Chapter 556 It's So Simple

Horqin Right Middle Banner, Inner Mongolia.

The Department of Gastroenterology of a Class II hospital is conducting a hospital-wide consultation.

The directors, deputy directors, and inpatients of the relevant departments always sit in the office, looking at the patient's medical records and films boredly, but no one speaks.

The deputy chief of the medical department who presided over the consultation of the whole hospital glanced at the crowd and the time, and said, "Then come here."

"Section Chief, do you want to..."

"The patient's diagnosis is clear. He is in the advanced stage of liver cirrhosis. We can only recommend the patient to a higher-level hospital for treatment. In our hospital..." He glanced at the silent doctors and shook his head.

Then, standing up, the deputy chief of the medical department announced the adjournment of the meeting.

The interventional doctor sat in a corner, dejected.

He doesn't think patients can't be cured, but they can't be cured by themselves.

Severe ascites, dry limbs, the whole person looks like a four-legged spider, lying on the bed, not even breathing smoothly.

Listening to the patient's box-like breathing, the interventional doctor felt that his airway was starting to spasm.

He really wanted to learn from the surgeon in the live broadcast room, but he knew that this was just an unrealistic idea.

With his head down, he left the Department of Gastroenterology with a sigh. The seemingly incurable disease in this second-level hospital in Horqin may be just a common disease in the live surgery room.

While thinking about all kinds of miscellaneous thoughts, he walked back to his department.

Just thinking about it, the phone rang the sound of 120 ambulance.

He immediately perked up, as if a shot of adrenaline had been injected into his veins invisible.

He quickly ran to the duty room, took out the PAD from the locker, and went to a small room with the fastest speed, turned on the mobile phone and PAD, and began to watch the live surgery room.

Somehow, the interventional doctor felt that today's live broadcast was very important to him.

The PAD broadcasts the live broadcast of the patient's operation, while he uses his mobile phone to view the patient's information.

When a few words came into view, he was stunned.

My hunch was right!

Spider-Man! Boot syndrome! These symptoms fit perfectly!

It turned out to be Budd-Chiari syndrome, not advanced cirrhosis and intractable ascites!

His hands trembled slightly, but then quieted down.

The surgeons in the live surgery room have already started the operation.

The camera machine has been returned, and a feeling of remorse rises from the bottom of my heart. But he didn't have time to regret, to think about the possibility of what if.

Concentrating on watching the live broadcast of the operation on the PAD, he tried to remember every detail with his memory that had already begun to decline due to his age.

Although he knew it was impossible, he had to do something.

The guide wire enters the inferior vena cava, no! The interventional doctor was taken aback for a moment, the shape of the guide wire looked wrong!

Familiarity is familiarity, but looking at it is wrong.

Could it be... The interventional doctor had a guess in his mind, but the surgeon in the live surgery room hadn't explained it from the very beginning, and this time he wouldn't make an exception because he couldn't understand it.

Countless thoughts converged, spun, and turned into a huge vortex in the interventional doctor's mind.

The surgeon did not use a micro guide wire, but the most common guide wire, but the shape is a bit weird... It seems to be taken upside down...

When the guide wire entered the inferior vena cava, ignoring the numerous venous branches, it came to the position where the contrast agent was blocked.

The interventional doctor's right wrist moved slightly like a marionette.

He didn't even realize that his wrist moved, it was a subconscious movement. Subconsciously, the guide wire came to this position, and the problem should be solved next.

The interventional doctor didn't know where the problem was. He just felt that the inferior vena cava was blocked by something, which was the source of the problem.

Sure enough, the oddly shaped guidewire moved slightly and penetrated the blockage directly.

Open the inferior vena cava?

Immediately, the stent is advanced over the guide wire.

The stent was opened, angiography was performed, and the inferior vena cava was completely unobstructed.

The operation is over and the live broadcast room is closed.

It's so simple... The interventional doctor felt emotional, but immediately, a current flowed through his whole body.

This operation, such a simple operation, can be done by oneself!

Recalling the "Spiderman" who was hospitalized in the Department of Gastroenterology, the interventional doctor seemed to be somewhat enlightened.

He began to search for various information on Budd-Chiari syndrome.

As for the surgery in the live broadcast room? Such a simple operation, even if you want to forget, there is nothing to forget.

That is to open, lower the stent, angiography, and the operation is over.

It's even simpler than appendicitis, a geometric order of magnitude simpler!

You can do it yourself, you can definitely do it!

The interventional doctor realized with excitement. But he immediately suppressed the excitement, settled down, and began to search for various documents about Budd-Chiari syndrome.

He knows that it is not difficult to see others carrying the burden, but it is exhausting to carry the burden himself.

TIPS surgery is very simple for the surgeon, and it is completed with a single puncture. However, after many days of research by the interventional doctor, he finally gave up.

Surgical videos alone are absolutely not enough.

He couldn't grasp the key to how the operator judged where to puncture.

I hope that the interventional surgery treatment of Budd-Chiari syndrome will not have that kind of point that is easily overlooked, but is crucial!

After searching and pondering for a few hours, the interventional doctor walked back and forth excitedly in the small storage room.

The library of Inner Mongolia Horqin Youzhong Banner No. 2 Hospital did not have much information, so he searched for it on the provincial library network.

There is not much information in the provincial map, but there are two literatures about Budd-Chiari syndrome.

Comparing with each other, overlapping the operation process of the surgeon with the patients in the Department of Gastroenterology, interventional doctors think they can do it!

It's just an extremely simple operation!

Sometimes, it's just a layer of window paper, and if it is pierced, there will be no secrets at all.

This was the case with pulmonary tuberculosis more than a hundred years ago, and Budd-Chiari syndrome was an incurable disease more than 20 years ago without interventional surgery. Even with surgery, there is a problem with the position of the second hepatic portal, and the mortality rate is extremely high.

And the condition...was quite simple. A membranous substance grows in the inferior vena cava, which is open at first, and gradually closes with age.

This closure is pathological.

When the inferior vena cava is completely closed in youth, the venous return is blocked, and the venous return can only be completed through collateral circulation. In order to establish a venous return channel, tortuous veins appear on the skin surface of the patient's abdomen, like reptiles.

So, everything can be explained.

This is not ascites caused by portal hypertension in advanced cirrhosis, but ascites caused by inferior vena cava occlusion!

And it can be cured after interventional treatment!

The interventional doctor was excited and virtualized countless surgeries in his mind without any difficulty!

Go to the Department of Gastroenterology, find the director, and find the family members of the patient.

The interventional doctor printed out the found information, prepared properly, and went to the gastroenterology department with confidence.