ho tat bang

Acute mediastinitis is a life-threatening condition requiring urgent intervention.

This study aims to describe the clinical, laboratory, imaging, and microbiological characteristics, as well as treatment outcomes, of acute mediastinitis cases.

A retrospective, descriptive study was conducted on 32 patients treated at the University Medical Center Ho Chi Minh City from February 2016 to April 2024. Data were collected on patient demographics, clinical features, laboratory results, imaging findings, microbiological cultures, and treatment outcomes.

The mean age was 55.7 years, with males comprising 59.4% of cases. Fever and chest pain were the most common symptoms. Staphylococcus aureus was the most frequently identified organism. Computed tomography (CT) scans typically showed mediastinal air-fluid levels and fat stranding. Surgical interventions included neck drainage and thoracotomy. Complications included severe sepsis, septic shock, and pneumonia, with a mortality rate of 9.4%.

Acute mediastinitis predominantly affects older males and presents significant clinical and diagnostic challenges. Effective multidisciplinary management is crucial for improving patient outcomes. This study provides valuable insights into the characteristics and treatment of acute mediastinitis in a Southeast Asian region.

This study investigated complications and 30-day readmission rates following lobectomy for lung cancer in a pre-enhanced recovery after surgery (ERAS) program setting at the University Medical Center Ho Chi Minh City, aiming to identify key areas for improvement.

A retrospective analysis was conducted on 99 patients who underwent lobectomy for lung cancer. Data on patient demographics, surgical details, and postoperative outcomes were collected. Complications were categorized using the Clavien-Dindo classification system, and statistical analyses were performed using STATA software.

Among the 99 surveyed patients, 53.5% were male, and 46.5% were female, with the majority being over 60 years old. The postoperative complication rate was 19.2% (30.9% reduction with multimodal pain relief, P = 0.001), and the 30-day readmission rate was 13.1% (19.4% reduction with physical therapy before surgery, P = 0.008). High-risk complication factors included open surgery (42.9%) compared to video-assisted thoracoscopic surgery (VATS) (11.8%) (P = 0.026) and vomiting after surgery (46.7%, P = 0.008).

The findings underscore the necessity of integrating ERAS principles to enhance postoperative care and outcomes in lung cancer surgery. Implementing ERAS protocols could potentially reduce complications and readmissions, improving patient experiences and surgical efficacy. Future research will focus on applying these insights within the ERAS framework to optimize lobectomy outcomes.

Hemorrhoids are a prevalent condition that significantly impacts the quality of life (QoL) of affected patients. Despite their common occurrence, few studies have thoroughly investigated the changes in health-related QoL in patients undergoing hemorrhoid surgery, particularly in Vietnam.

This study aims to assess and compare the mean quality of life (QoL) scores across various dimensions before and after hemorrhoid surgery, providing insights into the effectiveness of surgical interventions.

This before-and-after study was conducted on 246 patients at the University Medical Center HCMC, Vietnam, from February 2023 to February 2024. Participants were evaluated using the HEMO-FISS-QoL questionnaire before and eight weeks post-surgery. The Wilcoxon Signed Rank test was used to determine the association between the patients' quality of life (QoL) and the scores of each dimension before and after hemorrhoid surgery at eight weeks, with statistical significance set at P < 0.05.

The study included 246 participants with a mean age of 42.80 ± 14.22 years. The results indicated a significant enhancement in QoL post-surgery, with mean scores decreasing from 42.37 ± 12.74 before surgery to 23.54 ± 2.19 after surgery (P < 0.001), reflecting considerable improvements across all measured dimensions.

The findings demonstrate a statistically significant improvement in both overall QoL and individual health dimensions following hemorrhoid surgery, confirming the procedure's effectiveness. This study contributes valuable data to the limited existing literature on the impact of hemorrhoid surgery on patient outcomes in Vietnam.