318 It's Too Fine But It's Wrong
After deciding the treatment plan, Director Qian was responsible for communicating with the patient's family.
Zheng Ren and Su Yun returned to the emergency room.
Along the way, Zheng Ren was silent.
He doesn't like to try luck, it's like TIPS surgery. Everyone is trying luck, but Zheng Ren "wasted" countless hours of surgical training time to reduce the possibility of trying luck.
Adenomyosis, clinically speaking, is just a small problem that can be "cured". However, the basis for solving this problem is based on destructive hysterectomy.
However, interventional embolism can really have a therapeutic effect, and the chance of patients getting rid of this hellish torment is very low.
Zheng Ren has estimated it over the past few days and what he said before seems to be too optimistic. The patients who can truly obtain surgical benefits will definitely not exceed 20%.
Zheng Ren doesn't like this.
Back at the emergency room, Zheng Ren explained, then returned to the duty room, lay on the bed and entered the system space.
The breeze in the space is refreshing.
The small pond is full of vitality.
The little white fox was lying in front of the thatched hut, with his eyes vividly appearing. Zheng Ren felt that no matter where he was, the little fox was looking at him.
Zheng Ren tried to communicate with the little fox, but there was no result.
The big pig's hoof in the system has always been very cold and never communicates with him.
Zheng Ren had no choice but to exchange the operation time and entered the system operating room.
Perhaps in the eyes of many people, adenomyosis is just a minor problem, but in Zheng Ren's eyes, it is a hateful guy like cancer.
Especially now, patients with adenomyosis continue to decline in age and expand to young women who have not yet had children.
It is natural for Zheng Ren to spend some surgery to try whether this type of disease can be solved as much as possible.
The operating room rose from the ground and the experimental subject was lying on the operating table. Zheng Ren was not in a hurry to undergo an operation, but instead looked at the patient's various examinations before the operation.
The auxiliary examination shows that adenomyosis is localized and located in the cervix.
Understanding this, Zheng Ren immediately built a smooth surgical pathway in his mind.
It will surely succeed, Zheng Ren is full of confidence.
Then, start the interventional surgery.
Because it is in the system space, by the system default, all experimental subjects are localized patients with adenomyosis.
This also proves from the side that widespread adenomyosis is not an indication for interventional surgery.
Even with system space, Zheng Ren is not omnipotent.
The cause of adenomyosis is still unknown. The current consensus is that the uterus lacks the submucosal layer, so the basal cell in the endometrium proliferates, invades the myometrium, and forms a lesion with compensatory hypertrophy and hyperplasia of the surrounding myometrium cells.
Zheng Renchao chose arteriogram to find abnormal hyperplasia images in contrast imaging.
When basal cells proliferate, abnormal capillaries will appear.
In hyperselective angiography, more contrast agent can be left behind and displayed as a "black" imaging on the image than other locations.
Zheng Ren successfully found the localized basal cell hyperplasia.
The next surgery was very simple - embolization, re-enzyme, and it was found that the location of adenomyosis was not developed. In Zheng Ren's cognition, it means that the operation was successful.
But the system determined that the operation was completed...it was only 60%!
Bargained to pass.
The operation takes a short time, only a dozen minutes.
If this kind of surgery is not caused by the serious trauma of the patient, after the interventional embolization treatment of pelvic fracture and blood vessel rupture, Zheng Ren can do the embolization by taking a photo.
That's what Su Yun said at that time.
However, Zheng Ren was afraid that the patient would be in poor condition and other complications would occur, so he did not give the patient treatment.
Now looking at it... it's really not enough, there must be something I didn't notice.
Because the completion of the operation is only 60%.
But what is the problem?
Zheng Ren did not continue the operation, so he sat blankly by the pond and began to think about it.
Just like the preoperative research of TIPS surgery, Zheng Ren discovered that sharpening a knife really does not delay cutting wood.
If Mao Meng has surgery, it can only reach 60%, which is a localized adenomyosis.
What should I do?
He tried hard to recall the documents and materials he had read.
But Zheng Ren was doing general surgery before, and he would read the information about liver cancer. But he really skipped the information about adenomyosis.
After thinking for a long time, Zheng Ren was not nervous either.
Anyway, it takes at least half an hour to an hour to communicate with the patient's family, and there is no sense of urgency before the emergency TIPS surgery.
Adenomyosis…problem…surgery…
Could it be that there is something wrong with his own imaging? This idea suddenly flew through Zheng Ren's mind.
Zheng Ren's angiography has always been super-selective angiography, which means that the very thin third- and 4th-level arteries need to be branched, and then the angiography is performed.
Many doctors don’t like to do this because if you choose it super, it means that the surgery time will be longer and the amount of radiation the doctor will bear increases.
But this has many benefits, such as the surgery being more refined.
Why is the operation not completed enough? Zheng Ren thinks that some adenomyosis is not treated.
The remaining lesions are either in the early stage of the lesion or there are minor changes in other uterine locations.
Just like growing grass, some grass seeds have grown vigorously, while others are still in the incubation period. After performing surgery on your own, only the growing weeds were processed, and those weeds that were buried deeper were not processed at all.
right!
Zheng Ren patted his thigh hard.
It hurts.
Uh... I can't be so excited in the future, it's always bad to hit myself.
If you do it too fine, it becomes a problem. Who can I reason with?
Zheng Ren smiled, thoughts moved, and the system operating room immediately rose to the ground and began the operation again.
This time, Zheng Ren did not undergo an overly detailed superselective angiography.
As soon as the catheter enters the uterine artery, angiography begins.
Sure enough, more fine points were displayed on the uterus of the experiment.
The more dense areas are now onset, while the less dense locations are areas where problems may occur in the future.
Zheng Ren knew that the rest would be enough to do his best to embolize it.
Capillaries as fine as the prostate can be embolized, let alone the blood-supporting arteries of adenomyosis.
As the lesions at one position are embolized, the completion of the surgery in the upper right corner of Zheng Ren's field of vision is constantly soaring.
60%…65%…70%…
It took 2 hours and 12 minutes and the operation was finally completed.
The completion degree of surgery is 100%!
Zheng Ren glanced at the time and smiled bitterly.
A minor operation was performed by himself as a major operation.
However, localized adenomyosis can receive almost 100% surgical treatment, which is definitely a huge gain.
But Zheng Ren knew that he could only do it himself.
Chapter completed!