Information from Hospital 199 (Ministry of Public Security) in Da Nang, the unit has just successfully performed a hip replacement surgery for an 83-year-old woman in extremely special and challenging circumstances.
The patient was hospitalized in a state of right thigh bone fractures, severe pain, unable to turn, the spleen began to show signs of ulcer for a long time. What makes this disease become particularly complicated is that patients carry many serious background diseases: the sequelae of weakness after a stroke; Has placed two coronary artery bridges and is using anticoagulant drugs, accompanied by diabetes, hypertension, and kidney failure 3b. In addition, the cardiovascular condition is very weak (cardiac failure reduced blood with EF 28%), inflammation due to stagnant sputum, patients must breathe in oxygen.
Doctor Phung Cao Cuong, Department of Orthopedics - burns - Sports Medicine (Hospital 199), said: This is a dilemma, if not operated on, the risk of death due to pain, complications lying in the area along with the progression of underlying diseases is very high. But if undergoing surgery, the risk rate for surgery is not small, and can even die right on the operating table.
After consulting the whole hospital, carefully considered and discussed with the patient's family, the doctors decided to have a partial hip replacement surgery with the most optimal plan. Immediately, the surgical team has adjusted the survival indicators to the most stable level possible, conducting epidural anesthesia. Notably, during the surgical surgical team, there was a direct support of a cardiologist, an anesthetic doctor and emergency resuscitation to handle cardiovascular problems on the spot (if necessary).
The surgery took place for nearly 20 minutes, under the smooth coordination of specialties, and brought results beyond expectations: The patient was completely alert after surgery, significantly relieved from pain, and vital signs improved. After 4 hours, they started to do rehabilitation exercises, could sit up in bed and aim to walk early.
This is a medical victory, a new hope for elderly patients with many underlying diseases but still have the opportunity to recover their functions and return to daily life, Dr. Phung Cao Cuong added.
