After deciding on the treatment plan, Chief Qian was responsible for communicating with the patient's family.
Zheng Ren and Su Yun returned to the emergency ward.
Zheng Ren was silent on the way back.
He did not like to rely on luck. Take the TIPS surgery for example. Everyone was trying their luck, but Zheng Ren had 'wasted' countless hours of surgical training to reduce the possibility of luck.
Clinically, adenomyosis was a minor problem that could be 'cured'. However, the solution was based on a destructive hysterectomy.
Even if interventional embolization was effective, the chances of the patient being freed from this hellish ordeal were low.
Zheng Ren had made some calculations over the past few days and realized that he had been too optimistic. The number of patients who could benefit from the surgery was definitely less than twenty.
Zheng Ren did not like it.
After returning to the emergency ward, Zheng Ren gave some instructions and returned to the on-call room. He lay on the bed and entered the System.
A cool breeze rose in the air, refreshing everyone's mind.
The rippling pond was full of life.
The little white fox was lying in front of the straw hut, its eyes alive. 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 System, this big pig trotter, had always been very aloof, so aloof that it had never communicated with him.
Zheng Ren had no choice but to purchase surgery time and enter the System's operating theater.
Adenomyosis might seem like a minor ailment to most people, but in Zheng Ren's eyes, it was as vile as cancer.
Especially now that the age of adenomyosis patients was decreasing and it was spreading to younger women who had not yet given birth.
Zheng Ren thought it was only right to spend some time on the surgery to see if he could solve this disease.
The operating theater rose from the ground. The simulation mannequin was lying on the operating table. Zheng Ren was not in a hurry to start the surgery. Instead, he examined the patient's preoperative examination.
The supplementary examinations confirmed that the adenomyosis was localized and located in the cervix.
Knowing this, Zheng Ren immediately constructed a smooth surgical pathway in his mind.
It would definitely work. Zheng Ren was confident.
Then, it was time to start the interventional surgery.
Since they were in the System, the System had assumed that all the simulation mannequin were localized adenomyosis patients.
This indirectly proved that extensive adenomyosis was not an indication for interventional surgery.
Even with the System, Zheng Ren was not omnipotent.
The cause of adenomyosis was still unknown. The current consensus was that the uterus lacked a submucosa, so the basal cells of the endometrium proliferated and invaded the myometrium, accompanied by compensatory hypertrophy of the surrounding myometrium cells.
Zheng Renchao chose arteriography to look for abnormal hyperplasia.
When basal cells proliferate, abnormal capillaries will appear.
In superselective arteriography, more contrast agent could be left behind, and the image on the image would appear darker than other locations.
Zheng Ren successfully found the localized basal cell proliferation.
The rest of the surgery was simple — embolization, reconstruction, and the absence of any visible signs of adenomyosis meant that the surgery was a success.
However, the Surgery Completion Rate determined by the System … was actually only 60%!
Barely passed.
The surgery only took about ten minutes.
For this kind of surgery, if the patient's injury was not severe, Zheng Ren could perform an angiogram and embolize the pelvic fracture after the interventional embolization treatment.
That was what Su Yun meant at that time.
However, Zheng Ren was afraid that the patient's condition would not be good and there would be other complications, so he did not treat the patient.
Looking at it now … It was indeed not enough. There must be something else that he had not noticed.
Because the surgery completion rate was only 60%.
What was the problem?
Zheng Ren did not continue the surgery. He sat by the pond in a daze and began to ponder.
Just like the TIPS surgery, Zheng Ren realized that sharpening the knife did not delay the chopping of firewood.
If Mao Meng were to undergo surgery, the score would only reach 60%, and it would be localized adenomyosis.
What should he do?
He tried to recall the literature and information he had read.
Previously, Zheng Ren was in the general surgery department and knew about liver cancer. However, the information on adenomyosis was skipped.
After thinking for a long time, Zheng Ren was not nervous.
In any case, it would take at least half an hour to communicate with the patient's family. There was no sense of urgency before an emergency TIPS surgery.
Adenomyosis … Problem … Surgery …
Was there a problem with his angiogram? The thought suddenly flashed across Zheng Ren's mind.
Zheng Ren's angiogram had always been superselective. In other words, he had to enter the very thin grade three or four arterial branches before performing an angiogram.
Many doctors did not like to do this because it meant that the surgery would take longer and the amount of radiation the doctor would have to endure would increase.
However, there were many benefits to doing so, such as more detailed surgery.
Why was the surgery completion rate not enough? Zheng Ren felt that there was still a part of the adenomyosis that had not been treated.
The remaining lesions were either in the early stages of the disease or there were very slight changes in other parts of the uterus.
It was like long grass. Some of the grass seeds were already flourishing while others were still in the incubation period. During the surgery, he only dealt with the weeds that had grown up. The weeds that were buried deeper were not dealt with at all.
Right!
Zheng Ren slapped his thigh hard.
It hurt.
Uh … He should not be so excited in the future. It was not good to hit himself.
If he was too detailed, it would become a problem. Who could he reason with?
Zheng Ren smiled. With a thought, the System's operating theater rose from the ground and began the surgery again.
This time, Zheng Ren did not perform a too detailed superselective arteriogram.
Once the catheter was inserted into the uterine artery, the angiogram began.
Sure enough, the experiment subject's uterus showed more fine spots.
The more concentrated spots were the current areas of the disease. The less concentrated spots were the areas that might have problems in the future.
Zheng Ren knew that he only needed to do his best to embolize the remaining spots.
If he could embolize the small capillaries in the prostate, then the blood supply of adenomyosis would be even more impressive.
As the lesions were embolized one after another, the surgery completion rate in the upper right corner of Zheng Ren's vision soared.
60 … 65 … 70 …
After two hours and twelve minutes, the surgery was finally completed.
Surgery completion rate: 100!
Zheng Ren glanced at the time and smiled bitterly.
He had turned a minor surgery into a major one.
However, the limited type of adenomyosis could be treated with almost 100% surgery. This was definitely a huge gain.
However, Zheng Ren knew that he had to do it himself.
After all, the standard of a Grandmaster in interventional surgery was no joke.
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