A prospective study was conducted at Hung Vuong Hospital from 2002 to 2004 on total of 1423 ectopic pregnancy cases to find out determinants of operation methods, either by laparoscopy or laparotomy, in conservative treatment of unruptured ectopic pregnancy. 355 patients were enrolled in the study with 190 laparoscopic operations and 165 laparotomy operations. Factors favored to laparotomy included history of ectopic pregnancy, ectopic mass<30mm and serum o-hCG at the time of operation<1000 mUI/ml. Determinants for laparoscopic operation included maternal aged 24-35 years, blood loss<100 ml and the surgeons familiar to laparoscopy. Laparoscopy method had operation time shorter than laparotomy, and there is no difference between the two methods concerning persistent ectopic pregnancy
Pregnancy, Ectopic,Therapeutics

110 cases of unruptured ectopic pregnancy were treated, among them 61 cases (55,5%) with 1 dose of methotrexate, 40 with 2 doses (36,4) and 9 with 3 doses (8,1%). Successful rate reached 90,9% (84-95%). β- HCG took 13 (±10,3) days to return to negative point. It took 31,8 (±20,7) days for ectopic pregnant mass to disappear. Not any severe side effect was notified, except 5 cases of nausea. After treating and 12 months of follow up,47,8% of cases had got new pregnancy, among them,9,9% had reccured ectopic pregnancy. Methotrexat is an efficacious internal therapeutic for unrupted ectopic pregnancy
Methotrexate ; Therapeutics ; Pregnancy, Ectopic ; hospitals

Ovarian tumor remains a challenge for gynecologists globally. The introduction of ultrasound classification system has contributed to the evaluation of tumor nature, and then guided to an appropriate operation procedure. From 1993 to 2002, there were 226 cases of ovarian cancer operated at Hung Vuong hospital, there were included in 2 consecutive periods of without or with routineapplication of preoperative ultrasound classification system. During the second period and as a result preoperative ultrasound was done more systematically, the preoperative diagnosis was more accurate, and the disease was postoperatively staged earlier
Ovarian Neoplasms ; diagnosis ; Therapeutics

Background: Heparansulfate Interacting Protein (HIP) is up-regulated in various human cancer cell lines at both transcript and protein levels. HIP expression is related to the differentiation status and cancer development. Objectives: To determine HIP in benign prostatic hyperplasia, prostatic intraepithelial neoplasia and prostate cancer tissues. Materials and method: Western blot method was used to determine HIP expression in 3 different types of prostate tissue, including 11 prostate cancer samples, 2 benign prostatic hyperplasia samples and 11 prostatic intraepithelial neoplasia samples. Results. HIP was particularly up-regulated in prostate cancer and prostatic intraepithelial neoplasia, indicating that up-regulation of HIP expression may be an early event in tumorgenesis. Conclusion: The expression of HIP was different between cancer, prostatic intraepithelial neoplasia tissue and benign prostatic hyperplasia. HIP may serve as a prognostic marker for prostate carcinoma.
HIP expression ; Prostate cancer ; Prostatic hyperplasia.

Conjoined twins are rare, and each set of conjoined twins has a unique conjoined anatomy. It is necessary to perform separation to increase the chance of patient survival. Tissue expansion is an advanced technique for providing sufficient soft tissue and skin for wound closure. We report the successful application of rapid tissue expansion in 10-month-old xipho-omphalopagus conjoined twins in Vietnam. A tissue expander was placed on the anterior body between the sternum and umbilicus with a baseline of 70 mL sterile saline (0.9% NaCl). The first injection into the tissue expander began on the 6th day after expander insertion, and injections continued every 2 days with approximately 30–70 mL per injection according to the expansion of the skin. The expander reached 335 mL after six injections and within 10 days. In order to prepare for surgical separation, expansion was completed on the 15th day after insertion. The expanded skin area was estimated to be 180 cm2, which was sufficient to cover both patients’ skin deficiencies. The twins presented for surgical separation 6 days following the completion of tissue expansion. Both babies were discharged in good health 1 month after separation.

Conjoined twins are rare, and each set of conjoined twins has a unique conjoined anatomy. It is necessary to perform separation to increase the chance of patient survival. Tissue expansion is an advanced technique for providing sufficient soft tissue and skin for wound closure. We report the successful application of rapid tissue expansion in 10-month-old xipho-omphalopagus conjoined twins in Vietnam. A tissue expander was placed on the anterior body between the sternum and umbilicus with a baseline of 70 mL sterile saline (0.9% NaCl). The first injection into the tissue expander began on the 6th day after expander insertion, and injections continued every 2 days with approximately 30–70 mL per injection according to the expansion of the skin. The expander reached 335 mL after six injections and within 10 days. In order to prepare for surgical separation, expansion was completed on the 15th day after insertion. The expanded skin area was estimated to be 180 cm2, which was sufficient to cover both patients’ skin deficiencies. The twins presented for surgical separation 6 days following the completion of tissue expansion. Both babies were discharged in good health 1 month after separation.