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Before that, while celebrating Tet, an NTYN patient (20 years old, living in H. Phung Hiep, Hau Giang) had a traffic collision with another motorcyclist carrying her son.
The collision was not strong, but it caused the 3 people to fall to the street, the two motorcycles were stuck. Ms. N. immediately reached out to hold the baby sitting on the other motorcycle, but unfortunately, the baby’s mother got stuck on the throttle, started the engine, at this time, the motorcycle support leg came out of the front and hit him on the butt. Mrs. N.
Immediately after that, Ms. N. received emergency assistance from the surrounding people and used a saw to cut the motorcycle’s stand. Later, both the victim and his leg on the body were transferred to the medical post for first aid and transferred to the Can Tho Central General Hospital.
An x-ray image of the pelvis and supporting leg of a motorcycle taken from the patient’s body |
The situation at the time of hospital admission was stable, with a lot of pain in the buttocks, the doctors quickly treated the emergency wound. Through examination, doctors determined that the metal rod penetrated deep into the buttock area at risk of damaging sciatica. Patients are assigned a pelvic radiograph to determine the size and direction of the object.
After the consultation, the team of doctors at the Orthopedic Trauma Center included BS.CK1 Do Van Khai, BS.CK1 Phan Chi Linh, Dr. Nguyen Nhut Quang, BS.CK1 Nguyen Van Vinh (Department of Surgery – Resuscitation Anesthesia )) Performed surgery on the patient.
In particular, the anti-motorcycle leg holds a lot of dirt and sand, so the team has to expand the wound, cut and remove foreign objects, pump a lot of water, sew the wound, put the drain.
Direction of the foreign body tears many buttocks of the buttocks such as the large buttocks, the small buttocks, the pear-shaped muscles, the broken blood vessels feeding the gluteal muscles, causing bleeding. Fortunately, the head of the new foreign body is very close to the seated nerve, so the patient has recovered fairly quickly after surgery. |
After about 45 minutes, the surgical team removed a large, L-shaped metal support leg. The round metal bar, approximately 2 x 16 cm in size, penetrated deeply from the area of the right buttock, near the patient’s anus. Direction of the foreign body tears many buttocks of the buttocks such as the large buttocks, the small buttocks, the pear-shaped muscles, the broken blood vessels feeding the gluteal muscles, causing bleeding. Fortunately, the head of the new foreign body comes very close to the sciatic nerve.
After a rare accident on New Year’s Day, on the afternoon of February 13, the patient was awake, had no fever, the wound was dry, had little pain, and his limbs were moving normally. |
According to BS.CK2 Huynh Thong Em, Director of the Hospital Orthopedic Trauma Center, the above rare accident, if the foreign object damages the sciatic nerve, it will be very dangerous, as it may make the patient suffer from leg paralysis in the same side.
Dr. Em recommends that in the event of a foreign object stabbing the body, first aid is very important, first aid is not getting the foreign body out first; It is necessary to wrap the foreign body and immobilizer with gauze or a clean cloth, check blood circulation after dressing. Then quickly transfer the victim to a medical facility.
Trying to remove an object will further damage other important structures in the gluteal area, which are sciatica, which can lead to dangerous complications that paralyze the leg or make it worse.
On the afternoon of February 13, the patient was awake, had no fever, the wound was dry, had little pain, and her limbs were moving normally.
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