138 patients (102 males, 36 females) aged 3-71 years old with 139 deficiencies of various causes in inferior limbs underwent a surgery of free flap transfer with 144 free flaps. Survived rate reached 134/144 flaps (93.05%), full necrosis in 10/144 flaps (6.95%). All cases were sucessfully operated exculding 5/10 cases of second time transfer. Near possible complications such as obstruction of the arterial connection of 4 flap-connect sites, obstruction of the venous connection of 6 flap sites, obstruction of venous-arterial connection of 2 sites, necrotic infection in 1 flap.
Surgical Flaps ; Lower Extremity/abnormalities ; Surgery ; Necrosis

Background: The rate of abortion in Vietnam is still high and is dependent on the personal factors of the women as well as the supply of contraceptive services. Objectives: To evaluate some of the factors that influenced the abortion decisions of the women admitted to the National Hospital for Obstetric and Gynecology. Subjects and method: There were 334 unwanted pregnancies in women with a gestation age of less than 12 weeks, who have aborted at the National Hospital for Obstetric and Gynecology between June 2006 and December 2006, participated in this cross-sectional study. They were interviewed according to a questionnaire. Data was analyzed by SPSS software version 10.0. Results: The mean age was 28.93+/-6.57 years. Among all participants, 61.4% were civil servants, 25.7% housewives, 8.1 % students. For 54.8% of all subjects this was the first abortion, and 45.2% had at least one abortion in the past. Age, occupation, educational level, marital status and numbers of children were associated with the history of abortion. Conclusion: The main reasons of abortion were having enough children, unmarried. Determinant factors of abortion decision were older age, low level of education, marital status and having enough children.
abortion

Background: At commune health stations in Vietnam, there are still limitations of human resources as well as essential drug and equipment supply. However, these problems weren\u2019t assessed comprehensively. Objectives: To describe the infrastructure, equipment, drug availability and the possibility of providing reproductive health services according to National Standard Guidelines on Reproductive Health of these health facilities. Subjects and method: A cross-sectional study was carried out in 210 commune health stations, 28 district hospitals, and 14 provincial hospitals. Results:The infrastructure, equipment and essential drugs in these facilities are inefficient and of low quality that leads to limit the provision of reproductive health, especially for basic obstetric care at commune health stations and comprehensive obstetric care at district and provincial hospitals. Only 16.7% of commune health stations can provide basic obstetric care services and 39.3% of district hospitals and 50% of provincial hospitals were providing comprehensive obstetric care services according to the National Standard Guidelines on Reproductive Health. Conclusion: In order to provide good reproductive healthcare services, the health sector should have an investment strategy on infrastructure, medical equipment and essential drugs for health facilities.
reproductive care service ; commune health station

Background: In vitro fertilization cycle often have redundant embryos. These redundant embryos will be frozen and used for the next embryos transfer. Objective: To evaluate clinical pregnancy rate and factors affecting pregnancy outcomes after frozen embryos transfer. Subjects and method: 1013 frozen embryos were cultured until day 2 or 3 and then frozen by the slow freezing procedure. The embryos were thawed and transferred when indicated. Data was processed by SPSS software. Results: The mean age of patients was 32.81 +/- 5.4 years. 70% of patients were infertile due to ovarian diseases. Clinical pregnancy rate after frozen embryos transfer was 28.1%, pregnancy rate on day 3 higher than on day 2, pregnancy rate on day 1 was 40%. Miscarriage rate was 22.3%, multiple pregnancies was 44.4%. Age of patient did not affect pregnancy outcome. Endometrial thickness, quality of embryos had affected pregnancy rate. Conclusions: Clinical pregnancy rate after frozen embryos transfer was 28.1%. Quality of embryo, endometrial thickness and time of transfer had affected pregnancy rate after frozen embryos.
Frozen embryo ; pregnancy

37 patients with the long bone defects in Central Army Hospital 108 received the free vascularized pelvic and fibular transplantation. Results showed that: good (89.2%), normal (5.4%). The complex pelvic and fibular osteocutaneous flaps showed the good results in 11/11 cases. The folded fibular transplantation found the good results in 8/9 cases.
Abnormalities ; Surgical Flaps

The prospective clinical study was carried out on 9 patients (male: 8; female: 1), between the ages of 17 - 50, with the femoral and shinbone defects due to the osteomyelitis or after operative removal of osteoblastoma. 7 patients had a skeletal defect due to traumatic osteomyelitis, 1 patient had a skeletal defect due to osteomyelitis via blood and 1 patient had a skeletal defect after removal of giant cell tumor. The results have shown that situation of nutrition in transplantation area: good (1), bad (8), situation of infection in the transplantation area: asepsis (1), sepsis in the stable period (1) and unstable sepsis (7). Skin - bone complex defect (4), operation results: good (8), medium (1).
Bone Transplantation ; abnormalities ; bone and bones

A retrospective study was carried out in 5 patients with bone defect in the pelvic limbs (male: 4, female: 1), ages of 22-42 in which due to injuries (2), weapon (1), osteomyelitis (1) and synovioma damaging the tarsal bone (1). These patients received the free vascularized iliac bone-cutaneous transplantation. The results showed that 4 patients healed the incision in the first phase and one patient healed the incision in 2nd phase. 3 patients had infection, 1 patient was stable and 1 patient had no infection.
bone transplantation ; therapeutics ; abnormalities ; bone and bones

31 cases received the vascularized fibular bone transplantation by microsurgery for recovering the defect of long bones. The successful rate was 29/31. The causes of bone defect were myeloostitis, postoperative traumas of osteoma and congenital fibular pseudojoint. This was a modern method with high efficacy to recovery the defect of long bone and conservation of the limbs.
bone transplantation ; therapeutics ; abnormalities ; bone and bones

A study on 63 patients (male: 47; female: 16) with the soft tissue defect in the pelvic limb, ages of 11-70(average: 36,93) has shown that the free flaps with microsurgical technique repaired the complicated soft tissue defect in every position of the pelvic limb with a good result (97%). The surgery did not depend on the situation of acute or subacute infection in the transplanted area (good results: 96,3%). The latissimus dorsal muscle flaps or latissimus dorsal muscle- cutaneous flaps were suitable with the reconstruction of the large, deep soft tissue defects of the leg, thigh, especially open shin bone, shin defect ostitis (good results: 96%). The lesion combined with the soft tissue defect found the good results (97%) when treated by the free flaps. 2 complications included 1 patient with the long inflammatory with fistula in the transplanted area and 1 patients with the necrosis of the latissimus dorsal flaps
Microsurgery ; Pelvic Bones ; therapy ; Abnormalities ; Surgical Flaps

46 cases of the soft tissue, bone and bone tissue defect in the lower extremities due to the different injuries were received the reconstruction microsurgery with free transplant including 17 of back skin-muscle transplants, 17 of shoulder muscle-skin transplant, one of skin-deltoid muscle transplant... The successful rate is 95%. This is a unique solution for reservation of extremities in the most of patients
Microsurgery ; Surgical Flaps ; therapy ; Abnormalities ; Lower Extremity ; Wounds and Injuries