Start From Emergency Doctor

Chapter 212

Chapter cesarean section or tumor removal first?

The blood supply of the tumor comes from the internal iliac artery.

This means that when the main internal iliac artery only needs to be blocked, the tumor will be ischemic, and the probability of intraoperative hemorrhage during tumor resection is greatly reduced.

“The deputy director of the First Obstetrics Department is here!”

Wei Lili led He Jing into the meeting room.

The two of them were also invited by Zhou Yuan.

Giant fibroids can cause abnormal fetal position during pregnancy, and cause intrauterine growth retardation, low placenta or preposition, etc.

In the process of delivery, uterine fibroids may cause obstruction of the birth tract, difficulty in descending the fetal presentation, and dystocia. It may also cause uterine contraction, which may lead to prolonged labor and postpartum hemorrhage.

Under normal circumstances, pregnant women with fibroids can give birth naturally without rushing intervention, just to prevent postpartum hemorrhage.

However, He Lili’s condition is very special. The huge fibroids prevent the fetus from falling. At this time, a cesarean section must be performed, otherwise the fetus cannot be delivered normally.

“With such a large tumor, there is no problem with the development of the fetus… It’s incredible!” Wei Lili looked surprised after seeing the examination results.

“Doctor! I can’t remove my uterus, I’m only 21 years old!” He Lili was very scared.

Wei Lili frowned and said: “At present, the only clear thing is that a cesarean section must be performed. As for the cesarean section, whether to remove the fibroids or perform hysterectomy depends on the size, location, and size of the fibroids. It’s up to you…”

“I also think it is too difficult to remove fibroids.” Wei Lili hesitated for a long time, and finally gave this answer.

Zhou Yuan frowned.

“Dear directors, angiography shows that the blood supply of the tumor comes from the internal iliac artery. This artery is easy to block. As long as the artery is blocked for resection, intraoperative bleeding will generally not occur. More than those from the internal iliac artery. A tumor of a small artery, this tumor is easy to remove…”

Zhou Yuan’s words surprised everyone present.

The director of the oncology department sighed and said: “We have also noticed, but what we are most worried about is the damage to the fetus~ˇ.”

Lu Shao brightened his eyes and said, “You said this tumor is easy to remove? You mean you can remove it?”

Zhou Yuan smiled helplessly.

Click to open the system.

“System, exchange for master-class uterine myomectomy.”

A lot of information flooded into Zhou Yuan’s mind.

The morphology of the uterus, the various structures of the uterus, the type of tumor, the classification of the capsule, and so on.

As well as the details of the operation, it was quickly imprinted in Zhou Yuan’s mind.

After a while, Zhou Yuan felt his fingers become stronger again.

With every improvement, Zhou Yuan’s body muscles will be reshaped to suit a certain operation. After so many master-level operations, Zhou Yuan will have no problem doing some operations outside the system.

“I am sure to remove huge fibroids while ensuring the safety of patients and fetuses.” Zhou Yuan said directly.(Read more @ wuxiax.com)

The people present were stunned.

Especially Lu Shao, it was like seeing a ghost.

“Can you really do uterine fibroids removal?!”

He just asked, what Dean Fang said before was right, skull separation, double lung transplantation, and reconstruction of severed fingers… as long as one of them is good enough to walk sideways in the medical world.

Zhou Yuan is not only plenary, but also proficient!

He doesn’t expect Zhou Yuan to see more again, but now Zhou Yuan tells him that he can also do the surgery on the obstetric and obstetric tumor…

He Jianyi and Dean Fang were also dumbfounded for a few seconds.

“Zhou Yuan, if you can do it, I will arrange someone to cooperate with you immediately.” Dean Fang is full of trust in Zhou Yuan.

Zhou Yuan nodded: “It’s fine for those from the anesthesiology department and obstetrics and gynecology department to stay.”

Dean Fang waved to the two directors of the Obstetrics and Gynecology Oncology Department and the Oncology Department: “You can leave now.”

Deputy Director of Obstetrics and Gynecology Oncology Department: …

“Can’t the two of us watch it by the side?”

“Yes! Such a difficult operation, if the two of us can learn something, it will definitely be good for our department!”

The eyes of the two directors completely changed.

If the operation is well done, which one does not want to go up and learn from the experience when he sees the surgeon?

Zhou Yuan’s allure to them is too great.

Zhou Yuan smiled.

The two deputy directors may be two intermediate treasure chests again!

“Dean Fang, let the two directors stay as well. They specialize in tumors. I may still need the help of both of them.”

Dean Fang nodded directly: “Okay!”

Next, Zhou Yuan discussed some surgical procedures and plans with everyone.

The main question is whether to perform a cesarean section first, or to remove the tumor first.

In the end, the results obtained are simultaneous.

If the tumor is to be removed, Zhou Yuan must block the blood supply to the uterus, which means that the fetus will be in danger, so there can be no fetus at this step.

However, if the cesarean section is performed first, Wei Lili and He Jing cannot successfully retrieve the fetus in the uterus with huge fibroids.

So the final plan is that Zhou Yuan cut off the blood supply to the uterus during the operation, temporarily deflecting the giant fibroids and separating them from the fetus, so as to make enough intrauterine space for the cesarean section.

After the fetus was successfully removed, Zhou Yuan proceeded to the next step of tumor resection.

Soon, a series of preoperative examinations were completed.

He Lili’s mother had trouble signing the informed consent form for the operation.

A series of risks are written on the informed consent form for surgery.

such as:

1. In the process of expectation, although medical staff have adopted routine measures to monitor the fetus, there are still rare cases where unexplained fetal distress occurs suddenly, the fetal movement disappears, and then the fetal death is caused.

2. The patients will be treated according to the routine obstetric procedures. Very few parturients will suffer from drug poisoning due to personal reasons… and cause death.

…

…

He Lili’s mother became more frightened as she watched it (no good).

“¨ˇ Isn’t it just a cesarean section! Why is it so dangerous? It’s dead and alive at every turn!”

Zhou Yuan silently handed over another form and said: “Here is also an informed consent form for myometrialectomy…”

“How to sign this! Any accident is either the death of the fetus or the death of my daughter. Your doctor is not responsible at all, and we must bear it in the end!”

Zhou Yuan understood He Lili’s mother’s feelings and explained: “These are accidents that may occur during the operation, but the probability of occurrence is extremely low. Moreover, we have videos throughout the operation. If there is an accident, it is our doctor’s responsibility. In the end, our hospital must be responsible.”

He Lili’s mother was still a little scared.

At this time, He Lili was pushed out, ready to go to the operating room.

Seeing that her mother was still hesitating, she smiled hard and said: “Mom, I trust the doctor!”.