Background: s/Aims: Liver transplantation (LT) provides a favorable outcome for patients with hepatocellular carcinoma (HCC) and was launched in Vietnam in 2004. In this study, we evaluated the short-term and long-term outcomes of LT and its risk factors. Methods: This retrospective study analyzed HCC patients who underwent LT at Viet Duc University hospital, Vietnam, from 01/2012–03/2022. The following data were gathered: demographics, virus infection, tumor characteristics, alpha-fetoprotein (AFP) level, Child-Pugh and MELD scores, selection criteria, type of LT, complications, 30-day mortality, and disease-free and overall survival (DFS and OS). Results: Fifty four patients were included, the mean age was 55.39 ± 8.46 years. Nearly 90% had hepatitis B virus-related HCC. The median (interquartile range) AFP level was 16.2 (88.7) ng/mL. The average MELD score was 10.57 ± 5.95; the rate of Child-Pugh A and B were 70.4% and 18.5%, respectively. Nearly 40% of the patients were within Milan criteria, brain-dead donor was 83.3%. Hepatic and portal vein thrombosis occurred in 0% and 1.9%, respectively; hepatic artery thrombosis 1.9%, biliary leakage 5.6%, and postoperative hemorrhage 3.7%. Ninety-day mortality was 5.6%. Five-year DFS and OS were 79.3% and 81.4%, respectively. MELD score and ChildPugh score were predictive factors for DFS and OS (p < 0.05). In multivariate analysis, Child-Pugh score was the only significant factor (p < 0.05). Conclusions In Vietnam, LT is an effective therapy for HCC with an acceptable complication rate, mortality rate, and good survival outcomes, and should be further encouraged.

A study on 54 cases of instrumental labours by forceps with youngest of 18 and oldest of 40 of which 50 cases experienced the first labor. The causes of forceps delivery comprised the long exert oneself, weak exert oneself. The forceps labor was the third rank in the induced labor.
Surgical Instruments ; Parturition

In diagnosis of obstructed labor, beside the line of cervical dilation comes to the right of the alert line and crosses the action line, the line of descent of fetal presentation should be noted. After 4 hours, if the contractions occur with frequency of 3 and last for 20 to 40 seconds and the fetal head has not descended further, it should be considered as a sign of obstructed labor. The partograph that was designed according to national standard is proper and useful in decision of cesarean section.
Cesarean section ; Parturition

62 cases of argumentation of labour were analyzed. The two main indications including rupture of the membranes and hypocontraction - cesarean section were in only 20% of cases. A parography will be a useful tool for monitoring progress of labour
Delivery, Obstetric ; Rupture