A woman who fell from a tree and was impaled by a sharp stake from the bottom up, with the wound extending from below the perineum to the abdomen and hips, recently underwent successful emergency surgery at Can Tho Central General Hospital in the Mekong Delta city of Can Tho.

Previously, V.T.P., a 48-year-old resident of Vinh Long Province in the same region, was transferred to Can Tho Central General Hospital with a complicated 2x4 cm wound near the anus in the perineum area, exhibiting swelling.

According to P.’s family, while she was climbing a tree in her garden to pick fruits, a tree branch broke, causing her to fall and collide with a wooden stake fixed on the ground, landing in a sitting position. 

Family members promptly extricated her from the stake and rushed her to the hospital.

At the hospital, the emergency team assessed the injury’s complexity and, in consultation with specialists, recommended urgent surgery. 

Subsequently, three coordinated teams, including general surgeons, conducted an examination of the wound near the anal opening, which was anteriorly displaced, resulting in damage to the rectum, a tear in the anterior wall of the vagina, and the presence of a rotten tree piece.

Within the abdominal cavity, there were 600 millimeters of non-coagulated thin blood and 200 grams of blood clots. 

The wound had penetrated the bladder and uterus, extending into the abdominal cavity and piercing the anterior abdominal wall. 

This led to tearing of the abdominal wall muscles, damage to three mesenteric holes, and the division of the small intestine into two segments. 

The medical team removed a section of the small intestine and sutured it.

At the same time, the kidney surgery team repaired the bladder perforation, performed a total hysterectomy as the uterine tear was too complex for preservation, and subsequently closed the vaginal opening.

Following these procedures, the medical team proceeded with the surgery to create an artificial anus from the sigmoid colon and place a surgical drain allowing the fluid to flow out.

After more than five hours of intense surgery involving three coordinated teams, the medical professionals assessed the surgery as successful.

On Tuesday, after over 10 days since the surgery, the patient’s condition has stabilized, allowing her to consume food and liquids while recovering well.

The surgical drain tube has been removed, with only a tube remaining to facilitate bladder drainage.

Dr. Bui Phi Hung from the hospital’s department of general surgery said that the patient’s perineal injury was highly intricate, given that this area supports vital pelvic organs, including the uterus, vagina, rectum, urinary bladder, and anus.

Like us on Facebook or follow us on Twitter to get the latest news about Vietnam!