34 in group III. Recurrence occurred in three cases without colostomy and one case with colostomy. One among these 3 without colostomy and the only one with colostomy were treated again with good result by the same procedure
Anal Canal ; Child ; Diagnosis ; Therapeutics ; Epidemiology

No abstract available.
Prescriptions*

No Abstract Available.
Adrenal Insufficiency* ; Hydrocortisone*

The survival between Western and Eastern studies differs markedly except the early stage. Whereas the 5-year survival rates for patients with stage II and III a gastric carcinoma in the United States are around 30% and 15%, respectively, the rates are 45% and 30% in Germany and 75% and 60% in Japan and Korea. Loco-regional failures are common even after radical resection. Gastric carcinoma is as sensitive as other types of adenocarcinoma to radiation. Preoperative radiation was proven to be effective in reducing the tumor bulk and lymph node metastasis. There are substantial data to show that adequate radiation dose with combined chemotherapy is effective in management of local failure and improvement of survival. But there is no well designed randomized study to evaluate the adjuvant treatment for patients after optimal radical operation. In summary, 1) radical operation has improved the cure rate of stomach cancer, 2) local failure is still one of the common failure patterns, 3) abdominal radiation can be delivered safely in the modern era, and 4) study of pattern of failure on patients after radical surgery is necessary before designing clinical trial to evaluate the efficacy of adjuvant radiation/chemotherapy.
Adenocarcinoma ; Drug Therapy ; Germany ; Humans ; Japan ; Korea ; Lymph Nodes ; Neoplasm Metastasis ; Stomach Neoplasms* ; Survival Rate ; United States

No abstract available.
Air Pollution* ; Asthma*