Chapter 318： Too fine, but wrong

After setting the treatment plan, the money director is 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 take chances, just like TIPS surgery, everyone is taking a chance, but Zheng Ren is "wasting" countless hours of surgery to reduce the chance of taking chances.

Adenomyosis, in clinical terms, is just a small problem that can be "cured." But the basis for solving this problem is based on destructive hysterectomy.

However, the interventional embolization can really have a therapeutic effect, and the chances of getting the patient out of this **** are generally low.

Zheng Ren estimated this a few days, and what he said before seems too optimistic. The number of patients who can really get surgery benefits is no more than 20%.

Zheng Ren does not like this.

Returning to the emergency room, Zheng Ren gave a sigh of relief and returned to the duty room, lying in bed and entering the system space.

The breeze in the space is awkward.

The small pond is full of water and is full of vitality.

The little white fox squatted in front of the thatched cottage, and his two eyes were vivid. Zheng Ren felt that no matter where he was, the little fox was watching himself.

Zheng Ren tried to communicate with the little fox, but there was no result.

The big pig's hoof of the system has always been very cold, and the cold is never talking to itself.

Zheng Ren has no choice but to exchange the operation time and enter the system operating room.

Perhaps in the eyes of many people, adenomyosis is only a minor problem, but in the eyes of Zheng Ren, it is a hateful guy like cancer.

Especially now, patients with adenomyosis have a reduced age and are expanding to young women who have not yet given birth.

It takes a little time for surgery to try to find out if it can solve this kind of disease as much as possible.

The operating room was raised from the ground, and the experimental body was lying on the operating table. Zheng Ren did not have an urgent operation, but first looked at the various tests before the patient.

Auxiliary examination confirmed that adenomyosis is localized and located in the cervix.

Knowing this, Zheng Ren’s mind immediately built a smooth surgical path.

Will inevitably succeed, Zheng Ren is full of confidence.

Then, start the interventional surgery.

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

This also proves from the side - extensive adenomyosis, 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 submucosa, so the basal cells of the endometrium proliferate and invade the myometrium, accompanied by compensatory hypertrophy of the surrounding myometrial cells. Lesion.

Zheng Renchao chose arteriography to find abnormal hyperplasia images in angiography.

Basal cells proliferate and abnormal capillaries appear.

In superselective arteriography, more contrast agents can be left, showing more "black" imaging on the image than other locations.

Zheng Ren has successfully found a localized basal cell hyperplasia.

The next operation was very simple - embolization, re-imaging, and found that the location of adenomyosis was not developed. In Zheng Ren's cognition, the operation was successful.

However, the system determines the degree of completion of surgery... only 60%!

Reluctantly pass.

The time spent on surgery is very short, only ten minutes.

This kind of surgery, if the patient is not very traumatic, after the interventional embolization treatment of vascular rupture of the pelvic fracture, Zheng Ren can follow the hand angiography and embolization.

What Su Yun said at the time was that.

However, Zheng Ren was afraid that the patient was in a bad state and had other complications, so he did not treat the patient.

It’s not enough to look at it now, there must be something that I have not noticed.

Because of the degree of surgery completion, it is only 60%.

Where can the problem be?

Zheng Ren did not continue the operation. He sat at the pond and began to ponder.

Like the preoperative study of TIPS surgery, Zheng Ren found that sharpening the knife is really not a mistake to cut wood.

If you have surgery, you can only go to 60%, or a limited type of adenomyosis.

what should I do?

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

But before Zheng Ren engaged in general surgery, liver cancer information will be seen. However, the information on adenomyosis is really skipped.

After thinking for a long time, Zheng Ren is not nervous.

Anyway, the director of the money communicates with the patient's family. It takes at least half an hour to an hour, and there is no sense of urgency before the emergency TIPS operation.

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

Is it a problem with your own angiography? Zheng Ren’s mind suddenly flew such a thought.

Zheng Ren's angiography has always been super-selective angiography, that is, to enter the very fine third and fourth-level arterial branches, and then angiography.

Many doctors do not like to do this, because super-selection means that the operation time is prolonged and the amount of radiation the doctor receives is increased.

But there are many benefits to this, such as surgery more fine.

Why is there a lack of surgery? Zheng Ren thinks that there should be some adenomyosis that has not been treated.

Residual lesions are either early in the lesion or have a slight change in other parts of the uterus.

Like the long grass, some grass seeds have flourished, and some are still in the incubation period. I did the surgery myself, only the weeds that grew up, and the weeds that were buried deep were not treated at all.

Correct!

Zheng Ren took a hard shot of the thigh.

It hurts.

Uh... I can’t be so excited in the future, it’s always bad to beat myself.

It’s too fine, it’s a problem, who is going to reason?

Zheng Ren smiled, and his heart was moved. The operating room of the system immediately rose to the ground and began surgery again.

This time, Zheng Ren did not carry out a super-selective angiography that was too detailed.

Once the catheter enters the uterine artery, it begins to angiography.

Sure enough, the uterus of the experimental body showed more fine points.

The more intensive is the area that is now onset, while the less elaborate location is the area where problems may occur in the future.

Zheng Ren knows that the rest, as long as you try your best to embolize it The fine capillaries of the prostate can be embolized, not to mention the blood supply artery of adenomyosis.

As the lesion at one location and one location was embolized, the degree of surgical completion in the upper right corner of Zheng Ren's field of vision continued to soar.

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

It took 2 hours and 12 minutes and the operation was finally completed.

Surgery completion, 100%!

Zheng Ren took a look at the time and smiled.

A minor operation, he was born with a major surgery.

However, the limited type of adenomyosis can get almost 100% of surgical treatment, which is definitely a huge gain.

But Zheng Ren knows that he can only do it himself.

After all, it’s not a joke to intervene in the master level.