medical road high rise

Chapter 228 Uterine Fibroids ([-])

Chapter 228 Uterine fibroids ([-])

Because of the tumor, one of the blood vessels Qin Feng selected for arterial puncture collapsed, and the front and rear walls of the blood vessel were in a state of negative pressure.

It is not flat because of lack of blood flow, but because everything is squeezed by the tumor, the needle tube cannot enter the blood vessel cavity at all, and the arterial pressure cannot be detected according to the blood flow.

Even if Qin Feng's puncture technique has reached the top in the world, it is still a headache to face this kind of blood vessel.

It's like two tightly closed and seamless walls, allowing you to find hidden water pipes in the corner.

Qin Feng glanced at the time, and he had already lost almost 5 minutes on this one.

There is no other way, Qin Feng can only choose to give up the arterial puncture and directly open the abdomen.

After taking the scalpel from Lin Xue, Qin Feng started to increase his speed.

Skillfully made a 12cm incision in the patient's abdomen, this incision just avoided the position of the tumor and the baby.

Then, Qin Feng began to dissect the uterus, revealing the fetus and the huge tumor inside.

At this step, Qin Feng also stopped, not daring to act rashly.

This step has reached a critical step, and a little carelessness may cause the tumor to rupture.

"Zhao Qi, help fix the tumor, remember to be careful." Qin Feng said.

Zhao Qi stepped forward cautiously, like taking care of a baby, clamped the vascular clamp near the tumor, and then fixed it gently with the vascular clamp, not daring to leave his hands or exert force.

Qin Feng nodded when he saw this scene, and then turned his eyes to the vicinity of the internal iliac artery, and directly blocked the incision.

Then the broad ligament areas on the left and right sides of the isthmus of the uterus were found, and the parts without blood vessels were found, and an incision was made respectively.

Reach out.

Tourniquet.

ligation.

Soon, Qin Feng ligated all of them, directly blocking the blood supply of the uterus.

Qin Feng took two steps back, leaving the operating space to the director of the obstetrics and gynecology department.

Because the time for caesarean section was very tight, after all, Qin Feng blocked the blood supply to the uterus and internal iliac artery, so the fetus had to be removed within 5 minutes, otherwise the fetus would most likely suffocate to death in the placenta.

The director of obstetrics and gynecology said seriously, "Immediately pack the uterine cavity."

Zhao Qi carefully fixed the tumor and gave the director of obstetrics and gynecology as much surgery as possible.

The director of obstetrics and gynecology filled the cavity with gauze and gently pressed the uterus to promote contractions.

In fact, at this time, if uterotonics can be used, Qin Feng doesn't have to worry about it.

However, in the current situation of the patient, there is no such thing as uterotonics at all, and only artificial tamponade can be used to create artificial uterine contractions.

"Be careful with the tumor on the left, you can fill in the vicinity of the artery and compress the blood vessel to expand the fetal space." Director Ding directed.

The director of the obstetrics and gynecology department acted according to his own ideas, and at the same time followed Director Ding's instructions, and successfully exposed the head of the fetus.

Then, the fetus is gently pulled out, and then the mucus in the fetal mouth and nasal cavity is quickly cleaned.

After the head came out, everyone including Qin Feng breathed a sigh of relief.

The caesarean section has been successful, and all that remains is to slowly pull the body out.

The umbilical cord was cut short, and the fetus was successfully held in the arms of the director of obstetrics and gynecology.

In just a few minutes, the director of the obstetrics and gynecology department felt that it was more difficult than dystocia.

Every step is like walking on a tightrope. If there is a mistake in this step, it will be the responsibility of their obstetrics and gynecology department.

Fortunately, their obstetrics and gynecology department was lucky, and the operation went smoothly.

First, I would like to thank Director Ding for his guidance and pointing out mistakes. When people are nervous, they will make mistakes. The so-called confidant is confused, and the bystander is clear. This is the saying.

At the same time, director Ding's level is higher than that of the director of the obstetrics and gynecology department of the Second Hospital. The director of the obstetrics and gynecology department naturally obeys his advice.

The second is the preparation work made by Qin Feng, which gave them enough space to let them only deal with their own affairs.

Just when the assistant of the obstetrics and gynecology director was cleaning up the mess, a ray of bright red flowed down the lower body, which was clearly seen by Lin Xue.

"Brother Qin, something happened." Lin Xue shouted hastily.

Qin Feng turned his head and saw the patient's lower body began to bleed.

Obviously, there was massive bleeding during the operation.

This was exactly the same as the scene in the rescue room last time, Qin Feng quickly took over the command.

"Prepare absorbent gelatin sponge strips, along with thrombin-soaked gauze."

This is what Qin Feng came up with after going to the training room to study it after experiencing heavy bleeding last time.

This set of configuration can bring out the effect of thrombin to some extent.

Generally speaking, for ordinary bleeding, dissolving thrombin into a solution of 50-1500U/ML and spraying it on the wound can quickly stop the bleeding.

Now that the patient is bleeding a lot, Qin Feng uses the PLUS version of the spray, adding gauze and sponges, which are highly absorbent medical supplies, which can effectively prevent excessive bleeding.

"Extracorporeal drainage tube for infusion."

The venous channel prepared by Qin Feng was instantly connected to the drainage tube, and Lu Shan injected the prepared medicine into the patient's body.

Lin Xue first handed over the gelatin sponge, and Qin Feng stuffed it into his lower body, while covering the second layer with gauze.

Soon, the blood soaked the gauze and sponge, Qin Feng took it out and threw it into the pollution bucket, and then continued to stuff it.

Qin Feng didn't stop until the amount of bleeding decreased.

"Lin Xue, remember to change the filling every 15 minutes." Qin Feng said.

Lin Xue nodded.

For massive bleeding, thrombin can only accelerate the mitotic healing of wound epithelial cells, rather than instant healing. During this healing period, thrombin needs to be replaced continuously to make the healing speed faster.

The director of obstetrics and gynecology on the other side put the baby into the incubator, and then continued to separate from the placenta, completing the caesarean section.

Qin Feng performed the surgery again, and the next step was to remove the tumor.

Unlike interventional perfusion therapy, surgical resection is a special test of the surgeon's ability.

In contrast, Qin Feng is more willing to choose interventional surgery, but because he is a pregnant woman, it is too dangerous to perform interventional surgery under radiation conditions, and there are many drugs that cannot be used.

Qin Feng picked up the operation and set his sights on removing the tumor in the intramural muscle.

Due to the large size of the tumor, the location of the blood vessels could not be judged in some places. Qin Feng could only separate the adhesion parts of the tumor one by one, and finally cut it off smoothly.

The first knife, fall.

Qin Feng chose a place with the fewest blood vessels on the surface of the tumor to avoid secondary bleeding, and it is also helpful for the patient's later healing.

With CT MRI images echoing in his mind, Qin Feng made an arc-shaped incision in the surrounding blood vessels, extending to the capsule of the tumor.

The next step is to perform blunt dissection along the surface of the capsule. Blunt dissection can effectively prevent damage to blood vessels. During tumor resection, don’t let the tumor blood vessels rupture if you can’t.

After the first step was cut, Qin Feng turned his attention to the second place, which was the muscle between the tumor walls.

(End of this chapter)