Many new techniques

Everyday, the medical centers at district level receive 30 – 50 patients for health examination and treatment at the Department of Surgery on average.

The endoscopic surgery is conducted at the medical center in Hiep Hoa district.

Previously, most of the establishments could operate for common pathologies such as appendicitis, cholecystectomy, hand fracture, patelliform fracture, clavicle fracture while the critical case must be transferred to the provincial General Hospital.

Currently, these facilities are able to conduct several complex techniques relating to digestion, nerve, urology and obstetrics to save many critical patients with traumatic brain injury, multiple injuries, liver rupture, heart and lung injuries.

The medical center in Hiep Hoa district is highly appreciated for new progress in the department of surgery. The Specialist level 2 Doctor Duong Van Hai, Vice Director of the center said the center has conducted several hard techniques such as Extracorporeal Shockwave Lithotripsy, gastroscopy surgery, laparoscopic surgery, Tumor laparoscopy, hand injury surgery and tendon connection.

To improve the treatment capability, many medical facilities have paid due attention to training and receiving intensive techniques delivered by higher level hospitals. Though the facilities are limited, they still determine to develop the hard techniques to officially operate at the district level medical establishment.

In the first months of 2020 when Covid-19 pandemic was developed complicatedly, the number of patients sharply decreased, the medical centers took the occasion to assign the doctors and nurses to participate in training courses for new techniques at top hospitals such as Vietnam German Friendship Hospital, Center Tumour Hospital, Bach Mai Hospital.

Enhancing man power training

According to the Department of Health, more surgery techniques have been done at the district level medical centers comparing to the past. Apart from the basic list, the facilities have officially operated several intensive services.

Recently, the number of patients for surgery who must be transferred to provincial level hospital have reduced down to 30 – 40 cases per day. The provincial General Hospital has yet to be put under overload of patients waiting for emergency surgeries or schedule surgeries as previously.

However, it is really hard to train an experience surgeon at the Department of Surgery.

In the upcoming time, the medical establishments in the district level will focus on the key solutions to prioritize the synchronization of human resources, facilities, equipment; enhance training and technique delivery under service packages; further operate, support and develop the delivered techniques while assigning the doctors and technicians to join and practice at the training courses at the top specialized hospitals, especially the hard fields.

Annually, the Department of Health conducts actual survey in the facilities at lower level to review and select the groups of technique for training so as to plan the suitable delivery roadmap. The provincial hospitals alternatively assign doctors to the district level facilities to provide consultation to critical case and support in complicated surgeries.

In the self dependence roadmap, apart from developing new services and techniques, the medical centers at district level focus on improving and increasing the income; building the mechanism to attract the staff, drawing and keeping the high qualification man power so as to have sufficient staff for high technique.

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Minh Thu