According to doctors, immediately after the accident occurred, the patient was given first aid on the spot. Due to the size of the foreign object being too large, the crowbar was shortened to facilitate transportation to the hospital. Upon admission, the patient was in a state of traumatic shock, with a life-threatening risk.
Immediately after receiving the patient, doctors urgently resuscitated, pain relieved, anti-shock, fixed the injured limb and performed necessary tests and explorations. After comprehensively assessing the patient's condition, the team decided to take the patient to the emergency operating room to check the extent of the injury and remove the foreign object from the body.
BSCKII Nguyen Manh Tien, Department of Lower Branch Surgery, Viet Duc Friendship Hospital said that this is a case with a high level of complexity because the foreign object pierced through the thigh area - an area that concentrates many large blood vessels and important neural bundles.
The biggest challenge is that the foreign object removal process must be carried out very carefully. Just one inaccurate operation can cause secondary damage, leading to massive bleeding or seriously affecting the patient's motor function," Dr. Tien shared.
Doctors determined that the crowbar penetrated from the inside to the front outside of the right thigh. During the surgery, the team tightly controlled the injury, comprehensively assessed the path of the foreign object and carefully removed the crowbar from the patient's body.
The surgery requires close coordination between many specialties such as Orthopedic Trauma, Vascular Surgery and Anesthesia and Resuscitation to minimize the risk of complications, while preserving important anatomical structures of the limb.
Thanks to careful preparation and timely treatment, the surgery took place smoothly. The foreign object was successfully removed without causing serious damage to major blood vessels or main nerves in the thigh area. After surgery, the patient continued to be closely monitored and actively treated, including the use of high doses of antibiotics to prevent infection and postoperative complications.
From the above case, doctors recommend that when encountering an accident with a foreign object piercing through the body, especially large foreign objects such as iron bars, wooden bars or crowbars, people should absolutely not arbitrarily remove the foreign object at the scene. This action may lose the temporary hemostasis effect of the foreign object, leading to serious bleeding and increasing damage to the surrounding organs, blood vessels and nerves.
