- Da Nang provides screening for congenital heart disease for nearly 400.000 children
- In Vietnam every year, 10.000 - 15.000 babies are born with congenital heart disease
The 700th case is a 10-month-old child weighing 5,5 kg with congenital heart disease (tetralogy of Fallot) who was personally diagnosed by Professor Kotani - Deputy Head of Cardiovascular Surgery Department, Okayama University Hospital, Japan. (who directly transferred technology to the doctors of the National Children's Hospital) and Dr. BS Nguyen Ly Thinh Truong - Director of the Cardiovascular Center performed on the morning of August 7, 8. The surgery marked the 2023th case with a successful heart surgery using a minimally invasive technique through the armpit at the National Children's Hospital.
Master new technique from Japan
TS.BS Cao Viet Tung - Deputy Director of the National Children's Hospital said: Minimally invasive surgery through the right armpit was transferred by experts from Okayama University Hospital, Japan to the National Children's Hospital. from the beginning of 2018 and independently performed by doctors of the Cardiology Center from 2018 to present.
Previously, to perform open-heart surgery, doctors only had 1 method to approach the heart through an incision along the entire sternum in the middle of the chest according to the classic incision. This surgery leaves a long scar in front of the chest and there may be some complications when separating the sternum, the time after surgery is long, the child has to suffer more pain after the surgery.
As for the minimally invasive surgical method through the middle line between the right armpit, it will bring high aesthetics, help children shorten the recovery time after surgery and quickly return to normal life, without feeling. low self-esteem due to the short surgical scar and completely concealed under the right armpit.
Baby HT only has a very small incision in the right armpit, it is difficult to see that he has just undergone a major cardiovascular surgery (Photo benhviennitrunguong).
“When performing cardiac surgery with minimally invasive techniques, most of the pediatric patients receive local analgesia, which effectively reduces pain and reduces the rate of use of other tranquilizers and analgesics intravenously. circuit. Most of the babies were extubated within the first 6 hours after surgery and were able to extubate and breathe on their own right in the operating room "- Dr. BS Cao Viet Tung added.
As the person who directly received the technical transfer from Okayama University Hospital, Japan 5 years ago, Dr. BS Nguyen Ly Thinh Truong - Director of the Cardiovascular Center, National Children's Hospital evaluated "The new incision and The special surgical technique made us extremely excited to receive the transfer. The right axillary incision gave us a completely different view than the midline incision. However, not all cases we also indicated surgery by this method because if it is not possible to repair all the lesions of the patient such as the middle incision, then the surgery through the armpit will fail. Our first criterion is to ensure the safety of the pediatric patient and that all injuries in the heart are repaired such as midline surgery to indicate this technique.”
Up to now, congenital heart diseases have been applied this advanced surgical method at the Heart Center, National Children's Hospital, including: ventricular septal defect, atrial septal defect, floor septal defect. partial atrioventricular stenosis, right hemiplegic pulmonary venous return abnormality, pulmonary stenosis or suprapulmonary stenosis, and some other abnormalities such as left atrial mucinous tumor, tympanic membrane left…
700 axillary heart surgeries 100% successful
According to TS.BS Cao Viet Tung, in just 5 years (from 2018 to now), 700 children with congenital heart disease have been successfully operated by doctors of Cardiology Center, National Children's Hospital with minimal technique. invasion through the right axillary line without any deaths. The youngest patient successfully applied this technique was 1,5 months old and the lowest weight was 3,8 kg.
Doctors are performing the 700th minimally invasive heart surgery for a child with tetralogy of Fallot (Photo benhviennitrunguong).
Returning to Vietnam after 5 years of technology transfer, and standing in front of the 700th surgery performed with the doctors of the Cardiovascular Center, Professor Yasuhiro Kotani felt very impressed with the number of 700 cases and the success rate. The work is 100% of the doctors of the National Children's Hospital. “I have been to many places in the world, but there are not many hospitals that perform heart surgery through the armpit. 700 surgeries is a huge number and I admire the results you have achieved in such a short time."
Professor Yasuhiro Kotani also said that the axillary heart surgery technique requires a lot of skill of the surgeon and the good coordination of the entire surgical team, to make the quality of surgery by the armpit as good as middle surgery quality. He also expressed his impression of the creativity and excellence of the doctors when there were technical changes to bring the best quality of treatment to Vietnamese children. Surgery in the armpit is about 6cm long, now you shorten the incision to only about 4cm. Doctors also shorten the recovery time, shorten the time of mechanical ventilation, the patient has better pain relief after surgery, I am very surprised and proud of this."
Through this, he hopes to continue cooperating with the National Children's Hospital on technology transfer and scientific research, in order to help save more children with congenital heart disease and strengthen research cooperation. international scientific publication.
