The prospective study was conducted in 5 cases (4 males, 1 female; aged from 8 months to 76 years old) with peritonitis induced by surgery perforation of Meckel’s diverticulum at Viet Duc Hospital from January 2000 to December 2004. Clinical symptoms included abdominal pain, fever, vomiting, infection syndrome, peritoneal induction, abdominal cramp. Preoperative diagnosis: appendicitis’ peritonitis in 3 patients; appendicitis’ peritonitis induced by perforation of stomach 1 patient; peritonitis due to left bubonocele 1 patient. Results: there were 3 patients had Meckel’s diverticulum removed; 2 patients had appendix removed plus; 3 patients with anatopathology tests. There was no patients had events during surgery and postoperative complication, all 5 patients completely recovered and discharged.
Peritonitis ; Diagnosis ; Therapeutics

12 patients with internal or surgery hemorrhoids at level 3, level 4 underwent Longo surgery at Viet Duc Hospital and Health Center of Dong Anh district from July to October 2005. The author reviewed indication, technique and primary results of Longo surgery on hemorrhoids treatment. Indication of Longo surgery: almost cases of internal and surgery hemorrhoids at level 3 or 4 underwent scheduled surgery, some cases underwent emergency surgery due to haemorrhoids prolapsed, thrombosis. It maybe difficult to place sonde to enlarge the anus; or combined operation can be done together with Longo surgery. The primarily results of the treatment were good; the patients had low pain, shorten hospitalization, without bleeding or incontinence diarrhea
Hemorrhoids ; Therapeutics ; Surgery

From January 1 to October 31, 2004, 93 patients with peritonitis due to different reasons (enteritis 60.2%) were treated at Viet Duc hospital. 18.7% of these patients were treated by laparoscopy and 81.7% treated by open operation to deal with reason causing peritonitis, cleaning and draining abdominal cavity. Bacterial culture for antibiograms was not implemented systematically. Combination of Cegotaxim and Flagry was a major antibiotic therapy. There were 20 cases were treated by three or more types of antibiotic. The mortality rate was 5.4%
Anti-Bacterial Agents ; Therapeutics ; Infection

Report a case of endometriosis under the skin of abdominal wall beside incision of post cesarean section which was surgery at Viet Duc hospital. The reason of admitting hospital: After one year of operation appeared mass beside the left on the old scar. This mass was pain, growing bigger during menstruation. Diagnosis before operation: endometriosis was at the old scar of cesarean section. Postoperated examination: one month postoperation, the incision was dry, the patient felt well, the mass of abdominal wall was disappeared and not pain while menstruation as before operation.
Endometriosis ; Cesarean Section ; Abdominal Wall

Retrospective study 34,590 trauma patients at Emergency department in Viet Duc Hospital in 2004 with traffic accident: 20,184, occupational accident 2536 and other accident: 11,870 cases. Result: Patient needs emergency operation - (scheduled operations and minor operations were excluded): 6469 cases (12%), trauma: 4299 case (66%), pathology: 2170 cases (34%). Among 4299 cases with emergency operation, traffic accident is cause of 2586 cases (transfer back home: 870, death: 243; 60%); life accident: 1086 cases (transfer back home: 86, death: 30; 25 %), occupational accident: 627 (transfer back home: 75, death: 27;15%). Emergency operation rate due to pathology is 4 time less than traffic accident. Operation on gastro abdomen :1105 case (51%), liver 479 (22%,) and followed by disease of urinary, cardiology and chest, brain and less on disease on muscle, born thrititis: 3%.
Surgery ; Emergencies ; Epidemiology

A retrospective study on 14 patients with diagnosis and treatment of peritonitis in Viet Duc hospital from January /2000 to December/2004. Results: Most of them have unpredictable reason of intestinal perforation. There are three groups of reason after operation: break of small intestinal cancer (leiomyosarcoma, maglinant lymphoma), tuberculosis and inflammation without specific cause. Most cases were treated appropriately with peritonitis: stitches the holes, cut the intestinal section in abdomen...however cultivate bacterium for antibiogram and it doesn’t carry out systematic, the diseases after operation due to tuberculosis haven’t treated as the standard outline. The fatality rate: 2/14 is acceptable due to both 2 patients with small intestinal cancer in weakened situation.
Peritonitis ; Intestinal Perforation ; Diagnosis ; Therapeutics

A case of a woman aged 42 years old with abdomen pain under the navel and bilateral pelvis tumors indentified by CT scanner as post-peritoneal tumors and AFP level increased was treated at Viet Duc hospital with the diagnosis of embryonary carcinoma based on a mature malignant teratoma. Some aspects of the diagnosis and treatment of post-peritoneal teratoma with embryonary carcinoma were received. Authors concluded that up to now in adults for post peritoneal tumor under the group of germ cell tumors, the treatment of choice is a surgery of through removal of the tumor, then the formula of BEP, PEL or VAC chemiotherapy will be carried.
Carcinoma, Embryonal ; Teratoma ; Diagnosis ; Therapeutics

In a 24 -year -old woman, a tumor was detected unexpectedly under the left flank of the body in an examination. Ultrasound found the tumor on the retro-peritoneum, UIV showed the less absorption of medicament in the right side of the kidney, which was pushed up and the normal function of left side of the kidney. In operation, a retro-peritoneal tumor was exposed at the right side with a bulk of surrounded large vessels. Pathologic anatomy showed that it was a malign hemangiopericytoma. One year after the operation, patient survived normally.
Hemangiopericytoma ; Therapeutics ; Diagnosis ; Peritoneum ; Case report

The sample with the number 410 was took from forensic medicine of examination at 6/4/2004. Case report: a rare amatomic change of liver arteries, among which 2 supplying blood for right part of liver, 2 other for left, 2 for bile sac-vascularization for the liver made from main liver artery and from a branch of diathesis artery. In the operation of endoscopic biliary cysticotomia, 2 arteries can be displayed, hemostatic manipulation can damage the right duct of the liver or the main liver duct, in case of removal liver samples, 2 arterial anastomosis must be made.
Hepatic Artery ; Liver ; Anatomy

Sevens cases of pancrea duodenal emergency cutting showed: the combining of the injuries of pancreas and duodenum in a clinical image of multiplex injuries. In these conditions, blood Amylaza level, urine or abdomen fluid and the CT scanning gave diagnostic values in pancrea damage and the combining damage of compact diathesis. Pancrea duodenal cutting must be indicated when the vascularization into duodenum and pacrea head could not be controlled; blood injury and loss of pulse or irreversible injury in the area of Vater ampulla; IV grade of pancrea duodenal injury as well as in the favorable conditions of anesthesia resuscitation with qualified surgeons.
Surgery ; Emergencies ; Pancreas ; Duodenum