108 Hospital uses robots to relieve pain for cancer patients

HA NOI: Maxot Maxio, an alcohol-injecting technique that completely eliminates ganglia, was first applied by the doctor to patients with terminal cancer.

One week after being treated by a robot, Mr. Duc suffered from end-stage thymic carcinoma and post-pancreatic lymphadenopathy, relieving pain. Before, every day he had to inject up to 3 doses of morphine, pain at level 10 on the VAS (Visual Analog Scales) scale to measure pain level, now 4-6 points.

Maxio robot, also known as an absolute alcohol-injecting technique that kills the ganglia, has been put into use by the 108 Central Military Hospital for pain relief for patients with cancers in the upper half of the abdomen. Doctor Dinh Gia Khanh, Department of Imaging Diagnosis.

Extreme pain is the state that most end-stage cancer patients suffer. Some people cannot bear the pain and try to find a way to end their life. The treatments at this stage are aimed at helping cancer patients extend their life, live a quality life without being too painful.

According to Dr. Khanh, pain in cancer has many mechanisms. For example, the pain of a tumor invades surrounding organs, invades the nervous system. Every organ in the body has a dominant nervous system. When the doctor finds the nerve that dominates the cancer organ, the pathway is removed.

The principle of operation of the Maxio robot is to use high-concentration alcohol to kill nerve nodes, cutting pain pathways from the painful organ to the central nervous system (brain). Cutting this pathway, in principle, the patient will no longer feel pain.

“In robotic engineering, we use absolute alcohol to destroy nerves. The absolute mechanism of alcohol is that alcohol will dehydrate and degrade nerve cells, nerve cells will die, not recover, and so on. is that it cuts off the transmission line, “explained Dr. Khanh.

The robot helps to locate the path and direction accurately, as quickly as possible, once a needle is inserted into the position of the ganglia, there is no need to do it again and again, without causing pain or complications of vascular injury. “Without the aid robot, the doctor will perform under the image of computerized tomography to perform the technique, but it has to be performed many times to cut the muscle through the skin, the more painful for the patient,” the doctor said. Khánh said.

The robot applies to patients with cancer of the upper half of the abdomen where conventional pain relievers are not effective. Patients with a pain scale above 6 (on a VAS pain scale), the degree of influence on activities, work activities, and pain that patients cannot tolerate.

This technique can also be applied to patients with liver cancer, stomach cancer, pancreatic cancer, metastatic lymph node compression in the upper abdomen. Benign conditions such as chronic, acute pancreatitis can be used. The advantage of the robot is that it helps patients quickly relieve pain, very little vascular damage, patients do not need anesthesia, anesthesia and low cost.

The VAS scale is used to assess the level of pain, commonly used by adults, the level of pain from 0 to 10, including no pain, minor pain, moderate pain, severe pain, terrible pain.
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