Số 04 - Tập 12

Arthroscopic reconstruction of the cruciate ligament of the knee becomes routine with modern techniques and special instruments. However, the source of materials for this procedure has always been an eternal issue that affects the surgeons decision. The two peroneal tendons on the lateral side of the lower leg have the same function of plantar flexion and foot eversion. The fibularis longus tendon has been used for reconstruction such as the lateral collateral ligaments of the ankle or the Achilles tendon. Patients and methods: Descriptive cross-sectional study on twenty fresh cadavers were selected randomly for taking the fibularis longus tendon at...

Surgical pathologies account for 28-32% of the global disease burden, however human resource in surgery (surgical workforce) is still not good enough. The study aimed to describe the current situation and the need of specialist surgeons for working in provincial and district hospitals by representation of ecological regions (ecoregions). Patients and methods: A cross-sectional study has conducted in 7 provinces/cities with 27 hospitals. Results: The current number of surgeons was mostly distributed for the Coastal and Southern Central regions accounted for 23.3%; in Red River Delta was 22.3%. The need for surgeons for the Central Coast and South-Central region (30.6%)...

Surgery is the mainstay of treatment for pancreatic head cancer for improvement of patient survival. Studies in Vietnam have focused less on survival after surgery. Therefore, we conducted a study to evaluate the results of surgical treatment of pancreatic head cancer at Viet Duc Hospital. Patients and methods: A Retrospective study of patients with pancreatic head cancer have been operated at Viet Duc University Hospital from 01/2014 to 12/2015. Results: There were 83 pancreatic head cancer patients operated at Viet Duc hospital. The mean age was 57.7 ± 11.5 (age), male and female were 57.8% and 42.2%, respectively. 18.1% of...

The Covid-19 pandemic has resulted in severe complications and even death in many patients globally. Beside the most common impairments in the lung, SARS-CoV-2 infection-related hypercoagulation is not rarely seen in outpatients as well as in hospitalized patients. Such adverse event could engender vascular embolism in various viscera. During the Covid-19 outbreak in the years of 2020-2022, there have been several post-Covid-19 cases with bowel necrosis due to mesenteric ischemia which were well recorded worldwide. The impact of Covid-19 infection and mesenteric ischemia should be investigated. Patients and methods: We reported three young patients aged less than 40 years old...

We aimed to evaluate the outcomes of the technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of the esophagus and jejunum in the totally laparoscopic total gastrectomy (TLTG) and report experience in 106 patients. Patients and methods: A prospective observational study on patients received technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum in TLTG between July 2017 and July 2022. Results: We included 106 patients with a mean age of 63.2 ± 11.7 (26 – 88). 10.4% of patients having tumors in the upper third of the stomach and 88.7%...

Several techniques are available today for immediate breast reconstruction after mastectomy for breast cancer in early stage and the choice depends on patient condition, experience and surgeon skills. It is possible to use a definitive implant or a muscle flap to reconstruct breast, this procedure was performed under general anesthesia and immediately following a total mastectomy. While using a tissue expander requires two surgical procedures. Patients and methods: We study a series of patients with early breast cancer who underwent total mastectomy and immediate breast reconstruction with implants in a submuscular pocket created beneath the pectoralis major muscle and prolene...

To evaluate the results of surgical treatment for recurrent differentiated thyroid cancer. Patients and methods: Descriptive study of 82 recurrent differentiated thyroid cancer patients underwent re-operated at National Hospital of Endocrinology from 2017 to 2020. Results: Mean age 44.2 ± 12.6 years, female/male = 3.3 / 1. Median recurrence times was 25 months. Patients detected the disease through regular health check was 82.9%. Physical examination revealed lesions 31,7%. Ultrasound revealed lesions 97.6%. Tg positive 81.7%, median 33.2; Anti-Tg positive 20.7%, median 22.6. Whole-body Scintigraphy was positive 47.6%. PET/CT positive 100%. Surgical techniques: Total thyroidectomy + cervical lymph nodes dissection accounted...

Range of motion after total knee arthroplasty is an important clinical outcome. Decreasing range of motion can lead to limit activity level as well as patient satisfaction. This study sought to determine the factors affecting range of motion after total knee arthroplasty. Patients and methods: The retrospective descriptive of 50 patient (54 knees) were operated for total knee arthroplasty from 10/2016 to 10/2019. Results: The average follow-up time was 24 months (12-36 months). The postoperative average range of motion was 108,6 7,6, 100% patients were more than 90 and there are no cases that loss of extention. Conclusion: The preoperative...

This research aims to evaluate the compatibility between magnetic resonance imaging (MRI) and arthroscopy in diagnosis of types and locations of anterior cruciate ligament tear (ACL). Patients and methods: We report 75 case series undergoing arthroscopy with imaging of ACL tear on MRI, then investigated the compatibility between MRI and arthroscopy. Kappa index for MRI-arthroscopy compatibility is then calculated. Results: MRI findings indicated 68% of cases are complete tears and 32% of cases are partial tears whereas the proportions of these types in arthroscopy are 73,3% and 26,7% respectively. By calculating the match between MRI and arthroscopy using Kappa index,...

Adult spinal deformity (ASD) is a degenerative condition that deviates the spinal axis, which can lead to pain, nerve damage, and/or loss of function. Surgical treatment is indicated when medical therapy fails to respond after 6 weeks. S2 alar-iliac (S2AI) fixation for long fusions is a method to treat ASD. This study aimed to evaluate the clinical improvement and full spine X-ray after surgery for ASD by fixing the lumbar thoracic spine with S2 sacroiliac joints, decompression, and lumbar interbody fusion. Materials and method: A retrospective study in patients treated by S2 alar-iliac (S2AI) fixation for long fusions between January...

Facial nerve injuries with various causes, such as after trauma, tumor dissection, radiotherapy, etc., resulting the patient's functional, aesthetic, and psychological sequelae. For many decades, plastic surgeons have introduced numerous different nerve sources to overcome the above sequelae, such as contralateral facial nerve, the hypoglosal nerve, the masseter nerve, and the spinal accessory nerve (CN XI). There were various advantages and disadvantages of donor nerves sources. However, the use of ipsilateral donor nerve is said to have many benefits. In this report, we would like to present preliminary results of using the CN XI source in treatment of subacute and...