Ky Son Medical Center successfully treated a patient with a ruptured spleen.

(Baonghean.vn) - Ky Son Medical Center has just successfully performed emergency surgery on patient Luong Van Sang in a state of hemorrhagic shock due to a closed abdominal trauma and ruptured spleen after falling from a height of 2 meters onto the floor.

The patient was admitted to the Emergency Department and immediately consulted with the diagnosis: hemorrhagic shock (rapid pulse, low blood pressure, pale skin and mucous membranes, abdominal distension, abdominal pain) due to closed abdominal trauma with suspected intra-abdominal organ rupture.

After doing some tests, X-rays, and ultrasounds, the doctors explained to the family that the patient's condition was very critical and could not be transferred to another hospital but had to undergo emergency surgery immediately. With the family's consent, the patient was immediately transferred to the operating room.

The surgical team at Ky Son Medical Center is performing the surgery. Photo: Tu Thanh

In time to perform surgery, both intensive resuscitation and surgery to remove blood that had flooded the abdomen, scooping out 2,500ml of blood and fluid, then transfusing it back into the patient, and about 200g of blood clots in the spleen cavity.

Checking the spleen was ruptured at the middle pole near the splenic pedicle, bleeding, the surgical team controlled the splenic pedicle pair and cut the entire splenic pedicle, sutured and tied the splenic pedicle to stop bleeding with Viscryl 2/0 suture and reinforced with line suture.

After cleaning the abdominal cavity, checking the surrounding organs for damage and checking that the splenic fossa was not bleeding, the surgical team placed a splenic fossa drain and closed the abdomen in two layers (peritoneum - fascia with Perlone suture and skin with Line suture). During and after the surgery, the patient's blood was re-transfused 2500ml (5 bottles of 500ml).

After surgery, the patient is stable. Currently, the patient can walk and eat normally./.

Tu Thanh - Thanh Hoa