Background: s/Aims: Pancreaticoduodenectomy (PD) is the only radical treatment for periampullary malignancies. Superior mesenteric artery (SMA) first approach combined with total meso-pancreas (MP) excision was conducted to improve the oncological results.There has not been any previous research of a technique that combines the SMA first approach and total MP excision with a detailed description of the MP macroscopical shape. Methods: We prospectively assessed 77 patients with periampullary malignancies between October 2020 and March 2022 (18 months). All patients had undergone PD with SMA first approach combined total MP excision. The perioperative indications, clinical data, intra-operative index, R0 resection rate of postoperative pathological specimens (especially mesopancreatic margin), postoperative complications, and follow-up results were evaluated. Results: The median operative time was 289.6 min (178−540 min), the median intraoperative blood loss was 209 mL (30−1,600 mL).Microscopically, there were 19 (24.7%) cases with metastatic MP, and five cases (6.5%) with R1-resection of the MP. The number of lymph nodes (LNs) harvested and metastatic LNs were 27.2 (maximum was 74) and 1.8 (maximum was 16), respectively. Some (46.8%) patients had pancreatic fistula, but mostly in grade A, with 7 patients (9.1%) who required re-operations. Some 18.2% of cases developed postoperative refractory diarrhea. The rate of in-hospital mortality was 1.3%. Conclusions The PD with SMA first approach combined TMpE for periampullary malignancies was effective in achieving superior oncological statistics (rate of MP R0-resection and number of total resected LNs) with non-inferior short-term outcomes. It is necessary to evaluate survival outcomes with long-term follow-up.

The study of 37 patients with peripheral facial nerve paralysis due to cold treated acupuncture and traditional medicine at Hai Phong Traditional Medicine in 2002 - 2003. 20 males and 17 females, 20 - 40 years old was 51%. One group (first week treated patients) was 26 patients, two group (after first week treated patients) was 11 patients. After two weeks of treatment: 81% patients were totally recovered, 13.6% improvement and 5.4% unchangeable. One group: 100% patients were totally recovered, two group: 90% patients were totally recovered, 10% unchangeable
Facial Paralysis ; Therapeutics ; Acupuncture ; Medicine, Traditional

A new traditional preparation comprises flos Sophora japonica, folia Thuya orientalis, flos Elsholtzia cristata, and cortex Citrus sp.. This powder was used clinically on 84 subjects (men and women) aged from 16 to 60 years suffered by no more a 3 day acute hemorrhoid of 1, 2, and 3 grade in comparing with Daflon administrated in 32 other patients of the control group. Results had shown good efficacy of hemostasis comparable possibly with Daflon, but the effect is better in case of constipation.
Hemorrhoids ; Medicine, Traditional

The "Hoe hoa tan" (HHT) is an old formula of traditional medicine containing of Sophora japonica L, Thuja orientalis L, Elsholtzia cristata wild and Citrus sp. In clinical study, HHT has rather good effects in treatment of acute hemorrhoids. In the experiments on animals, HTT reduced pain, shorterned the bleeding time, increased also the prothrombin rate and reduces the acute inflammatory effect of carragenin. With above effects the " Hoe hoa tan " formula is suitable to treat acute hemorrhoids
Hemorrhoids ; Prothrombin ; Medicine, Traditional