On August 7, Viet Duc Hospital (Hanoi City) announced successfully the trachea for young men L.V.N.(25 years old, in Thanh Hoa), with the trachea of the brain -dead person in combination with esophageal shaping surgery, overcoming leakage and narrowing due to traffic accident injuries.
Tracheers from people for brain death for the first time are done in Vietnam
Overgo from the trachea of the brain death
Multiple injuries due to traffic accidents from July 2022, the young man had surgery in combination with jaw bone, neck area and conservation treatment for other damage organs.
After the surgery, the patient was monitored and treated positively, opened the intubation, and when stable was transferred to the local treatment.
One month after the internal tracheist opening, the patient was consulted for conservation treatment, putting the trachea stent but failed, then a trachea surgery was required at a hospital in Hanoi but failed due to injuryComplicated and a long paragraph of trachea is narrow.After about 2 months of shortness of breath and must reopen the trachea forever.
In the past 2 years, N. could not be eaten by mouth, pumped through gastric openings;Do not breathe through the nose but breathe through the trachea in the neck, so often bleeding and infection at the position of the trachea.The family is very pessimistic about the future of a young man working but now he is disabled, life seems to be deadlocked.
Male patient (sitting on the right) recovers from esophageal transplantation and narrow esophageal shaping
Facing the complicated lesions of the patient, the doctors of Viet Duc Hospital have consulted with specialized intercourse (ear, nose and throat, digestion, chest surgery, rehabilitation, resuscitation, tissue bank, Nutrition ...) Unified surgery at the same time to create cutting, connecting the neck of the ancient esophagus narrowed or the esophagus shaping with the colon segment, and transplanting the neck trachea with the trachea of the person for brain death.
1 month after the surgery, the patient increased 5 kg, the surgical scar was good, eaten by oral and breathed through the nose.The results of the esophagus and trachea showed that the surgical scar was good, the pink trachea section, no necrosis, no narrow.
After 3 months of examination, the patient has gained 10 kg with a healthy body condition, breathing through his nose, eating through the mouth.
Add opportunities for patients with trachea
Dr.-Dr. Duong Duc Hung, Director of Viet Duc Hospital, said that so far, the patient's health has progressed well, eaten by mouth and breathing by nasal sugar as usual.About 1 month, the patient will be removed (a type of silicon rack) in the trachea transplant, then the patient's voice will return to normal after more than 2 years of not speaking.
Doctors also said that the special success of this transplant is that the patient does not have to use anti -waste drugs after trachea.Currently, the number of patients has to open the endotrach intubation is a lot and the narrow rate, complications are quite high.
Tracheers help patients find the voice after 2 years
According to Dr. Hung, tracheomic transplant surgery in general and airway transplant surgery in particular is still a challenge in surgery."The number of transplants like this patient in the world counts on the fingers, less than 10 shifts. Thailand has 2 follow -up for 20 months. Other cases in other countries are unsuccessful.Hey, we are confident in the skills of Vietnamese doctors not inferior to the world "- Dr. Hung said.
From this trachea transplant also opens opportunities for patients with trache injury over 6 cm long (due to injury, congenital narrowing or tumor in the trachea), can recover back to the airway.Best way.
The leader of Viet Duc Hospital said that the hospital is in the process of asking for permission from the authorities so that the next time can perform a penis transplant from people to brain death.
Currently, a donated brain donor saves at least 4 people, other parts such as heart valves, blood vessels, trachea, cornea ... preserved at tissue banks will bring opportunities for many patientsother.