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

Study on 120 patients having ureterstonectomy and bladderstonectomy anesthesia with acupuncture anesthesia showed that: in group of acupuncture anesthesia combined with supporting medicines (AACSM) pulsation increased average 9 cycles per minute, systolic BP increased average 8 mmHg, breathing rhythm increased average 1 time per minute, oxygen saturation in blood of patient seem unchageable during the time of operation. The anesthesia level A and B were 86.7%, the same for group of SA (90%). After acupuncture anesthesia, pain threshold of patient in AACSM group were 2.23 (K=2.23) higher than those of patient in group applying acupuncture anesthesia with out supporting medicine (K=1.95).
Surgery ; Pain ; Acupuncture Analgesia

52 types of os temporale had been studied to determine antrum walls on the outside size, from face aditus to ampullae lateral semicircular canals size, antrum ceilling size, from antrum below walls to sigmoid sinus size; antrum radius:on- below, in-out of and before-behind. The understanding of anatomy detail of antrum and its interrelationship will help to avoid the misfortune surgery
Anatomy ; Mastoid

Study of 110 pulmonary tuberculosis patients at Hai Phong tuberculosis and lung disease Hospital, the controls was 50 health people from 6/2002 to 2/2003. 36.36% patients have change of disposition; 28.18% patients have obsessional disorder; 4.55% patients which ideology rules over behaviour. 2.73% patients have hallucination of hearing and 1.82% patiens have optical illusion. Depression rate: pulmonary tuberculosis patients was 45.55%, the controls was 14%. Easy depression 32.73%, medium depression 10.91%, heavy depression 0.91%. Anxiety disorder 36.36%
Epidemiology ; Diagnosis ; Tuberculosis, Pulmonary

Report a case of woman with gallbladder carcinoma. Her jaundice symptom was due to lymph node metastases in root of liver, behind head of pancreas, externally blocked the lower choledochus, not due to carcinoma directly invaded common bile duct and root of liver. In one patient with gallbladder carcinoma or other gastrointestinal cancer, systematic check of peripheral lymph nodes, supraclavicular nodes is a basic examination. Treatment is hepatectomy and lymphadenectomy.
Jaundice ; Bilirubin ; Carcinoma ; Gallbladder ; Therapeutics

From Jaruary 5 to 14/2003, in Lang Son, an interview was conducted involving 131 subjects discussing about the risk of transmission of HIV. They are: users of intravenous drug injection, prostitutes and their sex partners, stress children, HIV patients… There were 1393 intravenous drug users, this number was not reduced, even increased sex worker group includes 50 subjects with the trend of increase gradually. There are potential risk behaviours. Among about 150 street children, 20-30% had sex intercourse with prostitutes, 10-20% girls were forced in sex relation. The increasing groups of 600-800 of public motobikes drivers, who had risk sexual behaviours with prostitute, were an important cause of HIV transmission
HIV ; transmission ; Acquired Immunodeficiency Syndrome ; epidemiology ; risk factors

A study performed on 120 patients who underwent a gastric surgery under an anesthesia with associsted acupuncture. The indicators of pulse, blood persure, breathing rhythms, blood saturation of oxygene were increased correspondly in comparing with those before the surgery. Immediately first after the operation, these indicators returned to normal level. 30 min after the acupuncture anesthesia, endomorphine level enhanced by 163%, acetycholine by 237,59%…i.e higher in blood than that before the acupuncture.
Gastrectomy ; Acupuncture Analgesia ; Pharmaceutical Preparations

In Thanh Xuan District - Ha Noi, from June to July 2000, representatives of adolescence, which compose of 20 students of high school, 10 students of the university, 10 plant workers, 10 shop and restaurant workers were enrolled in a qualified study in combining with a quick assessment and an attendance of the community. 100% adolescent subjects manifest their wishes to be aware on the reproductive health and on the control of HIV/AIDS and STDs. 70-100% know syphilis, gonorrhea, 95-100% know HIV/AIDS and STDs. 70-100% subject know the use of condom. As regard the attitude, most of them do not agree with sexual relation before 20 years old of age. As regard the behavor, 60-80% of them conduct the sexual relation with the consent from two parts, hotel and guest house are the site of choice. In practice, 40-66.7% of them use contraceptive medicament, 20-33.3% use condom
HIV ; Acquired Immunodeficiency Syndrome ; Sexually Transmitted Diseases ; Adolescent