1 Department of coloproctology and Pevic floor surgery, Hanoi Medical University Hospital, Hanoi, Vietnam.
2 Department of Infectious Diseases, Bat Xat District General Hospital, Lao Cai, Vietnam.
3 Department of Surgery, Bat Xat District General Hospital, Laocai, Vietnam.
Research Article
GSC Advanced Research and Reviews, 2025, 23(03), 012-019.
Article DOI: 10.30574/gscarr.2025.23.3.0139
Received on 13 April 2025; revised on 01 June 2025; accepted on 04 June 2025
surgical cases at primary-level hospitals. However, public awareness and the capacity for specialized diagnosis and management at the grassroots health-care level remain limited.
Objectives: To assess the current practices in the diagnosis and treatment of anorectal and pelvic floor disorders at Bat Xat District General Hospital, and to propose measures for improving the quality of specialized care.
Methods: A cross-sectional descriptive study was performed by retrospectively reviewing the medical records of all surgical cases in the Department of Surgery at Bat Xat District General Hospital from March to April 2025.
Results: Over two months, 103 surgeries were performed, including 56 digestive cases. Of these, 94.64% involved anorectal or pelvic floor disorders: appendicitis (31), hemorrhoids (15), anal fistulas (2), and inguinal hernias (5). Techniques included TND’s vertical ligation mucopexy for hemorrhoids, fistulotomy with seton for high transsphincteric fistulas, Bassini repair for hernias, and laparoscopic appendectomy.
Conclusion: Anorectal and pelvic floor disorders account for a high proportion of surgical cases at Bat Xat District General Hospital. Techniques such as vessel-ligation mucopexy for hemorrhoids, fistulotomy with seton placement, Bassini hernia repair, and laparoscopic appendectomy have been implemented effectively; however, adoption of methods such as TAPP and Lichtenstein repairs remains limited.
Recommendations: Enhance patient awareness, particularly concerning anorectal disorders. Develop and standardize diagnostic and treatment protocols for commonly encountered conditions. Consolidate currently effective surgical techniques and progressively introduce new methods to further improve treatment quality.
Anorectal and pelvic floor disorders; Primary-level hospital; Vessel-ligation mucopexy; Seton; Inguinal hernia
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Anh Tu Nguyen, Dung Ngoc Tran, Anh Ngoc Nguyen, Duc Manh Nguyen, Toan Huy Nguyen, Chung Van Trinh, Huong Thu Do, Quyen the Luong, Suu Xuan Nguyen, Tuyen Ha Hoang, Mai Thi Tran and Quynh Nhu Thi Dang. Evaluation of the current status and proposals for measures to improve the quality of diagnosis and treatment of anorectal and pelvic floor conditions at bat Xat district general hospital. GSC Advanced Research and Reviews, 2025, 23(3), 012-019. Article DOI: https://doi.org/10.30574/gscarr.2025.23.3.0139