On June 15, the Department of General Surgery, Children's Hospital 1, said that the unit had successfully operated on a giant goiter in the coccyx region weighing 1.1kg for patient H.T. (Lam Dong).
Previously, on June 15, immediately after birth, the child was transferred to the hospital in a condition where he had undergone endotracheal intubation, balloon ventilation through endotracheal intubation, SpO2 99%, warm limbs. The patient had a strange tumor in the coccyx region with bleeding, high-volume heart failure and severe blood clotting disorder.
Upon admission, the emergency department team urgently supported the child to lie in bed to warm up, aspirate phlegm when there was increased secretion, breathe by intubation, intravenous fluids, blood transfusion and vasopressor drug Dobutamin.
This is a complex medical case due to a large tumor, which has ruptured and bled. Vascular hyperplasia can lead to hyperarrhythmia. As soon as the patient was transferred to the Neonatal Intensive Care Unit, doctors of this department and the General Surgery Department coordinated to perform resuscitation and prepare surgery after examination and careful evaluation.
According to the hospital, this case is complicated in terms of both technique, anesthesia and postoperative resuscitation, especially when the child is only 2 days old. With giant goiter tumors in the coccus region, children face the risk of losing large amounts of blood and plasma during surgery, high risk of infection due to wide and ruptured lesions. The risk of pre-operative death in such cases is very high.
The surgery was performed on June 2. Throughout the surgery, the team closely monitored vital signs and was ready to intervene if dangerous situations arose. ventilators, heaters, emergency medicine and intravenous fluids were fully prepared to promptly handle complications such as blood loss shock, hypothermia or cardiac arrest.
After 3 hours of surgery, doctors successfully removed a giant type II pituitary gland tumor, size 15x15x12cm located under the pituitary bone area, along with a part of the 3x3x4cm tumor located deep in front of the pituitary bone and behind the rectum. The tumor weighed 1.1kg, equivalent to nearly 1/3 of the body weight of a newborn.
After surgery, the patient was given special care at the Neonatal Intensive Care Unit. After 1 week of treatment, clinical symptoms improved significantly. The child was further transferred to the Neonatal Department to monitor complications such as infection and receive specialized care to ensure the best recovery process.
It is expected that the patient will be discharged from the hospital when the condition stabilizes and the infection is over.
