318 Too delicate is wrong

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, Jung in was silent.

He doesn't like to try his luck, it's like a TIPS operation, everyone is trying their luck, but Zheng Ren "wasted" countless hours of surgical training time to reduce the possibility of luck.

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

However, interventional embolization can really have a therapeutic effect, and the chance of getting the patient out of this hellish torment is very low.

Zheng Ren has estimated it in the past few days, and what he said before seems to be too optimistic. There are definitely no more than 20 patients who can actually benefit from the surgery.

Jung in didn't like that.

Back in the emergency ward, Zheng Ren explained, then returned to the duty room, lay on the bed and entered the system space.

The space is breezy and refreshing.

The small pond is rippling and full of life.

The little white fox was lying in front of the thatched house, his eyes vivid, and 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.

The big pig's trotters of the system have always been very cold, and the cold ones never communicate with themselves.

Zheng Ren was helpless, exchanged the operation time, and entered 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 just as hateful as cancer.

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

Taking some time to try to solve this kind of disease as much as possible is a matter of course for Zheng Ren.

The operating room rose from the ground, the test subject was lying on the operating table, and Zheng Ren did not rush to do the operation, but first looked at the patient's various examinations before the operation.

Ancillary tests confirm that adenomyosis is localized and located in the cervix.

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

It will inevitably succeed, and Zheng Ren is full of confidence.

So, let's start with interventional surgery.

Because it is in the system space, the system defaults to all subjects who are patients with limited adenomyosis.

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

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

The cause of adenomyosis is still unknown, but the current consensus is that the uterus lacks a submucosa, so the basal cells of the endometrium proliferate, invade the myometrium, and form a lesion with compensatory hypertrophy of the surrounding myometrium cells.

Zheng Renchao chose arteriography to look for images of abnormal hyperplasia in contrast imaging.

Basal cells proliferate, and abnormal capillaries appear.

In superselective arteriography, more contrast can be left behind, appearing on the image as a "blacker" image than in other locations.

Zheng Ren successfully found the localized basal cell hyperplasia.

The next surgery was very simple - embolization, reconstruction, and it was found that the location of adenomyosis was not developed, which in Zheng Ren's cognition, meant that the operation was successful.

However, the system determines the degree of completion of the operation...... It turned out to be only 60!

Barely passing.

The operation takes a short time, only a few minutes.

In this kind of surgery, if the patient is not seriously injured, after the interventional embolization treatment of pelvic fracture and vascular rupture, Zheng Ren can do it with his hand and embolize.

That's what Su Yun said at that time.

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

Look now...... It's really not enough, there must be something I haven't noticed.

Because the completion of the operation, it was only 60.

But what's the problem?

Zheng Ren did not continue the operation, he sat by the pond in a daze, and began to ponder.

Like the preoperative research of tips surgery, Zheng Ren found that sharpening the knife really did not delay the work of chopping wood.

If Mao Meng has surgery, he can only reach the level of 60, and it is still a limited type of adenomyosis.

What can I do?

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

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

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 the emergency TIPS operation.

Adenomyosis...... Issue...... Surgery......

Could it be that there is something wrong with his own imaging? Zheng Ren's mind suddenly flew through such a thought.

Zheng Ren's imaging has always been super-selective, that is, it is necessary to enter the very thin third- and fourth-degree arterial branches before performing the imaging.

Many doctors don't like to do this, because if it's too selective, it means that the surgery will take longer and the doctor will be exposed to more radiation.

However, there are many advantages to doing this, such as more delicate surgery.

Why is there a lack of surgical completion, Zheng Ren thinks that there should be some adenomyosis that has not been treated.

Residual lesions are either in the early stages of the lesion or have very slight changes elsewhere in the uterus.

Like long grass, some grass seeds are already thriving, while others are still in the incubation stage. I did the surgery myself, and only the weeds that grew up were treated, and the weeds that were buried deep were not treated at all.

Right!

Jung In slapped his thigh hard.

It hurts.

Belch...... I can't be so excited in the future, it's always bad to hit myself.

It's too fine, but it becomes a problem, who is to reason with this?

Zheng Ren smiled, and as soon as his mind moved, the system operating room immediately rose from the ground and started the operation again.

This time, Zheng Ren did not perform a hyperselective arteriography that was too detailed.

As soon as the catheter is inserted into the uterine artery, the imaging begins.

Sure enough, the subject's uterus showed more fine dots.

The more dense areas are the areas that occur now, while the less dense locations 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.

The fine capillaries of the prostate can embolize, not to mention the blood supply arteries of adenomyosis.

As the lesions in one position were embolized, the completion of the operation in the upper right corner of Zheng Ren's vision continued to skyrocket.

60…… 65…… 70……

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

Surgical completion, 100!

Zheng Ren glanced at the time and smiled bitterly.

A minor operation, Shengsheng was made into a major operation by himself.

However, for the limited adenomyosis, almost 100% of the surgical treatment can be obtained, which is definitely a huge gain.

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

After all, intervening at the grandmaster-level level is no joke.