The patient is H.D.Q., born in 1985, residing in Phu Tho, an employee of TCDG dredging salvage company. The patient was admitted to Truong Sa Dong island clinic on January 27 in a state of abdominal pain, initially diagnosed with acute appendicitis at the 17th hour and underwent abdominal cleansing surgery, drainage. After surgery, the condition progressed complicatedly. On January 28, the patient was transferred to Truong Sa Lon island clinic for continued monitoring and treatment.
Immediately after receiving the information, Military Hospital 175 closely coordinated with Truong Sa Lon island clinic to conduct 2 remote consultations through the Telemedicine system, guiding monitoring and active treatment for the patient. Through consultation and professional evaluation, the patient was diagnosed with acute appendicitis at the 55th hour, had drainage surgery, abdominal cleansing at the 33rd hour; monitored for abnormal appendix positions after the small intestine or under the liver; prognosis is still severe, risk of developing peritonitis, septicemia, septic shock, intestinal adhesion and intestinal obstruction.
Faced with the risk of severe progression threatening the patient's health, the hospital reported to the Military Medical Department, requesting to transport the patient by helicopter.
In compliance with the order of the Ministry of National Defense, at 7:15 pm on January 29, the helicopter and the Air Emergency Team of Military Hospital 175, led by Lieutenant, Doctor Nguyen Van Sang - Department of Intensive Care and Poison Control as Team Leader. After approaching the patient at Truong Sa Lon island clinic, the Emergency Team conducted a rapid assessment and controlled the patient's condition, ensuring safety for the transportation process by helicopter.
Lieutenant, Doctor Nguyen Van Sang - Head of the Air Emergency Team, Military Hospital 175, said: "The difficulty of the case is that the appendix is in the back of the small intestine, causing many difficulties in surgery, then the condition became more severe with symptoms of fever accompanied by abdominal distension.
Risk of post-operative intestinal obstruction, appendix abscess, appendicular congestion and peritonitis. The patient is indicated for a second surgery, so he needs to be transported to the mainland by helicopter for timely and safe intervention.
Immediately after returning to the mainland, the patient was taken to the Emergency Department, Military Hospital 175 for intensive treatment. By 8 am on January 30, the surgery was successfully performed.
