Chapter 373 Abdominal Aorta Dissection

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 Liu Muqiao went directly to the operating room.

Before washing his hands, he asked to see the MRI film. He looked at it for 15 minutes, then raised his head and said, "Didn't you see the infiltration of the abdominal aorta?"

Hu Junjun said: "It's more serious than expected."

Liu Miqiao said: "Have you noticed that only the intima is left in the abdominal aorta? Let alone surgery, even without surgery, the patient's abdominal aorta will rupture and bleed within a few days, or at most half a month."

."

Hu Junjun was so frightened that he broke into a cold sweat.

He was very glad to have stopped yesterday. If he had tried to continue, wouldn't the abdominal aorta have been damaged?

He asked: "So, give up?"

Liu Muqiao shook his head and said, "It's not that bad yet. I should be able to do abdominal aortic dissection and abdominal aortic repair."

When Hu Junjun heard this, he felt dizzy and shouted in his heart, you are seeking death!

Anyone who dares to touch the aorta and repair it must be a madman.

"Is it possible?" Hu Junjun asked loudly.

"What can I do?" Liu Maqiao turned around and asked.

"Can the abdominal aorta be repaired?" Hu Junjun said.

"Why not? I did a case in Adidas yesterday and it was very successful." Liu Maqiao said as he started to wash his hands and prepare to go on stage.

"Don't worry, let's ask the family for their opinions."

Hu Junjun doesn't want to continue doing it at all. He is ready to give up. There is really no need to take this risk. Besides, the aorta has been infiltrated by cancer cells. The operation was successful, and there is no hope for tumor treatment. And he still has hair done!
p>

What’s the big difference between dying a few days later or dying a few days early?

Liu Muqiao said: "There is no need to talk to the family members. You should have told them that there is a risk of major bleeding. Is it necessary to scare the family members?"

"Is this to scare the family?" Hu Junjun couldn't laugh or cry.

"As doctors, we should try to reduce the psychological burden on patients and their families as much as possible. There is no need to scare them with big things. We bear the pressure."

Hu Junjun looked at Liu Miqiao carefully for a while.

Is this a big deal?

Too young.

Insufficient social experience!

If only the patients' families thought so, how could there be tension between doctors and patients?

However, in the real world, no matter how much you consider patients, don’t medical injuries still happen from time to time?

"I think it would be better to inform the family members."

"Do you think it is necessary? Okay, then you can talk about it, but you have to be tactful and don't scare the family. Besides, the possibility of major bleeding is very, very small. I think there is no need to waste time."<

/p>

The two discussed for a while, but Hu Junjun still insisted on talking to his family members.

"Forget it, go ahead and talk."

Hu Junjun went out to meet his family.

As a result of the conversation, the family members hesitated.

Some people insist on having surgery, while more are ready to give up.

Their reply to Hu Junjun was, "Let us think about it again."

"I knew it would be like this. By the time they discuss the results, I will have finished the surgery." Liu Muqiao was a little dissatisfied.

He took a Huiqi Pill.

After waiting for a while, there was still no result. Liu Muqiao was a little impatient and said: "I'm going to meet the patient's family. No matter what, I can't give up. The operation has reached this stage, so there is no reason to give up."

"You can't say that. If you can't do it anymore, you have to give up." Hu Junjun said.

"I don't think so. For truly inoperable operations, it should be judged on the MRI. Unless there is extensive infiltration, including extensive infiltration of the abdominal aorta vein and small intestine, there is generally no need to give up. Let's go and see him.

It’s the patient’s family,” Liu Maqiao said.

Hu Junjun saw that Liu Miqiao had made up his mind and did not stop him.

Seeing the family members, Liu Muqiao said: "You don't need to discuss it anymore. I am your chief surgeon. The problem is not big. What Director Hu told you was mainly about theoretical complications in books. In practice, there are very few complications."

It will appear. Give me two hours and the operation can be done. After the operation, this patient insisted on taking the traditional Chinese medicine prescribed by me. The 5-year survival rate was about 40%, and the 3-year survival rate was very high. Not surprisingly,

, there should be a 90% probability. So, I suggest you not to give up."

Hu Junjun, who was standing by, felt flustered and short of breath, sweating all over his body, his legs were weak, and he would collapse if he continued talking.

Seeing that the patient had no obvious reaction, Liu Muqiao added a few words.

"Don't hesitate. There will be no problem. The operation will be very successful. Just wait for the good news."

At this time, the patient's father spoke.

"Doctor, you are wearing a surgical gown, hat, and mask. I can't tell your age. However, I feel relieved when you say that. Please do your best. We will not hesitate any longer and ask you to operate."<

/p>

Liu Muqiao smiled slightly and said, "I should have made up my mind like this a long time ago!"

Back in the operating room, Hu Junjun asked: "Do you think you are really sure?"

"Of course there is. Isn't it just cleaning and repairing the abdominal aorta? It's very simple."

The operation began.

When Liu Muqiao came on stage, he directly made a fuss about the abdominal aorta.

This is the most difficult part. If you eliminate this most difficult part, subsequent surgeries will become easier.

He peeled it off bit by bit with his fingers.

Hu Junjun on the other side was out of breath, fearing a sudden burst of arterial blood.

Hu Junjun’s prediction did not come true.

Liu Muqiao's separation was successful.

However, Hu Junjun was frightened at the next step.

Liu Muqiao said to start abdominal aorta dissection!

In other words, he wants to remove the cancerous tissue on the abdominal aorta.

The chance of abdominal aorta rupture suddenly increases.

Ninety percent chance.

Liu Miqiao didn't seem to notice Hu Junjun's nervousness, and he cut the abdominal aorta with the scalpel blade, bit by bit.

It's like walking on a tightrope at high altitude, my chest is about to explode due to nervousness.

Suddenly, a line of blood shot straight to the ceiling.

The abdominal aorta is ruptured!

Hu Junjun and several other assistants closed their eyes.

It’s too terrible to look at!

When they open their eyes, huh?

The bleeding stopped!

Liu Miqiao calmly pressed the abdominal aorta with one hand while cleaning the cancer cells on the blood vessel wall with the other.

"Thread the needle, catgut."

Hu Junjun quickly completed threading the needle and handed it to Liu Miqiao.

Liu Muqiao sews with one hand, using chain stitches.

"Thread the needle again, thread No. 0."

After the first suturing, Liu Miqiao released his right hand, and then quickly performed the second suturing. This time, he used interrupted suturing, which was very dense and required 8 stitches.

"It was successful?" Hu Junjun said in surprise.

"You still think it won't succeed? If it doesn't succeed, won't the patient die? You can imagine it." Liu Miqiao said with a smile.

"You can leave the rest to us," Hu Junjun said.

"No need, I'll do it. Are you going to do that kind of technique?" Liu Muqiao said.

"Regular." Hu Junjun said.

"Let me change the procedure. Have you seen the Vilishi procedure? I will demonstrate it to you. Forget the BAN procedure. This patient has waited too long. I will teach you next time."


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