medical road high rise

Chapter 226 Finalizing the Surgical Plan
Chapter 226 Finalizing the Surgery Plan
"What's your opinion?" The dean glanced around and asked.

Director Ding didn't speak either, and just silently looked at the crowd in front of the camera. He was here to correct the mistakes of the crowd, and he was not in charge of this operation.

"I suggest caesarean section and hysterectomy." The director of the oncology department suggested.

Director Ding nodded, agreeing to the opinion put forward by the director of the oncology department.

Uterine fibroid surgery can be performed through the abdomen, lower body, hysteroscopy and laparoscopy respectively.

Transabdominal surgery from an open abdominal cavity, including myomectomy and hysterectomy, for all types of uterine fibroids.

The operation through the lower body is to enter from the lower body, which is suitable for patients with mild sagging or loose uterus.

Laparoscopic surgery is suitable for uterine submucosal fibroids and some intramural fibroids. This kind of surgery is relatively difficult and requires high requirements for the surgeon.

The current situation of the patient is that one is a pregnant woman, and the other is that the tumor is too large. Laparoscopic surgery is not suitable. After all, laparoscopic surgery is only suitable for small fibroids.

Tumor surgery must be eradicated, otherwise once the tumor cells flow out, they will infect the surrounding tissue and cause the surrounding tissue to become cancerous.

The best way is to remove the tumor through the abdomen or remove the uterus.

However, since the patient is a pregnant woman, it is too difficult to resect the abdominal tumor rashly, which may cause adverse effects on the fetus. It is very likely that the tumor is larger than the fetus. Tumor cells enter the fetus.

The safest way is to remove the uterus, remove the premature child, and then remove the tumor.

The pregnant woman who was listening on the side panicked when she heard that the hysterectomy was about to be performed.

"Doctor, I'm still young, and I'm planning to have a second child. I can't have my uterus removed!"

The people present fell into a brief silence when they heard the pregnant woman's words.

In fact, if the patient is not a pregnant woman, but a simple tumor patient, the tumor can be directly removed.

However, the site where the tumor grew was next to the fetus, and no one dared to take the risk of removing the tumor with the life of the fetus.

Although premature birth may have an impact on the fetus, it is better than tumor cells entering the fetus.

Qin Feng also kept silent and listened quietly, while constantly looking at the angiography results on the screen.

"Dean, the obstetrics and gynecology department is here." The nurse knocked on the door.

"Let them in." The dean waved his hand.

Because it involved a caesarean section, the director of the obstetrics and gynecology department was also called by the dean.

The director of the obstetrics and gynecology department glanced at the patient's case, learned about the surgical plan, and said directly: "I agree with the cesarean section. The tumor in the patient's body seriously hinders the decline of the fetus. Only by taking it out through the cesarean section can the tumor's impact on the fetus be reduced. Influence."

"Ah, doctor, is there really no other way?" The pregnant woman asked with a pale face.

The director of obstetrics and gynecology shook his head and said: "In the current situation, caesarean section is the best choice, but whether to remove the uterus or not depends on other directors. I can only guarantee the safety of your child."

After listening to the pregnant woman, she turned her eyes to Qin Feng and the others.

"Directors, the angiography of the tumor shows that it comes from the internal iliac artery. As long as we block this artery and perform resection, the occurrence of intraoperative bleeding will be very low. After all, uterine fibroids are not malignant tumors." Qin Feng said.

Director Ding shook his head and said, "I understand what you mean, but what we worry about is not whether the tumor will be cut well, but whether it will affect the fetus."

"I am sure to remove the tumor while ensuring the safety of the patient and the fetus." Qin Feng said.

Everyone was taken aback, and looked at Qin Feng in disbelief.

Director Dong hurriedly pulled Qin Feng to stop talking nonsense.

This is in front of provincial oncologists. Provincial experts feel that the safety of patients and fetuses cannot be guaranteed. If you, a doctor in a city hospital, say that you can guarantee it, isn’t it a slap in the face of the provincial experts?
The dean looked at Qin Feng with deep eyes. You must know that the reconstruction of severed limbs can make Qin Feng walk sideways. Now Qin Feng is going to challenge obstetrics and gynecology tumor resection. If it is as Qin Feng said , The Second Academy is really taking off.

Just the operation of amputating fingers and reconstructing them is enough to make the Second Hospital famous.

"This little doctor, can you really do it?" Director Ding didn't know Qin Feng.

The dean quickly explained to Director Ding, and pulled out Mr. He's tiger skin.

Director Ding nodded when he heard that it was Mr. He's disciple, and he was fine.

The disciples of Mr. He must have received the true biography of Mr. He, and they are somewhat sure about this operation.

"Qin Feng, are you sure you can do it? Who do you need to cooperate with you?" asked the dean.

"It can be done, as long as the obstetrics and gynecologists stay." Qin Feng said.

Hearing what Qin Feng said, the dean looked at Director Ding.

"I'd better follow the whole process of this operation. If anything happens, I can point it out." Director Ding said.

He was not angry because of the dean's attitude. After all, he was only consulting online, and all he could do was try not to let Qin Feng make mistakes.

As for the director of the oncology department, he didn't want to leave either, and chose to stay. No matter whether Qin Feng can do it or not, it is a good thing to have Director Ding's guidance, and learning opportunities are rare.

"Xiao Qin, look at it?" The dean looked at Qin Feng with some confusion.

He also preferred Director Ding and the Director of the Oncology Department to stay, which is equivalent to an alternative hedging to prevent accidents. Even if an accident occurs, a group of people will take the blame, and the punishment will not be too great.

"No problem, maybe we will need the guidance of the two directors at that time." Qin Feng smiled.

Director Ding nodded, only the director of the oncology department knew that Qin Feng was speaking politely.

Ever since Qin Feng emerged in the Second Hospital, he has never heard of any director who has guided Qin Feng, and Qin Feng has always guided other directors.

The dean went to arrange the operating room, and Qin Feng and others began to discuss the procedure and plan of the operation in the conference room.

First of all, the most important thing is whether to perform caesarean section or remove the tumor first. What Qin Feng can do is to keep the patient's uterus. As for the effect of tumor cells on the fetus, Qin Feng can't do anything.

There are too many blood vessels in the human body, and it is impossible to guarantee that each one will be contained and will not enter the fetus.

The discussion was also very fast, and Director Ding made the decision, thinking that it is best to proceed simultaneously to prevent accidents.

Because of a single item, such as tumor removal, Qin Feng needs to block the blood supply of the uterus, which means that the fetus loses its source of breathing. Normal people who cannot breathe will be suffocated to death, let alone the fetus.

If the caesarean section is performed first, the tumor is too huge, and it is extremely difficult to remove the fetus.

The final plan is that Qin Feng cut off the blood supply during the operation, causing the tumor to deviate and free up enough intrauterine space for the cesarean section. After the fetus is successfully removed, Qin Feng will proceed to the next step.

(End of this chapter)