A prospective study was carried out on 17 patients with upper ureteral calculus treated by retroperitoneal laparoscopy in Viet Duc Hospital from Nov 2004 to Apr 2005. Results: The blood loss was usually not much (20-100 ml). It was difficult to remove calculi due to they moved up to kidney, it must enlarge the incision. There were two cases of peritoneum perforations during the operation that had been sutured. In postoperative period, patients were stable, there were no complications besides mild abdominal pain at the incision; 1 month after the operation, these patients well recovered. This procedure is superior to traditional open surgery with less complications, shorter of hospitalization stay, rapider recovery...
Ureteral Calculi ; Therapeutics ; Laparoscopy

Urinary lithiasis is a common disease in internal medicine and surgery. In period of 10 year (1982-1991), the number of patients came to Urinary Department of Viet Duc hospital for urinary lithiasis was 38%. There are 5 surgical treatment methods for urinary lithiasis: classical surgery, extracorporeal shock wave lithotripsy, percutaneous nephrolithotomy and recently is the retroperitoneal endoscopic surgery. There were urinary procedures had been performed by retroperitoneal endoscopy. In 1969, Bartel performed the first time the retroperitoneal endoscopic technique by mediastinum endoscopic machine. In 2003, Nguyen Van Hiep et al reported 36 patients who had upper urethral gravel were treated by retroperitoneal endoscopy; the successful rate was 32/36 cases, there were 4 cases had to be open operated, complication rate was low. The initial application of retroperitoneal endoscopic surgical technique in the treatment of upper urethral gravel achieved encouraged results, it also has prospect of being applied in other complicated urinary surgeries.
Endoscopy ; Surgery ; Therapeutics

Background: Premature ejaculation is one of the most common sexual dysfunction which affects the quality of life in both men and women. Objectives: To assess the effects of a topical anesthetic mixture in the treatment of Premature Ejaculation (PE). Subjects and method: Fifty-six men diagnosed as PE were guided to use a local anesthetic mixture of procaine-xylocain applied to glands on the penis before sexual activity (about 15 minutes prior), the course of treatment lasted 3 months. Results:There was a significant increase in the mean of intravaginal ejaculatory latency time (IEL n from 1.87 to 8.41 mins (p<0. OS) and satisfying scores of both overall sex life and sexual relationship with their partners. General results were divided into 4 degrees: good (30.2%) average (43.4%) no result (15.1%) and negative results (11.3%). Some side effects included retarded ejaculation or anejacualation (9.43%) decrease of glands penis and vagina sensitivity (28.3% and 9.43% respectively). Conclusion: While there is no effective therapy for PE, anesthetic creams might be effective for treatment of the disorder. \r\n', u'\r\n', u'
topical anesthetic mixture ; premature ejaculation

A randomized, double blind study on 968 infants aged 5-7 months in Que Vo district, Bac Ninh province was carried out for 6 months. The infants were randomly received one of four following syrups: zinc sulfate, iron sulfate, combined zinc and iron sulfate or placebo. By the end of the study, weight, WAZ and WHZ values and their changes over the study period were significantly different between zinc supplemented group and the remaining ones, the change of height was significantly different between zinc supplemented group and iron supplemented and placebo ones only, hemoglobin and serum zinc value was increased in all groups. Hemoglobin value and its changes were significantly increased in iron and iron+zinc supplemented groups in comparison with the remaining groups.
Anemia ; infant ; zinc ; iron

33 patients with ages of 18-62 used the automatic monitoring TOP-GUARD to control the process of myonervous blockade. The results have shown that it was necessary and convenient equipment to control the full process of intraoperative and post operative myonervous blockade.It showed the time for endobronchial intubation, the muscular dilatation, the recovery of dilated muscle, removal of intubation.
Anesthesia ; surgery

Recent changes in lifestyle such as high-fat diet and inactivity have promoted a metabolic disorder titled syndrome X. At the moment, it is very rare in Vietnam but the prevalence of this syndrome is going to significantly increases in next decades. In Endocrinology and Diabetic Dept- Bach Mai Hospital, we found a 44 year-old patient, who met the basic criteria of the syndrome X: Hypertension, central obesity and high fasting serum Insulin. He has mild dyslipidemia. All members of his family, including his mother and his sister are also suffering from syndrome X with hypertension, obesity and overt diabetes mellitus. This patient was advised to have diet with caloric restriction and exercise to improve insulin resistance. He has been using gemfibrozil (Lopid) and metformin. After 2 months, he has lost 6 kilograms and felt better. His blood pressure was controlled without antihypertensive drugs
Metabolic Syndrome X ; diagnosis

A randomized, double blind study on 483 infants aged 5-7 months in Quevo district, Bacninh province was carried out for 6 months. The infants were randomly received one of two following syrups: iron sulfate (10 mg of elemental iron/day) or placebo. By the end of the study, Hemoglobin, serum ferreting and transferring receptor value was significantly improved in iron supplemented group in comparison with placebo group. Hemoglobin value and its changes over the study period were significantly increased in both two groups but more significantly increased in iron supplemented group in comparison with the placebo group. This change was significantly higher among the initial anemic infants than the non-anemic ones. Tf-R is significantly higher than cut-off-point in 100% anemic and non-anemic. The study reflected that serum transferring receptor indicator is more sensitive and accurate for diagnosis of iron deficiency status than serum ferreting, in particularly among the initial anemic infants than the non-ademic ones. Tf-R is significantly higher than cut-off-point in 100% anemic and non-anemic children. The study reflected that serum transferring receptor indicator is more sensitive and accurate for diagnosis of iron deficiency status than serum ferreting, in particularly among infants. The result of this study can contribute to setting up the national plan for controlling iron deficiency anemia among Vietnamese children.
Anemia ; infant

4 cases of ileus due to food residue diagnosed by combination of images and medical history these compared with the operation in Hµ Nam hospital during 1999-2000. The ileus is common emergency in the surgical department. The ileus due to the food residue occurred in all age groups.
Ileus ; Surgery

Since October 1993 to October 1995, 11 cases of arachnoid cysts in infant of 2 months -14 years old were operated on at the neurosurgical dep of Hanoi Saint-Paul hospital. Results: excellent and good results: 7/11. Relative: 4/11 No death was reported. The author presents an analysis of detailed clinical signs, anotomo - pathology for clinical diagnosis and surgical treatment, and the method of choice for the treatment. The diagnosis must be made early by CT scaning or Echography.
Intracranial Arachnoid Cysts ; child ; surgery

A total of 1,144 cases of skull traumata were treated (vs. 410 cases in 1966). Retrospective survey showed mortality rate was 75.9% in male subjects (66), and was 24.1% in female (21). 69% was patients with aged from 20 to 60 and 25.3% above 60 years. Travelling incidence was the main causes of death, which made up 87,3% of fatal cases. The majority of admitted cases had respiratory disturbance. Assisted injuries were very severe which caused the death in early 6 hours and the death occurred in 50% of fatal cases during 3 first day after the admission
Skull ; Cause of Death