Thần kinh học & Tâm thần học

Abstract Introduction: Craniopharyngiomas have been classically removed by various transcranial approaches (craniotomy). Nowadays with the advance in endoscope transsphenoidal surgery, the extended transsphenoidal approach is the best choice for removal of suprasellar tumors and even intra-ventricular craniopharyngiomas. However, this is still challenging to surgeons in removing the tumors by this approach and the surgical complications could be occurred. Material and Methods: From 7/2013 – 7/2017, 50 patients (39 adults and 11 children) underwent surgery for craniopharyngioma by nasal transsphenoidal approaches. The complications regarding the surgery was recorded. Results: The early postoperative mortality was 2/50 (4%) caused by meningitis, intra-ventricular hemorrhage....

Abstract Introduction: : Injuries involving the posterolateral ligamentous system occur in approximately 7 - 16% of knee ligament injuries. However, only 28% of all posterolateral corner (PLC) injuries are alone and usually combined with cruciate ligament injury (posterior cruciate ligament-PCL > anterior cruciate ligament-ACL). Combined ACL and PLC tears account for 10% of complex knee injuries. An unaddressed posterolateral corner injury may be a leading cause of ACL reconstruction failure. Case presentation: A 26 year old male patient with combined ACL and PLC injury. He was concurrently reconstructed by both ACL and PLC. We used 2 semitendinosi (1 in each...

Abstract Introduction: The posterior cruciate ligament (PCL) and anterior cruciate ligament (ACL) are important to ensure the stability of the knee joint. Both PCL and ACL can be injured, but PCL injuries are much less common than ACL injuries. In order to summarize the experience and improve the quality of treatment, we conducted the research with the aim is to evaluate the results of arthroscopic all-inside posterior cruciate ligament reconstruction using hamstring tendon autograft. Materials and methods: From June 2018 to December 2019, all patients who had posterior cruciate ligament (PCL) rupture treated with all-inside arthroscopy PCL reconstructions using semitendinous...

Abstract Introduction: Laparoscopic pancreaticoduodenectomy is one of the most complicated major surgeries. The postoperative mortality and morbidity are still a burden of hepato-pancreato-biliary surgery. Aim of this study is to assess the short-term outcome of laparoscopic Whipple procedure for periampullary cancer. Materials and methods: Case series report. Results: From 1/2018 to 1/2019, we had performed laparoscopic Whipple procedure in 21 patients. The intracorporeal hepatico-jejunal anastomosis had been formed in all the cases. The pancreaticojejunal and gastro-jejunal anastomosis had been formed extracorporeally through small 5cm midline incision. The pancreatic duct had been drained with 8F drainage. The average operation time was...

Abstract Objective: This study aimed to identify the risk factors for anastomotic leakage after laparoscopic (intracorporeal) colorectal anastomosis with a double stapling technique at University Medical Center (UMC), Ho Chi Minh City. Patients and Methods: Retrospective study. Between 2008 and 2014, a total of 227 patients underwent laparoscopic rectal resection including anterior and low anterior resection. We identified risk factors for anastomotic leakage after using double stapling technique in laparoscopic rectal resection by univariate analysis. Results: There were 227 patients enrolled in study, male accounted for 51%, median age was 67. The location rate of a tumor above the anterior...

Abstract The latissimus dorsi myocutaneous flap was one of the first methods of oncology breast reconstruction described. However, the standard latissimus dorsi flap alone often does not provide sufficient volume for breast reconstruction, it may have not been the first choice any more. The design of an extended latissimus dorsi flap has involved to include the parascapular and scapula fat fascia in addition to the lumbar fat for additional volume. The main advantage of the extended latissimus dorsi flap is that it can provide autogenous tissue to restore breast volume, it is suitable for Asian women whose breasts are not...

Abstract Introduction: The analgesia/nociception index (ANI), a 0 –100 non-invasive index calculated from heart rate variability, reflects the analgesia/nociception balance during general anaesthesia. The aim of this study was to evaluate the relationship between ANI with Bispectral index (BIS), PRST score and VAS in adult patients undergoing general anaesthesia. Patients and Methods: A total of 60 patients of American Society Anesthesiologist(ASA) physical status I and II undergoing open abdominal surgery. All patients were monitored and anesthetized according to the protocol. Measurement and recording ANI, BIS, PRST, VAS at the time of study. Results: There was a relationship between ANI with...

Abstract Introduction: Multiple studies have shown that diaphragmatic ultrasound can better predict outcome of weaning. The purpose of this study was to investigate the predictive value of two diaphragmatic ultrasound indices, diaphragmatic thickening (DTF) and excursion (DE) for weaning outcomes in surgical intensive care unit (ICU). Patients and Methods: The study included 60 cases whose mechanical ventilation (MV) time was >48 hours, and all eligibles were divided into either the weaning success group (n=45) or the weaning failure group (n=15). Diaphragm thickness, diaphragmatic excursion (DE) and diaphragmatic thickening fraction (DTF) were measured in the zone of apposition. The rapid shallow...

Abstract Lower extremity reconstruction still issues a challenge for plastic surgeon. The medial sural artery perforator (MSAP) flap has been reported for using to reconstruct the defects of the knee and proximal-third leg defects in many papers. But there is a few paper describled the technique of using this flap for reaching the middle third led defects. The authors report the first using MSAP propeller flap in Vietnam to cover the defect in 45-year-old female patient who suffered from chronic ulcer with bone exposure over the middle third anterior tibial and evaluate the result of 4 months post-op. Keywords: Lower...

Tóm tắt Tạo hình hộp sọ bằng tấm lưới titan được sử dụng nhiều trong phẫu thuật sọ mặt. Các biến chứng của phẫu thuật tạo hình che phủ khuyết sọ hay gặp là nhiễm trùng. Da đầu mỏng dần và teo tổ chức phần mềm là một yếu tố nguy cơ đáng kể gây lộ vật liệu tạo hình. Việc sử dụng các vạt vi phẫu trong tạo hình đầu mặt cổ đã được báo cáo trong y văn, mặc dù vậy việc tạo hình vùng trán, da đầu vẫn là một thách thức do phải đảm bảo chức...