Patient N, 42 years old, weighing about 90kg, has a long history of epilepsy, intellectual delay and prolonged menorrhagia. Due to cognitive limitations, the patient does not have the ability to self-assess the health status as well as fully express the abnormalities that are occurring.
This causes signs of gynecological diseases to be ignored for a long time. Taking a patient who frequently has epilepsy and limited access to medical facilities also encounters many difficulties.
Only when receiving support and encouragement from people in the area did the family take the patient to the Central Obstetrics and Gynecology Hospital, Facility 2 for examination.
Through examination and in-depth diagnosis, doctors discovered a large tumor in the abdominal cavity with a size of about 20cm. The tumor weighed up to 1.5kg.
According to doctors, the difficulty of the case is not only in the large size of the tumor but also from the patient's complex underlying health condition.
Patients also have high blood pressure, cardiovascular disease and frequent seizures. These are factors that increase the risk during anesthesia and surgery.
The treatment team must pay special attention to the risk of hypertensive hypertension, cardiovascular disorders or the appearance of acute seizures during and after surgery. Therefore, the treatment plan is built in the direction of strictly controlling each risk, with coordination between specialties.
After a process of preparing and closely monitoring the patient's condition, the surgical team successfully removed a tumor about 20cm in size and weighing 1.5kg.
Tumor removal helps solve a major risk to the patient's health, while opening up opportunities for recovery after a long period of not being detected and treated. Not only the surgical process, the post-operative care stage also poses many special requirements.
Dr. Nguyen Thai Giang, Deputy Head of the Department of Gynecology and Oncology, who directly performed the surgery, said that patients have difficulty taking care of themselves and the incision due to limited awareness.
The post-operative stage continues to pose new challenges when patients cannot proactively care for the surgical wound due to cognitive barriers. The collective of doctors and nurses of the department must be on duty, providing comprehensive support from changing bandages, cleaning to closely monitoring possible complications, to ensure safety for patients throughout the recovery process," Dr. Nguyen Thai Giang shared.
Doctors recommend that patients with limited awareness or neurological diseases need to be regularly monitored by their families and caregivers. When prolonged abnormal symptoms appear such as menorrhagia, abdominal pain, bloating, it is necessary to take them to the doctor early, without waiting for the disease to progress severely.
