Mar 11, 2024
Martin Lacher

Ho Chi Minh City (Saigon), Vietnam

In Vietnam, more than 26 million children live – around one third of the population is under 18 years old. Despite noticeable progress, infant mortality remains at approximately 20 deaths per 1,000 live births. Especially outside the major metropolitan areas, there is a lack of comprehensive pediatric surgical care. In many places, the medical infrastructure is inadequately developed – with serious consequences for affected children and their families.

Ho Chi Minh City (Saigon), Vietnam

Volunteer surgical aid for the youngest: We enable life-changing procedures for newborns and infants in Vietnam.

Specifically, we support our Vietnamese colleagues in the surgical treatment of complex malformations of the small and large intestine. A particular focus is on the application of minimally invasive, laparoscopic techniques, which allow for gentler procedures and better healing for the young patients.

In addition to surgical collaboration, an intensive professional exchange is a central concern for us. In joint case discussions, during ward rounds in the neonatal intensive care unit, and in pre- and postoperative discussions, we impart practical knowledge and jointly develop sustainable treatment strategies. The goal is not short-term help, but sustainable knowledge transfer on an equal footing.

At the same time, we experience the particular challenges on site every day. Technological equipment and infrastructure are not comparable to Western standards. Families often accompany their children around the clock and stay overnight in hammocks directly in the hospital room until discharge is possible. In medical care, improvisation is often unavoidable – simple lamps serve as heat sources for newborns, and resources are also limited in the operating room.

And yet, it is precisely here that the great strength of the local commitment becomes apparent: With competence, dedication, and remarkable professionalism, the teams achieve enormous things for their young patients. Compared to other international projects of the foundation, the surgical techniques in Ho Chi Minh City are already far advanced – a valuable basis for our shared vision: to enable every child, regardless of origin or circumstances, to receive the best possible medical care.

Since 2013, the Children's Surgery Foundation has been committed to providing children with severe congenital malformations a better medical future in Vietnam. During our missions in Ho Chi Minh City (formerly Saigon) and Da Nang, it became clear that uncertainties exist, especially concerning congenital colorectal malformations, in terms of indication setting and pre- and postoperative management. A lack of standardized treatment procedures can lead to significant complications in the long term – with distressing consequences for the affected children and their families.

The Children's Surgery Foundation gGmbH therefore specifically supports Children's Hospital No. 1 in Ho Chi Minh City and works closely with the chief resident, Dr. Nguyen Bu. Opened in 1978, the hospital is the largest children's hospital in the city, with 1,600 beds. Daily, 5,000 to 6,000 young patients receive outpatient care; annually, 600 to 700 operations are performed for congenital colorectal malformations.

Our common goal is to sustainably improve the care of these children through the development and implementation of clear diagnostic, therapeutic, and aftercare algorithms. This is not just about surgical expertise but about long-term structures, knowledge transfer, and the chance for a healthy, dignified life for every single child.