On April 8, information from Can Tho Central General Hospital said that doctors from the hospital's General Surgery Department had just successfully performed surgery on a rare work accident: The patient had a chain from a chainsaw thrown into his abdomen for more than 2 weeks, causing complications.
After surgery, the patient's vital signs were stable and he was transferred to the General Surgery Department for monitoring.
Chainsaw chain came off, hitting man unconscious
Previously, male patient NHT (19 years old, residing in Giong Rieng District, Kien Giang) was taken by his family to Can Tho Central General Hospital in a state of severe upper abdominal pain, originating from an epigastric wound after a work accident and suspected of having a foreign object in his body.
Image of a metal foreign body, a piece of a chainsaw chain, in the patient's abdomen
Mr. NTN, the patient's biological father, said that about 2 weeks ago, he and T. used a hand saw (the type that uses a chain) to cut trees in their garden. While T. was sawing a dry cajuput tree that was almost broken, the chainsaw chain suddenly came loose, and T. was hit hard by the chain, causing him to become dizzy and unconscious. Seeing T.'s shirt torn and a wound about 2 cm long on his upper abdomen, his family immediately took him to a local medical facility. T. was then transferred to a private hospital in Cai Rang District, Can Tho City for treatment in a state of increasing pain in the right hypochondrium. "At this hospital, the doctor said that my child had a metal foreign object in his body and encouraged him that it was just a small piece, and that he should wait until he was well before having surgery. The family was complacent and left it like that for more than a week. Then, seeing that my child was not well, they took him to Can Tho Central General Hospital for examination and then admitted him to the hospital," said Mr. N.
Chainsaw chain piece removed from patient's abdomen
Upon admission to Can Tho Central General Hospital, doctors examined and performed tests. The results of the abdominal CT scan with contrast showed that the patient had a radiopaque metal foreign body located under the right liver; an abscess in the right hypochondrium measuring approximately 5 x 3 cm. After consultation, the patient was scheduled for laparoscopic surgery to remove the foreign body.
During the surgery, the medical team noted that the patient's abdomen had a localized pus mass under the right liver near the gallbladder, duodenum, and hepatic flexure; and about 30 ml of opaque white fluid was aspirated. Upon examination, the surgeon found a rectangular metal foreign body measuring 1.5 x 1 cm in diameter (chain-shaped) penetrating from the epigastrium and deep in the patient's abdomen. Fortunately, no damage was detected to the patient's surrounding organs.
After successfully removing the foreign object, the doctors cleaned the abdominal cavity, sutured the abdominal wall muscles, and drained the patient. The surgery was successful after 1 hour, the patient's vital signs were stable and he was transferred to the General Surgery Department for monitoring.
Currently, the patient is awake, the surgical wound is dry, no fever, and the drainage tube has light pink fluid.
Currently, the patient is awake, the surgical wound is dry, no fever, and the drainage tube has light pink fluid.
The wound is very small, easily missed damage
Dr. Nguyen Khac Nam, Deputy Head of the General Surgery Department, Can Tho Central General Hospital, said: This work accident is quite rare when the chain of the saw penetrated the patient's abdominal wall through a very small wound, so the injury was easily missed, and the foreign object created an abscess. "In such cases, surgery is an effective method to remove foreign objects, limit complications, and at the same time clean the surrounding organs and check for damage. If not detected early or treated promptly, the longer the time, the greater the risk of the abscess growing, the more serious the complications, causing organ perforation, peritonitis, infection, severe poisoning...", Dr. Nam said.
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