Vinmec Central Park saves life for patient with large ovarian tumor

(Dan Tri) - Thanks to a systematic treatment strategy and advanced surgical techniques, doctors at Vinmec Central Park (HCMC) successfully performed a major surgery, thoroughly treating a malignant ovarian cancer with complications of a colon fistula.

Unexpected discovery from silent symptoms

On March 21, Ms. LTĐ was admitted to Vinmec Central Park International General Hospital with prolonged abdominal pain, fatigue, and a weight loss of 7 kg in just 3 months.

Through examination, the doctor discovered a 10-12cm abdominal tumor located in the left ovary and classified as having a high risk of malignancy (ORADS 5). Ultrasound images and clinical examination also showed that the tumor was firmly attached to the colon, with gas inside - a rare sign in ovarian tumors, raising suspicion of a fistula.

Dr. Nguyen Chi Quang - Head of Obstetrics and Gynecology Department (Vinmec Central Park) explains in detail about tumor images and the treatment process to the patient.

Instead of intervening immediately, the doctors performed an MRI and colonoscopy to determine the exact situation. The results confirmed the initial concerns: there was a fistula between the colon and the ovarian tumor. If surgery were performed immediately, the risk of fecal leakage, peritonitis, and the need for an artificial anus was very high.

In the patient's state of exhaustion, anemia and malnutrition, the multidisciplinary board decided to delay surgery to focus on improving the patient's condition before surgery.

During the 7 days before surgery, the patient received comprehensive care from blood transfusion, iron supplementation and nutrition under close coordination between the departments of hematology, nutrition, ICU, anesthesia, gynecology, and gastroenterology.

"I came here like a withered tree. Thanks to the blood transfusion and nutrients, I feel like I've been revived," Ms. D. shared.

One major surgery - two specialties - six hours to save a life

When the patient's condition was stable, the Vinmec medical team performed a major surgery lasting 6 hours with the coordination of Dr. Nguyen Chi Quang (Head of Obstetrics and Gynecology Department), Dr. Nguyen Van Nghia (Digestive Surgery), expert William A. Casteleins and the anesthesia and resuscitation team.

The tumor was firmly attached to the rectum, pelvic wall and the entire sigmoid colon (part of the large intestine). During the dissection, a perforation was discovered in the colon as diagnosed. The team simultaneously performed two major surgeries: hysterectomy, two adnexa, left colon, greater omentum resection and pelvic and aortic lymph node dissection.

In particular, the doctor used an automatic intestinal stapler to help re-establish digestive circulation during surgery, helping the patient avoid temporary anal opening, shortening recovery time.

"If the surgery is divided into two sessions, the risk is very high. The best solution is to combine the treatment in one session," said Dr. Nguyen Chi Quang, Head of the Department of Obstetrics and Gynecology.

LTĐ patient happily shares his journey of overcoming the disease after successful treatment.

After surgery, the patient was cared for in the intensive care unit, closely monitoring her nutritional status and rehabilitation. Thanks to effective coordination between multidisciplinary teams, Ms. D. recovered well, was mentally stable, and had regular check-ups after discharge.

"I am very grateful to the doctors at Vinmec. Not only are they highly skilled, they are also very dedicated and attentive. Now my health is almost back to normal," Ms. D. said emotionally.

The success of the complex surgery not only demonstrates outstanding professional capacity but also proves the effectiveness of the multidisciplinary treatment model at Vinmec - where every step from diagnosis to surgery is closely coordinated and comprehensively handled.

With modern equipment such as MRI, Hybrid operating room and a team of experienced experts, Vinmec is one of the few medical facilities in Vietnam capable of performing complex major surgery with high precision.

Source: https://dantri.com.vn/suc-khoe/vinmec-central-park-gianh-lai-su-song-cho-benh-nhan-co-khoi-u-buong-trung-to-20250715095808300.htm