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

Nguyen, Anh Tu and Tran, Dung Ngoc and Nguyen, Anh Ngoc and Nguyen, Duc Manh and Nguyen, Toan Huy and Trinh, Chung Van and Do, Huong Thu and Luong, Quyen the and Nguyen, Suu Xuan and Hoang, Tuyen Ha and Tran, Mai Thi and Dang, Quynh Nhu Thi (2025) 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, 23 (3). 012-019. ISSN 2582-4597

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.