Suspend the Deputy Director of the hospital who mistakenly cut the ureter of a pregnant woman
Doctor Ngo Cong Nghiem, Deputy Director of Nong Cong General Hospital (Thanh Hoa) was suspended from surgery for 3 months due to mistakenly cutting the ureter of pregnant woman Oanh during a cesarean section.
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A woman giving birth by cesarean section had the wrong ureter cut at Nong Cong Hospital, Thanh Hoa. Photo: LS. |
According to a report from the Thanh Hoa Province Department of Health, the patient Nguyen Thi Oanh had her ureter mistakenly cut during a cesarean section on July 24 at Nong Cong General Hospital. The Department has established an inspection team and convened a specialized council to evaluate the surgical process that led to the accident.
The expert council noted: The pregnant woman Oanh was welcomed and closely monitored at Nong Cong General Hospital, examined comprehensively, diagnosed and indicated for a correct cesarean section. The medical staff had good spirit and service attitude. During the surgery, the pregnant woman showed signs of uterine inertia and heavy bleeding. The team actively treated her without results, so the indication for hysterectomy was appropriate. After the surgery, the surgical team discovered complications and promptly transferred the pregnant woman to the provincial general hospital.
However, doctors at Nong Cong Hospital had some shortcomings when performing surgery on the pregnant woman. Specifically, the process of performing a hysterectomy for the pregnant woman encountered difficulties and the surgical team did not consult with the upper-level hospital in time. When the accident occurred, the hospital did not report to the Department of Health for instructions. The pregnant woman lost a lot of blood after the cesarean section, which was life-threatening, while the district surgeon had limited professional capacity, leading to the wrong ureter being removed (the correct indication was to remove the uterus).
Thanh Hoa Department of Health has disciplined the individuals and groups involved. Specifically, the Director of Nong Cong General Hospital was reprimanded; Deputy Director Ngo Cong Nghiem - the doctor who directly performed the surgery that caused complications for the patient Oanh - was warned and suspended from surgery for 3 months. The surgical team was also reprimanded.
The Director of Thanh Hoa Department of Health requested the Director of Thanh Hoa Provincial Obstetrics Hospital to send experienced doctors to support and train obstetric surgeons at Nong Cong Hospital for 6 months to meet professional needs and reduce unfortunate medical accidents as above.
On the afternoon of July 23, Ms. Nguyen Thi Oanh had abdominal pain with signs of labor and was admitted to the Obstetrics Department, Nong Cong General Hospital. The head doctor of the Obstetrics Department examined and recorded that the patient was alert, had no edema, had a soft abdomen, no old surgical scars, had transient uterine contractions, normal vulva and vagina, the cervix was open, and the amniotic membrane was palpable, and the fetus was in the uterine cavity. The diagnosis was 39 weeks pregnant, the mother was giving birth for the second time, and the prognosis was normal delivery, but later the cervix was fully dilated while the fetus' head did not pass, so an emergency cesarean section was indicated. After welcoming the baby into the world, the mother bled heavily and the uterus did not contract. The doctors performed massage and used drugs to increase contractions, but after 20 minutes, there was no improvement. The surgical team consulted at the operating table and determined that the mother had uterine atony and bleeding, and an incomplete hysterectomy was indicated, with Dr. Nghiem as the main surgeon. The surgery ended at 1:29 a.m. on July 24. The patient was conscious, her vital signs were normal, but the bladder catheter had no urine. The doctor prescribed diuretics and continued to monitor her. At 8:30 a.m., there was still no urine through the catheter, the patient was conscious, and her abdomen was slightly distended. The doctors held a second consultation and diagnosed the patient with post-cesarean hysterectomy anuria, and decided to transfer her to the provincial general hospital for further treatment. The provincial general hospital admitted the patient at noon the same day and diagnosed him with anuria due to ureterectomy after hysterectomy, requiring another emergency surgery. The patient's health is now stable and he has been discharged from the hospital. |
According to VNE
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