Viet Duc Hospital in 2002. The patient was performed emergency pancreatoduodenectomy, pancreatic drainage through stomach, drainage of choledochous duct for stage 2 of surgery, and he was rescued from death. Pancreatoduodenal trauma caused peritonitis is severe injury, especially after first surgery failed. It's very important to resuscitate, compensate fluid and electrolytes, energy, prevent loss of gastrointestinal fluid, use antibiotics, and supply general and local care after operation
Wounds and Injuries ; Peritonitis ; Pancreaticoduodenectomy

Liver entire transplant on experience pig from a healthy transplant piece of healthy pig that was choice on 15 transplant pigs. Description: cutting entire liver, time cut shortest is 15 min and longest is 62 min. First step is delivery gradually liver, then cutting entire liver including cut watershed 2, 3… Step transplant included 5 tenses: doing shunt of vena cava, doing shunt between portal vein and received vein, doing shunt of liver artery, drainage of gall, check and close abdomen. This technique is cutting entire liver each watershed, dissect clearly each component of peduncle, leave watershed 2 and cut it quickly, avoid bleeding simultanously, no doing shunt cava-portal while losed liver. Cause of dealth is due to bleeding, narrow shunt, torsion shunt. All these errors were dominated effectly
Liver ; Liver Transplantation ; transplantation

Study on 4 cases of malignant tumor of Vater’s ampulla operated at Viet-Duc Hospital and 1 case treated at University of Medicine and Pharmacy at Ho Chi Minh City between August 2003 and December 2004. Results: clinical sign is biliary obstruction jaundice. Gastroduodenoscopy with flexible tube found that papilla of Vater with the diameter lower than 3cm (histological finding: carcinomas), without metastasis to adjacent duodenum. Tumor invasion into head of pancreas and the lower of choledochous duct was determined by pancreatic and liver ultrasound, CT scanner or MRI examinations, in combination with intraoperative balance, immediate biopsy of lymph nodes in group 14 and group 8, sections of bile duct, pancreatic duct and duodenum in order to ensure the elimination of surgery. Initial outcomes showed that there wasn’t post-operative complication or death.
Ampulla of Vater ; Duodenum ; Therapeutics ; Surgery

In 1999-2003 year period, at Viet Duc hospital, 120 cases of anus absceses including side anus abscesses, anus fistulae and anus split fistulae were studied. Results showed an increasing number of surgical cases of the conditions, their majority was male subjects in effective age with typical symptoms of pain at the anus, fever, hot and red swelling mass in the side, commonly in posterior side operation of an unique time give good results, among them, the drainage incision accounted simply for majority
Diagnosis ; Therapeutics ; Abscess

A retrospective study was performed on 13 patients with spontaneous bacterial peritonitis at Viet Duc Hospital between Jan 2000 and Dec 2004. Results: Most patients with spontaneous bacterial peritonitis were diagnosed as appendix peritonitis. The rate of spontaneous bacterial peritonitis in cirrhosis patients were highest (53.8%); unknown cause 30.8%, lupus erythematosus 7.7%; 3/13 cases did not have intraoperative bacteria culture , among 7 cases had the culture results positive with gastrointestinal bacteria, E.Coli accounted for 6/7. Postoperative results: mortality rate was high (46.1%), especially in cirrhosis patients.
Peritonitis ; Diagnosis ; Therapeutics

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

The study involved 12 cases with intestinal smooth muscle tumor underwent operation at Viet Duc Hospital from 1990 to 1995. Findings: intestinal smooth muscle tumor occupied about 16% of intestinal malignant tumors. Most of cases were not diagnosed before surgery. Common clinical signs are abdominal pain, digestive troubles and weigh loss. The tumor can be touched by hand. Most of patients were removed the tumor and the related intestinal segment. Post-operation, there was not death or dehiscence of the anastomosis. Rate of infection is 8.3%. There were not any patients received chemotherapy and radiotherapy.
Intestinal Neoplasms ; Muscle, Smooth