Nguyen Thi Nga (30 years old, from Thai Nguyen City) was partially discharged after the surgical team at Vinmec Hospital and Dr. Joseph Rosen, an American plastic surgery expert in Vietnam, agreed to perform the procedure for her son. She felt as if there were no greater joys in life when the surgeon emerged from the operating room, smiled at her, and remarked, "Very well." As a result, her young daughter got a chance to avoid the long-feared possibility of permanent paralysis.
Ms. Nga's second child is Hoang Kim Yen Nhi. She delivered naturally the first time around. This time, she visited the physician as well, underwent routine ultrasounds, and it was discovered that the fetus was growing healthily and could give birth normally. She went into labor, the baby was delivered, but her shoulder pain persisted. She could barely feel the assistance yanking the baby's shoulder hard throughout the childbirth discomfort. The new baby was born after the doctor made a forceful movement and pushed once more. The infant's respiration was quite weak, and the heartbeat was barely 40 beats per minute. The baby was taken to the emergency hospital to be revived after the doctor determined that he had suffocated. The CT scan results revealed that the infant suffered a cerebral hemorrhage. Nhi was hospitalized for 10 days in a row and given antibiotics until she started to feel better, gained the ability to feed herself, and was then released.
Another worry came, she saw that the child's right arm was soft, it fell down wherever it went, there was no sign of movement, waving like a normal child. Panicked, she took her child to the central hospital and was diagnosed by the doctors as having damage to the nerve plexus due to an obstetric accident. It is the strong pulling movement when helping the baby to be born that is the cause of this injury. However, at present, there is no place where surgery can be performed, only hope for rehabilitation training. She only had to carry her child home, follow the instructions of a rehabilitation specialist, and exercise her child every day. She lifts and rubs her hand six times a day for 30 minutes each, outside of lecture time, to prevent her hand from atrophying. The baby's nerves are being exposed to electricity by a rehabilitation physician in order to encourage their regeneration. Her first three months with her sister seemed to go by quickly, much like Nhi's gradual recuperation. The girl learned how to roll, twist, and raise her arms higher when lying down, but she also quickly lost her balance. The hand relaxes from its initial rigid contraction. The infant instinctively grasps the book, but just slightly.
Nhi was suggested to undergo a CT scan for her child when she was 4 months old because the change was still gradual. She damaged one nerve, paralyzed two cords, and broke seven. As she saw the film's effects, she started crying. The doctor continued to say that there isn't anywhere to operate right now. Everyone who she questioned and who searched online agreed that surgery to repair this injury has not been done in Vietnam. Australian medical professionals inspected the infant and shook their heads. The infant weighs 7kg at 5 months and is well-fed. Will the infant's right arm remain paralyzed for the remainder of his life? She talked with her husband about trying to send her kids to the South for summer vacation while the nation is still in turmoil, and on the other hand, she considered seeing an acupuncturist.
It is known that Vinmec will work closely with a group of American plastic surgery professionals to pay close attention to and operate on some cases of nerve injury; she intends to bring her child. Although her husband struggles to communicate in English, he tries to express his wishes in the language of the distant doctor: "If you can help me, we will be very glad," and "I hope you get the opportunity to undergo surgery." When the doctor agreed to the procedure, the mother's long-standing fear and nervousness seemed to be lifted to some extent. After almost seven hours in the operating room, the surgeon nodded and said, "Okay," but she didn't appear to be any happier than before.The newborn was paralyzed and attached to severed nerves. She was also told that joining this nerve is similar to joining an electrical wire's outer sheath. The spinal cord, which continues to expand daily, serves as the wire's central nerve. Suddenly, after around six months, all of Nhi's nerves had recovered, allowing her arm to function normally. Her daughter had the chance to avoid having a permanent impairment. Everyone wants their newborn to be healthy and develop normally after giving birth. She further claimed that the surgical team and Vinmec doctors assisted her in completing her task.
Director of Vinmec Prof. Dr. Nguyen Thanh Liem stated: "Injuries to the nerve plexus owing to obstetric problems frequently occur during delivery, when the midwife vigorously manipulates when pulling the baby out. The arm could gradually become permanently paralyzed as a result of this trauma. There are undoubtedly many kids in Vietnam that have this condition. However, there isn't a location where this surgery is currently done. because head, neck, and skull-related issues are frequently treated by neurologists. Adults with peripheral nerve injury are often treated by orthopedic surgeons. Bones and joints are frequently injured in pediatric orthopedic traumas. Additionally, the software frequently incorporates aesthetic molding. Therefore, even pediatricians have not performed it in cases of congenital nerve damage in children. Therefore, there is no ideal treatment for infants who have neural plexus injury. There is a void between the specialties as of now.
High-resolution magnetic resonance imaging is required to identify the precise nerve that has been cut or paralyzed in order to treat this injury. The surgeon must be skilled in microsurgery procedures to undertake the nerve splicing procedure, which must be done under a microscope. Similar to what happened to Nhi, the surgeon took a nerve branch that controls the calf muscle, located the proper spot for the break, and joined three C5, 6, and 7 nerves. Thus, this is a challenging procedure.
Vinmec has identified this need and is advocating for the creation of a pediatric surgical center where training medical professionals who can perform pediatric neurosurgery will be given top priority. Moreover, surgery for lesions of the congenital nerve plexus. Many families had to live with paralysis for the rest of their lives after the doctor said they couldn't operate, according to Professor Liem. This has occurred in the past with a variety of illnesses, including varicocele in youngsters and hands that sweat. Until the National Hospital of Pediatrics says they can do curative surgery, patients frequently give up hope. Since then, a big number of kids come to get treated for these illnesses every summer.
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