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

This study compared goitre surgery in 100 patients with anesthesia acupuncture with 55 patients with cervical plexus superficial anesthesia. The studied patients were between 30-50 year old with goitres classified from II to IV degree, in which III degree goitres were prevalent (67%). The acupuncture points GI4, PC6, TR17 and ST12 were applied. 92% of cases were assessed to attain the A level of anesthesia, the remains were the B level. The anesthesia acupuncture exhibited more effectively in small goitres than in big ones (the anesthesia A level was 100% of cases of II degree goitre operation, whereas was only 66.7% in anesthesia acupunture for IV degree goitre operation), independing on the nature of goitres. The anesthesia acupuncture induced an anesthetic outcome better than cervical plexus superficial anesthesia
acupuncture ; Anesthesia ; surgery

Study 3 representative districts of Ho Chi Minh city on number of people and the risk of acquiring HIV. The result shows some factors relating to high risk of acquiring HIV: 75,8% HIV found in drug addicted persons, especially the number of prostitute using drug tends to increase, and risker is easy and depraved life including using the same injection needle and do not use comdon when clients order. Besides, other factors include street children with the age of 10 to 19, construction workers. Therefore, there is a need to improve the awareness and practice skills to change behaviors leading to high level of acquiring HIV. And enhance the capacity of staff and their profession and skills in managing, caring, consulting and treating HIV-infected persons
HIV ; transmission ; Acquired Immunodeficiency Syndrome

A retrospective study on a case of pediatric patients with hydrocephalus due to meningitis was treated at Tay Duc Paediatric Hospital – Haiphong City. Results shows that: hydrocephalus is non-malignant except brain tumour. Symptoms in children under one year of age: head circumference is enlarged rapidly, fontanel’s and skull bones bulging, thin-haired, venae under head skin emerged clearly, eyes are turned downwards. Symptoms in older children and adults including headache, quick reduction of vision. To have better treatment results, it should be detected and operated early. For hydrocephalus caused by brain tumour, placement surgery of a abdominal-ventricular catheter should be done before operation to help reducing pressure for laparoscopic surgery, minimizing mortality rate and having recupation for better surgical condition later. If the tumour had bad prognosis not be operated, placement of a abdominal-ventricular.
Hydrocephalus ; Hydrocephalus/rehabilitation ; Brain

Basing on the questionary, the incidence of infection of HIV and syphylis was assessed on 250 sex workers and poor rural women living in Dong Ha town (Quang Tri province) from May to Dec 2002. Results showed an incidence of HIV infection 1.56% of total and of syphylis infection 17.5% in prostitutes
HIV ; Syphilis ; Women

The study was carried out for assessing the background, the skill of counselling and the knowledge about HIV/AIDS of private medical professional in 16 villages and wards of Cam Pha, Quang Ninh province from March to April 2002. Results showed a low rate of private professional who answer well the questions about the knowledge of counselling. They had a good knowledge on the prevention of HIV/AIDS. The government must encourage the private medical professional to contribute into the community, especially in terms of HIV/AIDS patient care
HIV ; Acquired Immunodeficiency Syndrome ; Diseases

In Cam Pha town, Quang Ninh province, preliminary achievement in terms of management, counselling and prevention of HIV/AIDS?STIS at private health service institutions showed that: infected subjects were mainly in 21 - 40 years old group (80.7%), higher in female than in male gender and the highest (42.2%), emplyees and > 68% marrieds. At private health service institutions, the number of clients who visited for treatment and consultation was small and was not homogenous, among them 83.47% received advices for preventing and treating HIV/AIDS/STIS, 59.09% were referred to HIV examinations and 74.95% received medical prescriptions. Therefore, Cam Pha must take more measures to promote the quality of private health activities
HIV ; Acquired Immunodeficiency Syndrome ; Therapeutics

On occasion of a hydrosyringomyelie accompanied with communicating hydrocephalus which was managed successfully and literature referred, the authors had some remarks about management of this disease. Some remarks of such as: the disease often appears in one region, most in cervical and upper thoracic of the spinal canal. It is the rare disease caused by many sources. It may be congenital approximately 50-70% of CHIARI I (Menezes) and 40-95% of CHIAR II (Naidich). It may be also secondary to spinal trauma, myelitis (virus, bacteria, tuber culosis bacillus...vv.) Signals and symptoms are poorly. The diagnosis is difficulty but no longer now because of applying MRI. Since this disease is accompanied with others malformations, the management have some differences, depending on the caused of the disease
Spinal Diseases ; Diagnosis ; Therapeutics