1.Preliminary study on duration of cesarean section in the National Hospital of Gynecology and Obstetrics
Journal of Vietnamese Medicine 2005;314(9):10-14
The study included 71 pregnant women underwent cesarean section in the National Hospital of Gynecology and Obstetrics between January and May 2004. Results: average duration of a cesarean section is 31 minutes and 1 second, the mean time of transversal laparotomy is 28 minutes and 15 seconds. In cases of transversall incision, the duration is 37 minutes and 9 seconds. The mean time required for newborn extraction is 5 minutes and 10 seconds. In cases of transversal incision, this duration is 4 minutes and 36 seconds. If the incision was made in white line below navel, the duration is 6 minutes and 29 seconds
Cesarean Section
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Pregnant Women
2.Performing Hinh-Minh incision in gynecological operations
Journal of Medical Research 2005;33(1):78-82
Hinh-Minh’s incision is a modified technique based on Pfannestiel’s incision (1900) and Cohen’s incision (1977), and could be applied in obstetric and gynecological surgeries (including Cesarean section). It has the advantages of two old techniques for gynecological operations. Hinh-Minh’s incision had taken full advantages and limited shortcomings of both techniques of Pfannenstiel’s incision and Joel Cohen’s incision. It secured aesthetics as Pfannestiel technique but reduced operation time and limited harmfully blood-vessels and nerves as well as Joel Cohen technique. At the same time, this technique was applied firstly in the situation of Vietnam on 49 patients underwent gynecological operations from June 2000 to December 2001. Operative time and recovery time were reduced, the rate of fever, wound infection and incision dehiscence were low.
Gynecologic Surgical Procedures
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Surgery
3.Report 88 cesarean sections with single-layer uterine suture
Journal of Vietnamese Medicine 2005;314(9):32-35
Study on 88 cases of cesarean section at Obstetric Department, Bach Mai Hospital between January and October, 1992. There was no complication in procedures of single-layer uterine suture using catgut thread made in Vietnam. This procedure has more advantages than 2-layer uterine suture, including such shorten operation time, better preservation of the lower uterine
Cesarean Section
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Sutures
4.Preliminary remarks about infection in cesarean section in Institute of Protection of Mother and Newborn
Journal of Vietnamese Medicine 2005;310(5):1-4
Randomized study of 251 patients experienced cesarean section in Institute of Protection of Mother and Newborn in October 1995. Result: 79.9% cases of cesarean section had unruptured amnia or had ruptured amnia less than 6 hours, only 1.6% of cases had ruptured amnia over 24hours. 35 cases of cesarean had old cesarean scar (13.9%). Among 151 cases of cesarean, 19 cases (7.6%) were infection. The most common infection was postoperative fever and the least common was abdominal infection. 95% of patients were treated by 2 types of antibiotic combination after operative
Cesarean Section
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Infection
5.Reporting one case of abnormally high urine hCG level in the pregnancy
Journal of Vietnamese Medicine 2005;309(4):34-36
Reporting one case of abnormal high urine hCG level in the pregnancy. The abnormal high level was still in allowed limits, even higher than normal level. The maximum hCG level was observed at 11 weeks and 5 days of gestational age following the first days of the last menstrual periods. The symptoms such as nausea, vomiting would be severe with very low hCG, last until hCG achieved maximum. This patient was successfully managed with aminazin
Chorionic Gonadotropin
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Pregnancy
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Urine
6.One case of abnormal high HCG level in a normal pregnancy
Journal of Vietnamese Medicine 2005;0(11):1-3
We reported here an abnormal high urinary HCG level (30000 frog unit/l) at 11 weeks and 5 days of pregnancy in a normal pregnant woman. Clinical signs of this patient were vomit and severe morning sickness. These signs appeared where the HCG level were still low and last until HCG level were reduced by internal therapy
Pregnancy
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Chorionic Gonadotropin
7.Review of 10 year’s period of laparoscopy application in National Hosbital for Gynecology and Obstetrics
Journal of Vietnamese Medicine 2005;313(8):8-14
Studying 8055 laparoscopy cases in National Hospital for Gynecology and Obstetrics from December 1995 to December 2004, the researcher found: the rate of laparoscopy among gynecologic surgery is increasing. The most common indication of laparoscopy is infertility (44.8%), then ectopic pregnancy (38.4%). The laparoscopy’s indications have been diversifying as fibromectomy, torsion ovarian cyst, and ovarian cyst during pregnancy. The laparoscopy’s techniques have been complicating: laparoscopy assisted vaginal hysterectomy, anastomosis of Fallopian tube. There were no severe complications during the technique. The results indicated that laparoscopy surgery had a high safety and aestheticism, helped patients to rapidly recover after surgery
Laparoscopy
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Epidemiology
8.Initially performance of nonclosure of the visceral and parietal peritoneum at cesarean section at the Central Mothers’ Hospital
Journal of Vietnamese Medicine 2005;315(10):1-7
In this study, operative details and the postoperative courses of 42 patients who underwent cesarean section during Jan 2003-Dec 2004 at the Central Mothers’ Hospital were reported. The surgery used lower segment transverse incision technique with nonclosure of the visceral and parietal peritoneum. The Hinh Minh incision is performed. The uterine incision was closed in one layer with continuous, non-locking sutures, using a polyglactin no. 1 (Vicryl). Visceral and parietal peritoneum were left opened. The muscles were not approximated. The fascia was closed with a continuous non-locking suture of no. 1 Vicryl. The skin was closed with a continuous non-locking intradermic suture of no 2/0 nylon. Prophylactic antibiotic intravenous was used just after clamping the cord. Mean duration of intervention was 19.8 2.8 minutes. Nonclosure of the visceral and parietal peritoneum reduced operation time, and bowel function recovered more quickly
Cesarean Section
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Peritoneum
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Branchial Region
9.Preliminary assessment of infection in cesarean section in the Institute of Protection of Mother and Newborn
Journal of Vietnamese Medicine 2005;315(10):32-35
A study was conducted in 251 cases with cesarean section at Institute of Protection of Mother and Newborn during October 1995. 79.7% of cases with cesarean section non-amniorrhexis or amniorrhexis less than 6 hours, only 1.6% cases amniorrhexis over 24 hours. 20% of cases who underwent cesarean section using lower segment transverse incision. All cases were treated by intravenous antibiotics in 7 days, twice a day. The infection’s rate was 7.6%. The most common infections were postoperative fever, and the wound’s infection was the least common. There was no severe infections such as peritonitis, septicemia
Cesarean Section
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Infection
10.Remarks on 247 cases of Caesarean section at Obstetrics Department, Bach Mai Hospital
Journal of Vietnamese Medicine 2005;0(1):1-6
Retrospective study on 247 cases of Caesarean section among 3531 deliveries at the Obstetric Department, Bach Mai hospital from January to October 1992 showed that the ratio of Caesarean section is 7% in total deliveries; the rate of women who have the first child born by Caesarean section is 55.5%. The maternal death rate is 0%, but the rate of postoperative complications is 1.6%, including severe complications such as total peritonitis, postoperative bleeding, compress omit, septicemia, and maternal death
Cesarean Section
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Retrospective Studies