After deciding on the treatment plan, Director Qian is responsible for communicating with the patient’s family.
Zheng Ren and Su Yun returned to the emergency ward.
Along the way, Zheng Ren was silent.
He doesn't like to try his luck, just like tips surgery, everyone is trying their luck, but Zheng Ren "wasted" countless hours of surgical training time to reduce the possibility of trying his luck.
Adenomyosis, clinically, is just a minor problem that can be “cured”. But the basis for solving this problem is based on destructive hysterectomy.
However, interventional embolization can really have a therapeutic effect, and the chance of patients getting rid of this hellish suffering is very low.
Zheng Ren made some calculations in the past few days and found that what he said before seemed too optimistic. No more than 20% of patients can truly benefit from surgery.
Zheng Ren doesn't like this.
Returning to the emergency ward, Zheng Ren gave an explanation before returning to the duty room, lying on the bed and entering the system space.
The breeze in the space is refreshing.
The small pond is rippling and full of life.
The little white fox was lying in front of the thatched house, with two vivid eyes. 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 to no avail.
This big pig's trotter of the system has always been very cold and cold, and never communicates with himself.
Zheng Ren had no choice but to redeem the operation time and enter 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 as hateful as cancer.
Especially now, the age of patients with adenomyosis continues to decrease, and it is expanding to young women who have not yet given birth.
Zheng Ren thought it was reasonable to spend some operation time to try to see if this kind of disease could 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 did not rush to perform the operation, but first looked at the patient's various preoperative examinations.
Auxiliary examination confirmed that adenomyosis was localized and located at the cervix.
Knowing this, Zheng Ren immediately constructed a smooth surgical channel in his mind.
It will definitely succeed, Zheng Ren is full of confidence.
Then, let’s start with the interventional surgery.
Because it is in the system space, by default, all experimental subjects are patients with localized adenomyosis.
This also proves from the side that extensive 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 a submucosa, so the basal cells of the endometrium proliferate and invade the myometrium, accompanied by compensatory hypertrophy of surrounding myometrium cells. lesions.
Zheng Renchao chose arteriography to look for abnormal proliferation images in contrast imaging.
Basal cells proliferate and abnormal capillaries appear.
In super-selective arteriography, more contrast agent can be left behind, which will appear "darker" on the image than other locations.
Zheng Ren successfully found the localized basal cell hyperplasia.
The next operation was a simple embolization and re-imaging. It was found that the location of the adenomyosis was not visible. In Zheng Ren's opinion, it meant that the operation was successful.
But the system judged the completion degree of the surgery... to be only 60%!
Barely passing.
The operation took very little time, only ten minutes.
In this kind of surgery, if the patient's trauma is not serious, after interventional embolization treatment of pelvic fracture and ruptured blood vessels, Zheng Ren can do angiography and embolization.
This is what Su Yun said at that time.
However, Zheng Ren was afraid that the patient's condition would be poor and other complications would occur, so he did not treat the patient.
Looking at it now... it is indeed not enough. There must be something else that I haven't noticed.
Because the surgery completion rate was only 60%.
But what's the problem
Zheng Ren did not continue the operation. He sat blankly by the pond and began to think about it.
Just like the pre-surgery research, Zheng Ren found that sharpening the knife really did not delay the time of chopping wood.
If you perform surgery in the guise, you can only achieve 60% recovery, which is still localized adenomyosis.
what should I do
He tried hard to recall the documents and information he had read.
But before, Zheng Ren was engaged in general surgery, and he could read information on liver cancer. But the information on adenomyosis was honestly ignored.
After thinking about it for a long time, Zheng Ren was not nervous.
Anyway, it takes at least half an hour to an hour for Director Qian to communicate with the patient's family, and there is no sense of urgency before emergency surgery.
Adenomyosis… Problems… Surgery…
Is there something wrong with my own imaging? Such a thought suddenly flashed through Zheng Ren's mind.
Zheng Ren's angiography has always been super-selective angiography, which means that the angiography must be performed after entering very thin third- and fourth-level arterial branches.
Many doctors don't like to do this, because if it is super-selective, it means that the operation time will be extended and the amount of radiation the doctor will bear will increase.
But there are many benefits to doing so, such as the surgery being more precise.
Why is there insufficient completion of the surgery? Zheng Ren thinks it should be because some adenomyosis has not been treated.
The remaining lesions are either in the early stage of the disease or have very slight changes in other parts of the uterus.
Just like growing grass, some grass seeds have already grown vigorously, while others are still in the incubation period. When I performed the surgery myself, I only dealt with the grown weeds, and those weeds that were buried deeper were not treated at all.
right!
Zheng Ren patted his thigh hard.
It hurts.
Uh... I can't be so excited anymore. It's always bad to hit yourself.
If it is done too precisely, it will become a problem. Who can reason with this
Zheng Ren smiled, and with a thought, the system operating room immediately rose from the ground and the operation started again.
This time Zheng Ren did not perform too detailed super-selective arteriography.
Once the catheter is inserted into the uterine artery, angiography is started.
Sure enough, the subject's uterus showed more fine dots.
The denser ones are the areas where the disease is occurring now, while the less dense locations are the areas where problems may arise in the future.
Zheng Ren knew that all he had to do was try his best to embolize the rest.
Capillaries as small as the prostate can be embolized, let alone the arteries supplying adenomyosis.
As the lesions were embolized one by one, the degree of completion of the operation in the upper right corner of Zheng Ren's field of vision continued to skyrocket.
60%… 65%… 70%…
After 2 hours and 12 minutes, the operation was finally completed.
Surgery completion, 100%!
Zheng Ren glanced at the time and smiled bitterly.
A small operation turned into a major operation on his own.
However, localized adenomyosis can be treated almost 100% by surgery, which is definitely a huge gain.
But Zheng Ren knew that he could only do it himself.
After all, getting involved at the Grandmaster level is no joke.
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