The last day of the year where the light never goes out

Doctor of National Burn Hospital Le Huu Trac is performing surgery

The letter is imbued with military love

For the doctors at Le Huu Trac National Burn Hospital, the transition time of the New Year of the Ox to the year of the Tiger is very sacred because in this place, the operating rooms are always lit, where both doctors and doctors are. and patients and their loved ones clearly feel the love; love in the eyes, in the tight fist, in the gentle but warm hugs of the doctor for the patient and their family after each surgery.

From her hometown in Duc Tho, Ha Tinh, patient Bui Thi Hoi (74 years old) wrote a letter expressing her special feelings, grateful to the doctors of National Burn Hospital Le Huu Trac who helped her overcome her grief. illness, return to daily life.

Having just read the letter and asked relatives to record her pictures to send to the doctors, patient Bui Thi Hoi expressed: At the beginning of the new year 2022, it is a full year after surgery, my health is now fully recovered. whole. I am extremely grateful to the military medical doctors who dedicated themselves and did all they could to bring me back from the dead. If it weren't for the talented and skillful hands of the doctors, I would probably now have followed my ancestors because I know my illness is too serious.

“There will be no words to describe the enthusiasm and dedication of the military medical doctor for me. The surgical team did a miracle. While my life and death were very fragile, the doctors encouraged me to give me strength to overcome the illness. Moreover, military doctors have donated and called for benefactors to support and help me with funding, overcome difficulties for treatment. Myself and my family are extremely grateful for this kindness", patient Bui Thi Hoi confided.

A year ago, doctors from Center for Plastic and Reconstructive Plastic Surgery, Le Huu Trac National Burn Hospital, Military Medical Academy removed a giant tumor weighing nearly 1kg on Mrs. Bui Thi Hoi's face. .

To prepare for the surgery, the surgical team must stockpile drugs, specialized supplies, blood, plasma... The patient is anesthetized under the coordination of many experts. The two teams involved in the surgery included doctors from Le Huu Trac National Burn Hospital and Viet Duc Hospital. After 5 hours of surgery, the patient transfused more than 1.5 liters of blood, plasma...

Patient Bui Thi Hoi before and after surgery

To perform this surgery, the doctors had to carry out the dissection of the tumor, hemostasis, etc. because the tumor grew strongly, causing atrophy of the eyeball, compression of the right upper jaw bone, the right cheekbone should be reduced. During the procedure, the surgical team must simultaneously process bones and teeth, cut cheekbones and reconstruct the face...

Colonel, Associate Professor, Dr. Vu Quang Vinh, Director of Center for Plastic and Reconstructive Plastic Surgery, Le Huu Trac National Burn Hospital (Military Medical Academy), Vice President of Vietnam Association of Plastic and Plastic Surgery Nam, the "general director" of this surgical team, recalls: In 2021, we had 2 very successful surgeries, including the surgery of patient Bui Thi Hoi. We feel it is a huge challenge even for those with long experience in the profession. However, from the fact that we are a military doctor, we are both professional and professional, so we try to do our best to help patients.

With this surgery, the surgical team has implemented the motto dare to think, dare to do, dare to face difficult challenges. This is a very difficult case, the patient has a very large tumor that has invaded and destroyed half of his face. In addition, the patient has a number of very serious underlying medical conditions. Thus, surgery for these cases has a very high mortality rate.

“We find that this is a difficult case and also a challenge for every doctor. In addition to those challenges, we found that we needed to find new directions and how to proceed to be effective. Although we know that the mortality rate of patients on the operating table is quite high maybe around 60-70%. With the method of applying teamwork, we have cooperated with 103 Military Hospital, the Departments of Interventional Cardiology, Imaging, and Cardiology of Viet Duc Hospital. Based on the experience of leading experts in many specialized fields, we conducted nearly 4 hours of consultation to develop a plan and conduct surgery for the patient", Colonel, Associate Professor, Dr. Vu Quang. Vinh said.

As one of the five doctors directly involved in this surgery, until now, Major, Doctor, Doctor Hoang Thanh Tuan, Vice Dean of Plastic - Aesthetics Department, Center for Plastic and Reconstructive Surgery Created, Le Huu Trac National Burn Hospital (Military Medical Academy) still can't forget the life-and-death moments to work with the surgical team to fight for the patient's life.

Doctor of Plastic and Reconstructive Surgery Center, Hospital is operating on patient Nguyen Thi Nhuan

Dr. Hoang Thanh Tuan recalls: As a young doctor, this was the most difficult surgery and also the first time I participated in the performance because the nature of this surgery is very special, the patient's prognosis  may die. on the operating table. In addition, there are many other “risk factors of the disease” that patients have.

The first thing is that right during the operation, when removing the tumor, the blood flowed a lot and my teacher was Assoc. Prof, Dr. Vu Quang Vinh, as well as me and other doctors, had to "manipulate very quickly, limiting" time. surgery, avoiding complications, possible risks happens during anesthesia as well as possible surgery to the patient. Before participating in this surgery, I also participated in the consultations and was the direct person in charge of the patient, so I realized that this was a very difficult operation. However, with the efforts of the entire team, the operation was successful.

“After a year of looking back and seeing patients again, we feel very happy. Now, the patient has gained weight and is back to a normal life, no longer a "deformed" face because of the pressure of the tumor and the patient feels very happy. That is a great source of motivation for doctors and nurses. Thereby, we have more experience in curing  many patients with more severe diseases ”, shared Dr. Hoang Thanh Tuan.

Dare to do, dare to face challenges and difficulties

For the doctors of Le Huu Trac National Burn Hospital, the dangerous cases, the difficult prognosis, the patients with many underlying disease factors... are the challenges for the white shirt soldiers to cope with the difficulties. difficult to find effective treatment regimens for patients.

One of the typical surgeries performed by the doctors of the National Burn Hospital Le Huu Trac in the past year was the treatment of patient Nguyen Thi Nhuan, 49 years old, with a coal fire on her head.

This patient fell face down in a hot coal basin for many hours due to CO2 poisoning when burning coal to heat the house, suffered extensive damage to the head and face, exposing the skull of the right temporal region and the right cheekbone, The blood vessels are also subjected to heat, which destroys the risk of necrosis of the entire skull and right side of the skull if not covered early.

Patient Nguyen Thi Nhuan after surgery

According to Assoc. Prof, Dr. Vu Quang Vinh, to treat this patient, doctors need not only basic knowledge but also creative thinking. A burn case like patient Nguyen Thi Nhuan is not only a challenge for Vietnam but also for the whole world because normal skin flaps cannot be used because they are not large enough to cover such a large defect. Therefore, the way to choose which prosthetic materials have sufficient width is not easy for this patient.

“It took us about a week to think about and choose between different techniques, although we had a very good knowledge of how to create large flaps of skin to cover burn patients, but the case of Mr. This patient is much more complicated because there is only one blood vessel that can be used for coupling. And it is because of creative thinking as well as scientific way of working together that we have come up with a new method of creating a beam flap, but it is 2 different flaps to be able to perform the splicing to create a skin flap. large enough to rely on a single source of food, but still have to ensure the blood supply to both flaps. This is a creative mindset and to achieve that, the staff of the Center themselves must be well trained and have very good knowledge to be able to promote the skills they have learned. at the same time have new creations and achieve success in this surgery", said Associate Professor, Dr. Vu Quang Vinh.

Based on new thinking and approaches, now the National Center for Plastic and Reconstructive Plastic Surgery is approaching 4.0 technology combined with the application of microsurgery techniques to reshape the skull. patients with materials created based on 3D printing technology. This is a new direction of plastic surgery in the future.

Doctors prepare surgical equipment before entering surgery

Assoc. . We hope, with the knowledge, capacity and medical team of the Center, we are capable to cope with newer and more difficult challenges like the case of patient Bui Thi Hoi and Dr. Nguyen Thi Nhuan.

As a direct participant in the surgical team, Dr. Hoang Thanh Tuan said: With the case of patient Nguyen Thi Nhuan, this is also an extremely difficult case and a great challenge of the country's medicine. However, we deployed two surgical teams at the same time to remove two skin flaps at the same time and shorten the surgery time for the patient. Since then, the surgery went smoothly.

“After a year looking back, the two patients have now recovered and they are back to their normal lives. As doctors, we feel very happy about it and this is also the motivation for us to try harder. How can we serve patients better and bring more joy and happiness to patients, especially patients with serious illnesses?” shared Dr. Hoang Thanh Tuan.

Although two typical surgeries of the Center were successful after a year, doctors still regularly contact patients to check on their health, advise them on how to eat and live in order to restore their functions. body capacity. The two patients have now returned to their normal lives and are confident in communicating with people. This is something that the doctors feel warm, and it is also the priceless gift that military doctors receive on the last day of 2021.

Looking back on a year of having to take on many tasks at the same time, overcoming the difficulties of the epidemic, the doctors have excellently fulfilled the function of a professional doctor, Colonel, Dr. Truong Ngoc Duong , Political Commissar of the National Burn Hospital Le Huu Trac said: In 2021, we have used to treat the number of patients not equal to every year. However, emergency treatment and treatment of severe patients at the transfer routes, screening for Covid patients ...

Simultaneously with "scientific research", in 2021, although there are still many difficulties, young doctors as well as nurses have participated in scientific research, contributing to the construction of the military industry. There are many in-depth research topics in medicine as well as in the national health sector. In which, many topics have won prizes, including excellent and first prizes.

“In the treatment work, the Center for Plastic and Reconstructive Surgery has achieved great success in 2021 and there are cases of unexpected success such as the surgery of two patients Bui Thi Hoi and Nguyen Thi. Thuan. The hospital has collected and funded for patients to have surgery, orthopedic, and it has been a year since these two operations have been performed. Seeing patients read thank you letters, send pictures to doctors, we feel so happy. The old year closes and at the same time opens up new directions for doctors so that in the future, we can better serve patients and save many people from dangerous diseases”, said Dr. To share.

In 2021, while having to treat many serious diseases while participating in epidemic prevention and control work, "dividing the fire" with the South on the peak days of the Covid-19 epidemic broke out, but doctors and soldiers. of National Burn Hospital Le Huu Trac has successfully completed the task of being a physician of the people and serving the people.

Synthesis: Xuan Viet

Theo  qdnd.vn