On March 28, news from Can Tho General Hospital, doctors have just performed polyp cutting surgery for patient T.M.H. (61 years old, Can Tho City) was hospitalized on March 15, 2025.
This patient has a history of chronic kidney failure for many years, is being treated with medication and periodic kidney filtering. Diagnostic results showed that the patient had nasal polyps, stage 5 kidney failure, high blood pressure, diabetes, and pulmonary overflow.
For about a year now, the patient has had symptoms of prolonged nasal congestion. Initially, the right side was completely blocked, then spread to the other side, accompanied by many recurrent nasal bleeding.
When receiving the disease, the nasal endoscopist showed that the nasal congestion had completely lost the right nasal cavity, covering the left rear nasal pass. The patient also suffered from many serious internal medical diseases, including cardiovascular disease and hormones.
During the treatment, the doctor consulted with the department to coordinate treatment with the diagnosis: The patient underwent periodic dialysis 3 times/week, BF parameters: 200 ml/minute, UF: 2,000 ml, using COPS 15 film. Blood biochemistry tests showed that Creatinin increased by 664 μmol/L, ure 16.7 mmol/L. Tube CT - blurred vision of both sides of the tubes and the nasopharyngeal arch.
Faced with uncontrolled nasal bleeding, doctors gave first aid by using Merocel to stop the bleeding several times. However, after withdrawal, he continued to bleed due to necrotizing polyps. Therefore, the treatment team considered and decided to surgery even though the patient had many serious underlying diseases, high risk of complications, especially the risk of bleeding during and after surgery due to continuous kidney filtering.
During the surgery, the anesthesia team had to closely monitor the patient's blood pressure as the patient's blood pressure was very high (199/110 mmHg), and there was also a pulmonary overflow.
The ENT doctors performed a conducted an endoscopic nasal surgery to remove the polyp in the right nasal cavity, the left rear nasal pass and the jaw cavity. During the surgery, the bleeding caused many difficulties but was controlled by an electrical stations.
After surgery, the patient gradually stabilized, removed the rhinoplasty from the nose, the nose was cleared and no bleeding was reported. However, patients still need to closely monitor the risk of bleeding and accompanying internal diseases.
