Chapter 318 Too Detailed Is Wrong

After finalizing the treatment plan, Director Qian is responsible for communicating with the patient's family.

Zheng Ren and Su Yun went back to the emergency ward.

Along the way, Zheng Ren was silent.

He doesn't like to take chances, just like TIPS surgery, everyone is taking chances, but Zheng Ren "wasted" countless hours of surgery training time to reduce the possibility of chances.

Adenomyosis, clinically, is just a small 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 chances for patients to escape this hell-like suffering are very low.

Zheng Ren made some calculations in the past few days, and what he said before seems to be too optimistic. The number of patients who can really benefit from surgery does not exceed 20%.

Zheng Ren didn't like this.

After returning to the emergency ward, Zheng Ren gave an explanation, then returned to the duty room, lay down on the bed and entered the system space.

There is a breeze in the space, refreshing.

The small pond is rippling and full of vitality.

The little white fox was lying in front of the thatched hut, its eyes were vivid, and Zheng Ren felt that no matter where he was, the little fox was always looking at him.

Zheng Ren tried to communicate with the little fox, but to no avail.

The big trotter of the system has always been very cold, and he never communicates with himself.

Zheng Ren had no choice but to exchange the surgery time and enter the system operating room.

Perhaps in the eyes of many people, adenomyosis is just a small 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.

In Zheng Ren's view, it was only natural to spend some surgical time trying to see if this type of disease could be resolved 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 various pre-operative examinations of the patient.

Auxiliary examination made it clear that adenomyosis is localized and located in the cervix.

Knowing this, Zheng Ren immediately constructed a smooth surgical pathway in his mind.

It will definitely succeed, Zheng Ren is full of confidence.

So, let's start doing interventional surgery.

Because it is in the system space, by default, all subjects are limited adenomyosis patients.

This also proves from the side that extensive adenomyosis is not an indication for interventional surgery.

Even with the system space, Zheng Ren is not omnipotent.

The etiology of adenomyosis is still unknown. The current consensus is that the uterus lacks submucosa, so the basal cells of the endometrium proliferate and invade the myometrium, accompanied by compensatory hypertrophy and hyperplasia of the surrounding myometrial cells. lesion.

Zheng Renchao chose arteriography to look for abnormal hyperplasia images in angiography.

Basal cells proliferate and abnormal capillaries appear.

In superselective angiography, more contrast agent can be left behind, appearing on the image as a "darker" image than other locations.

Zheng Ren successfully found the part with limited basal cell hyperplasia.

The following surgery was very simple - embolization, re-imaging, and it was found that the location of adenomyosis was not visible. In Zheng Ren's perception, it meant that the surgery was successful.

But the system judged the degree of completion of the operation... to be only 60%!

Barely pass.

The operation time is very short, only ten minutes.

For this type of surgery, if the patient hadn't suffered severe trauma, after the interventional embolization treatment of the ruptured blood vessel of the pelvic fracture, Zheng Ren would do the angiography and embolization would be fine.

That's what Su Yun said at the time.

But Zheng Ren was afraid that the patient's condition would be bad 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 I haven't noticed.

Because the completion of the operation was only 60%.

But where is the problem?

Zheng Ren didn't continue the operation, he just sat by the pond blankly and began to ponder.

Just like the preoperative research for TIPS surgery, Zheng Ren found that sharpening the knife really does not delay the effort of chopping wood.

If you take a risky operation, it can only reach 60%, which is still a limited type of adenomyosis.

what should I do?

He tried his best to recall the documents and materials he had read.

But before Zheng Ren was engaged in general surgery, he would read information on liver cancer. However, the information on adenomyosis is really skipped.

After thinking for a long time, Zheng Ren wasn't nervous either.

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 the emergency TIPS operation.

Adenomyosis...problem...surgery...

Could it be that there is a problem with self-imaging? Such a thought suddenly flew through Zheng Ren's mind.

Zheng Ren's angiography has always been a super-selective angiography, that is to say, the angiography is performed after entering the very thin branches of the third- and fourth-order arteries.

Many doctors don't like to do this, because superselection means that the operation time will be prolonged and the amount of radiation the doctor is exposed to will increase.

But there are also many advantages to doing so, such as more precise surgery and so on.

Why did the surgery not complete enough? Zheng Ren felt that some adenomyosis had not been treated.

Residual lesions are either in the early stage of lesions, or there are very slight changes in other parts of the uterus.

Just like long grass, some grass seeds have grown vigorously, while others are still in the incubation period. I did the surgery myself, only the weeds that had grown up were treated, and the weeds that were buried deep were not treated 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 it is done too finely, it will become a problem. Who is going to reason with this?

Zheng Ren smiled, and with a thought, the operating room of the system immediately rose from the ground, and the operation began again.

Zheng Ren did not perform an overly detailed superselective angiography this time.

As soon as the catheter enters the uterine artery, angiography begins immediately.

Sure enough, more fine spots appeared on the uterus of the test subject.

The denser areas are the areas where the disease is present, while the less dense areas are the areas where problems may occur in the future.

Zheng Ren knew that for the rest, he just had to do his best to embolize it.

Capillaries as fine as the prostate can be embolized, not to mention the blood supply arteries of 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 was constantly increasing.

60%...65%...70%...

After 2 hours and 12 minutes, the operation was finally completed.

The completion of the operation is 100%!

Zheng Ren glanced at the time and smiled wryly.

A small operation, life and death is made into a major operation by himself.

However, localized adenomyosis can be treated almost 100% by surgery, which is definitely a huge gain.

But Zheng Ren knew that it could only be done by himself.

After all, it is no joke to intervene at the master level.