Background: Patients who are diagnosed with refractory chronic constipation that cannot be managed with maximal nonsurgical treatment may be considered for total colectomy with ileorectal anastomosis (TCIRA). However, the indications for determining a patient’s suitability for TCIRA remain unclear.
Methods: From December 2019 to September 2023, nineteen patients experiencing refractory chronic constipation who were selected for treatment with TCIRA according to our modified indications were retrospectively enrolled in this study. The medi....[more]
Background: Hemorrhoids are among the most common anorectal diseases, significantly affecting patients’ quality of life. Currently, laser hemorrhoid surgery has been widely adopted worldwide due to its advantages of being minimally invasive, reducing postoperative pain, accelerating recovery, and lowering complication rates. At Hanoi Medical University Hospital, this technique has been routinely performed since September 2023. Objective: To evaluate the preliminary outcomes of laser hemorrhoidoplasty (LHP) at Hanoi Medical University Hospital.
Methods: A ret....[more]
Background: Anal sphincteric injury is an uncommon but clinically significant condition associated with substantial short- and long-term morbidity, most notably anal incontinence and impaired quality of life. This study systematically compares immediate (?48 hours) versus delayed (>48 hours) repair strategies regarding postoperative morbidity, mortality, and functional outcomes, including fecal continence, infection rates, colostomy requirements, hospitalization duration, fistula formation, and reoperation rates.
Methods: This prospectiv....[more]
Aim of the study: Managing wound closure in complicated appendicitis presents major challenges. This quasi-experimental study, employing propensity score matching, aimed to evaluate the effectiveness of primary closure compared with delayed primary closure for preventing surgical site infections (SSIs) in complicated appendicitis.
Methods: Patients with complicated appendicitis undergoing open appendectomy were selected using a quasi-experimental design. Propensity score matching minimized confounding factors, and comparative statistical an....[more]
Background: Liver incidentalomas are frequently encountered in gastroenterology practice due to enhanced imaging technology capabilities. Benign focal liver lesions are commonly detected in hospital patients undergoing ultrasound (US) examinations, with simple hepatic cysts being the most frequent finding. This study aimed to assess the prevalence, management, and outcomes of liver incidentalomas in gastroenterology practice and determine alignment with current standards of care.
Methods: A retrospective study was conducted on 591 individua....[more]
