Abdominal injury include trauma on belly and abdominal injury is a common surgical emergency in our country, occupy from 10-13%. The death rate is still high:10%. In the world, the view of using laparoscopy in diagnosis and treatment for abdominal injury cases are performed effectively on almost of surgical centres. In Viet Nam, this method was applied successful at Cho Ray hospital, Viet Duc hospital and Army hospital No 108 since the year of 1990. However, in our country, the research on applying laparoscopy on diagnosis and treatment abdominal injury is limited
Abdominal Injuries ; Laparoscopy ; Diagnosis ; Therapeutics

Geographical and racial factors constitute important distinctions between Kawasaki disease (KD) and multisystem inflammatory syndrome in children (MIS-C), but no study has been conducted in Vietnam. Forty-one children with KD from January 2018 to July 2020 and 42 with KD/MIS-C from August 2020 to December 2022 were included in this study. Of the patients, 52.3% were aged between 12 and 35 months. Only two were aged over 5 years, and both were belong to the KD/MIS-C group. A 59.5% of the patients were male. Apart from fever, all symptoms tended to be more frequent in patients with KD/MIS-C. The prevalence of diffuse skin rash, hand and foot edema or erythema and gastrointestinal signs was significantly higher in patients hospitalized with KD/MIS-C. There was no significant difference in laboratory findings between the two groups. Coronary artery dilation was more frequently observed in patients with KD/MIS-C compared to those with KD (40.5% vs. 14.6%, P = 0.009).

Background: Intrahepatic stones and common bile duct stones are common diseases in Vietnam. Surgical treatments have a high rate of remaining intrahepatic bile duct stones and are ineffective with intrahepatic stones and cases with biliary strictures, while endoscopic retrograde cholangiopancreatography stone removal (ERCP) is usually indicated for small common bile duct stones and has disadvantages such as having to performe sphincterectomie of Oddi, 5% causing acute pancreatitis. Nowadays, minimally invasive treatment techniques are more and more developed. Percutaneous transhepatic lithotripsy under fluoroscopy guidance (TSQD) is an improved method using Holmium laser with small sized trocart (16F) help avoid open surgery and increase the rate of stone clearance, especially with stones located in the intrahepatic duct branches. For that reason, we conducted research to evaluate the treatment effectiveness and early complications of this method. Materials and method: This study was conducted on a group of 38 patients with main biliary tract stones, diagnosed and treated using PTHLL under fluoroscopy guidance at Hanoi Medical University Hospital from July 2018 to December 2019. Results: The PTHLL procedures was performed on patients with main extrahepatic biliary stones (28.9%) and those with intrahepatic stones, either isolated or combined (71.1%). One-step lithotripsy was applied in 26.3% of cases without cholangitis, simple stones. In another hand, Two-steps procedure were indicated in 73.7% of cases with cholangitis, multiple stones, and poor patient health. Stand-alone laser lithotripsy (23.7%) was suitable for simpler cases, while combination with baskets and balloons (76.3%) was used for complex situations. The overall complete stone clearance rate was 84.2%. Complications included septicemie (7.8%) and biloma (2.6%). No major complications like bleeding or deaths were encountered in this study. Conclusion: PTHLL under fluoroscopy guidance is a minimally invasive method that achieves a high rate of complete stone clearance in both intra- and extrahepatic biliary stones, with a low early complication rate.

Objectives: The coronavirus disease 2019 (COVID-19) pandemic has increased the workload of healthcare workers (HCWs), impacting their health. This study aimed to assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and identify factors associated with poor sleep among HCWs in Vietnam during the COVID-19 pandemic. Methods: In this cross-sectional study, 1000 frontline HCWs were recruited from various healthcare facilities in Vietnam between October 2021 and November 2021. Data were collected using a 3-part self-administered questionnaire, which covered demographics, sleep quality, and factors related to poor sleep. Poor sleep quality was defined as a total PSQI score of 5 or higher. Results: Participants’ mean age was 33.20±6.81 years (range, 20.0-61.0), and 63.0% were women. The median work experience was 8.54±6.30 years. Approximately 6.3% had chronic comorbidities, such as hypertension and diabetes mellitus. About 59.5% were directly responsible for patient care and treatment, while 7.1% worked in tracing and sampling. A total of 73.8% reported poor sleep quality. Multivariate logistic regression revealed significant associations between poor sleep quality and the presence of chronic comorbidities (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.17 to 5.24), being a frontline HCW directly involved in patient care and treatment (OR, 1.59; 95% CI, 1.16 to 2.16), increased working hours (OR, 1.84; 95% CI,1.37 to 2.48), and a higher frequency of encountering critically ill and dying patients (OR, 1.42; 95% CI, 1.03 to 1.95). Conclusions The high prevalence of poor sleep among HCWs in Vietnam during the COVID-19 pandemic was similar to that in other countries. Working conditions should be adjusted to improve sleep quality among this population.