After being cut and deeply embedded in his left leg by a plow blade, patient N.V.H, 34 years old in Hanoi, was taken to the Central Hospital for Tropical Diseases by his family.
According to the patient, while working in the field that morning, while operating the harrow, he lost control of the steering wheel, causing the harrow blade to cut his leg. During the time of transportation to the hospital, the patient lost a lot of blood because blood continued to spurt from the wound.
When he arrived at the hospital, Mr. H was still stuck with the harrow stuck straight into his leg. Immediately, the doctors decided to transfer the patient to the emergency operating room.
Dr. Hoang Manh Ha, Head of the Department of Orthopedic Trauma and Spinal Neurosurgery, who directly performed the surgery, said: Unlike regular surgeries, we did not have enough time to perform comprehensive tests, but only quickly conducted blood type and blood count tests to prepare for an emergency blood transfusion. The patient was pierced by two blades of the harrow from the upper outer side of the lower leg to the lower inner side, cutting through the muscle mass and interosseous membrane of the lower leg.
The surgery lasted about an hour. The surgical team used anesthesia to carefully remove the blade so as not to cause further damage to the patient.
The patient suffered a small branch of the posterior tibial artery injury, a rupture and partial crushing of the medial and lateral gastrocnemius muscles, no bone fractures, no damage to major blood vessels or important nerves.
Doctors treated the injury by stopping the bleeding, removing all the crushed muscle and cleaning the wound. The patient was transfused with 2 units of blood to compensate for the amount of blood lost during the emergency.
After 5 days of treatment, the patient's condition stabilized and he began to walk again.
