Mirizzi syndrome type IV, a rare and complex form of biliary obstruction, has traditionally required major open surgery. This case report describes a groundbreaking alternative: a 44-year-old woman successfully treated using a minimally invasive laparoscopic approach.The less invasive procedure resulted in rapid, complication-free recovery, with no evidence of biliary stricture at the 6-month follow-up. This outcome challenges conventional management and demonstrates that a minimally invasive approach can be both feasible and highly effective in carefully selected patients.

Through interviewing, discussing with the managers of the Population and family Planning boards and staffs of the contraceptive warehouses at provincial level, the author found that: There were many limitations in facilities and staffs at the contraceptive warehouses at provincial and districts levels. New contraceptive users increased fast from 2.7 million in 1995 to rough 3.7 million in 2001 and estimated 5.6 million of users in 2010. Demands of contraceptives needed to increase faster than the numbers of contraceptive method users. National budget provided only 16.7% of total contraceptive cost
Family Planning Services ; epidemiology ; Contraceptive Agents ; Vietnam

189 health workers who collaborated directly to the procedure to insert and remove intrauterine device, were interviewed about side effects and complications of the use of IUD in Vietnam. Among them, 82.8% were < 40 years old, 65.1% had got a doctors, 74.6% practised at State Health Center. 19.8% at General Hospital and 6.6% at private health institutions. In case of complication after the insertion of IUD, 50.8% of health workers gave the advices, explained and continued to teach and to treat, 27.2% gave medicines and 21.3% removed IUD. 86.4% of these health worker underwent the reeducation yearly about family plaing and reproduction health in 1995-2000 year period.
Intrauterine Devices/epidemiology ; Medical Staff ; Epidemiology

A surveillance of 360 gynecological, obstetrical and family planning survices and 422 clients of centers in private sector in 8 provinces/cities. The results: private health sector are providing 22.2% of the total servies. 77.5% of managers are standing government staffs; of them 53.6% are graduated and post-graduated persons; 39.4% are assistant doctors and midwives. 96.6% of clients are satisfied with private health services. It is estimated, 81.4% of clients would continue to use private health services
Delivery of Health Care ; Family Planning Services ; Private Sector

267 women in Danang City and 333 in Haiduong province ever used or had been using oral contraceptive pills in the years 1999-2000 were studied. The highest number of users was 60,5% in the age of 30-39 years, who had got 2-3 living children was 74%, Among them 88% had got primary educated or universal educated level. The administrated pills were : IDEAL 57%, Regividon 16%, Marvelon 10,2%. 75,5% of the pills were freely distributed by the Programme of Demography and Familial Planing and 25,5% were self bought. Side effects were found : 29% with menstrual disorders, 20% nausea, 8,5-9% headache and burning skin. 65% of user had been trained and had got counselling
Contraceptives, Oral ; Pharmaceutical Preparations ; Epidemiology ; Women

365 women of Cham minority (among them 200 aged 15-49 with husband) in 3 communes were enrolled in the study. Results are: 31% gave birth to child at first in the age under 19; 32% of women aged 15-49 had married having 4-9 live children, 30.5% pregnant women had received no prenatal care, 49% have received 1-2 prenatal visits; 49.4% gave birth at home and 39% were not assisted by health staff. 29% were aware only IUD and only 1 other contraceptive method. The rate of women who used contraceptive method accounts for 62% (among them 39.5% used IUD, 13% used pill and condom)
Minority Groups ; Reproductive Medicine ; Reproduction ; Reproductive Health Services ;

The study on the use of infecting DMPA contraceptive and its adverse reactions on 4.900 users in 10 provinces and cities in Vietnam in the years 1997-1998 showed that: 89.2% of women had used the infection volumtarily or in according with their sex partnery, 74.9% women aged 25-39 years had used, 90% got the infection in the health station. Menorrhagia, and amenorrheoe were common side effect in DMPA users. The rate of menorrhagia infection reduced in later while the rate of amenorrheoe trended to increase
Contraception ; Women ; epidemiology

The rate of abortion increased rapidly in 19905, from 4,5-5,3% to 8%. The abortion in Vietnam was at 7th position in the 10 countries having the highest abortion rate in the world. This was a challenge of the reproductive health program. This paper analyzed some major cause of abortion and introduced some solution to come over this challenge.
Vietnam ; Abortion, Criminal