Background: Full-thickness rectal prolapse (FTRP) is commonly treated using rectopexy techniques. However, these methods mainly focus on fixing the rectum and do not restore the physiological support mechanism of the pelvic floor. Based on the dual pelvic support axis theory, full-thickness rectal prolapse is assumed to result from failure of the posterior pelvic support axis (PPSA). At Hanoi Medical University Hospital, this technique has been performed since January 2022. Objective: To evaluate the early outcomes of laparoscopic reconstruction of the po....[more]
Background: Intraoperative portal vein pressure (PVP) may reflect a mismatch between portal inflow and graft capacity after adult liver transplantation, but proposed thresholds vary and their clinical certainty is unclear.
Methods: We systematically searched PubMed/MEDLINE, Embase, CENTRAL, and Scopus from inception through March 2026 for adult liver-transplant studies reporting intraoperative PVP and postoperative graft outcomes. Two reviewers independently screened records and extracted data. Threshold/prediction studies were assessed wi....[more]
Background: Research has shown that identifying retained stones and bile duct injury is difficult. This study aimed to explore the use of laparoscopic ultrasonography (LUS) in detecting common bile duct (CBD) stones and evaluating biliary anatomy during laparoscopic cholecystectomy for patients with gallbladder stones.
Methods: This case series enrolled 77 adult patients of both genders with symptomatic gallbladder stones who were scheduled for laparoscopic cholecystectomy. Patients underwent LUS to detect CBD stones before proceeding with ....[more]
Background: Laboratory tests are integral to surgical decision-making, yet unnecessary blood tests (BTs) contribute to increased healthcare costs, hospital-acquired anemia, and patient discomfort. Currently, no global guidelines exist for their appropriate use in emergency surgery. This study aimed to evaluate surgeons' attitudes, perceived clinical impact, cost awareness, and ordering practices regarding routine BTs in acute care settings.
Materials and Methods: A web-based survey, designed following the CHERRIES checklist, was distr....[more]
Background: Gastric cancer is considered the second leading cause of cancer-related mortality, which is ranked as the fourth most common malignancy in terms of diagnosis. For resectable gastric cancer, neoadjuvant chemotherapy has been showed to be well-tolerated and effective, with enhanced mean overall survival (OS) and progression-free survival (PFS). The aim of our study was to assess and compare the effectiveness and safety of two commonly used perioperative chemotherapy regimens, FOLFOX6 and FLOT, for resectable and locally-advanced-gastric adenocarcinoma. <....[more]
