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

Pineal gland is structured by special morphology of neural cells. The tumor originates from the gland or its surrounding tissnes therefore these tumors have histologically different origins. They are in deep location with narrow path inward. Pineal tumor has not specific symptoms and usually diagnosed lately. The removal surgery comfuses of 2 stages - first: brain ventricular-abdomen drainage, second: tumor removal within 2-3 weeks after the first stage. There are 5 methods to approach the tumor, with own advantages and short comings
Pineal Gland ; Neoplasms ; Casts, Surgical ; surgery ; Therapeutics ;

By1 time and 8 times , electroacupuncture (EA) was performed in and out of Phongtri site (GB20) of 55 healthy persons aged 20-27 years. Out of GB20, EA did not make frequency, amplitude and EEG indices changed in comparing with those before acupuncture, while in GB20 site, EA created the changes in frequency, amplitude and EEG indices in occipital and temporal areas. Upon EA , alpha wave index increased in average 14%, amplitude increased by 4 microV; beta wave index reduced by 2% in average, amplitude reduced by 3 microV. After electro- acupuncture theta and delta waves reduced 4% in average and amplitude reduced 3 microV in average
Electroencephalography ; Electroacupuncture ; Epidemiology

95 patients with hemiplegia due to cerebrovasculary accident (32 females, 63 males) treated by 30days of electro- acupuncture. Results were as follow: thumb of simple paralysis had got rehabilitation better than the paralysis in combining with edema and contracted thumb. The sooner treatment,the better result got. The increasing level of mobility at 3a degree reached 36% and 3b degree 33,2%
Hemiplegia ; Thumb ; Stroke/rehabilitation ; Electroacupuncture

During 1997-1998, 272 operations were performed, their 94.85% successfully with an affordable cost of 150,000 - 200,000 VND for each cases.
cataract ; surgery

Objectives: Introduction of the operative technique, creteria of indication for the operation and results. Subjects: 75 patients in 2000 (male: 56; female: 19) The results: the cerebral haemorrhage due to cerebro-vascular accident sometimes were intervented by surgery (specific indication) which helped improving the internal treatment. The procedure of operation involved the drilling the skull and aspiration of the blood. The creteria for surgery by experiences of 100 operations were no limitation of age, Glasgow score: 6; diameter of the blood aggregation : 2 cm. Position of the blood aggregation: any position excluding the cerebral stem. The internal treatment was continued and rehabitation (if having paralysis).
Hemorrhage ; Cerebral Arterial Diseases ; therapeutics ; Cerebral Hemorrhage

A study on 65 patients with the blood aggregation in brain due to the cerebrovascular accident operated in Saint-Paul hospital during 1999-10/2000 (male: 48, female: 17, youngest: 17, eldest: 74) has shown that the cause of disease: hypertension (65%), the position of blood aggregation: temporal area: 37; frontal area: 15; occipital area: 10; behind hollow: 2 ventricle of cerebrum: 1; the blood aggregation focus runs in to the ventricle of cerebrum: 21/65. There is no different between the right and left of hemisphere, 33,84% patients were indicated the emergency operation and 56,92% patients operated after accident 5 -15 days.
Urethral Diseases ; Lithotripsy

The cerebral-ventricular apoplexy is not common complication. Among 158 patients with intracerebral blood clot, there were 5 cases of the cerebral-ventricular apoplexy (male: 2; female: 3) between the ages of 19 and 42. The clinical manifestations were usually poor. These manifestations in the young people included headache, stroke and coming to coma. The disease mainly discovered by CT scanner. The internal treatment indicated for patients with the cerebral ventricular apoplexy with Glasgow score above 8. The surgical intervention indicated for patients with gradual reduction of Glasgow score and immediate coma after apoplexy.
Cerebrovascular Accident ; Therapeutics