Chapter 324: 318 Being Too Precise Is Actually Wrong

After the treatment plan was decided, Director Qian was responsible for communicating with the patient's family.

Zheng Ren and Su Yun returned to the emergency ward.

Along the way, Zheng Ren remained silent.

He doesn't like leaving things to chance, just like TIPS surgery—everyone is taking a gamble, but Zheng Ren "wasted" countless hours of surgical training to reduce the possibility of leaving things to chance.

Adenomyosis, clinically speaking, is merely a small problem that can be "cured." But the foundation for solving this problem is built upon destructive hysterectomy.

However, interventional embolization really can achieve therapeutic effect, but the probability of letting patients escape this hellish torment is very low.

Zheng Ren estimated over the past few days that his earlier optimism seemed too high. The patients who truly benefit from the surgery are absolutely no more than 20%.

Zheng Ren doesn't like that.

Returning to the emergency ward, Zheng Ren gave a brief instruction, then went back to the on-call room, lay on the bed, and entered the system space.

In the space, a gentle breeze swayed, refreshing the heart and spleen.

The small pond's ripples shimmered, full of vitality.

The little white fox lay before the thatched hut, its two eyes lively and vivid; Zheng Ren felt that no matter where he was, the fox was watching him.

Zheng Ren tried to communicate with that little fox, but there was no result.

The system, this big pig trotter, has always been aloof, and the aloof never communicates with him.

Zheng Ren, helpless, exchanged for surgical time and entered the system operating room.

Perhaps to many, adenomyosis is just a minor ailment, but in Zheng Ren's eyes, it is as hateful as cancer.

Especially now, the age of adenomyosis patients continues to decline, and it is spreading to young women who have not yet given birth.

Spending some surgical time to try to possibly resolve this disease as much as possible seems only natural to Zheng Ren.

The operating room rose from the ground, the experimental subject lay on the operating table, and Zheng Ren did not rush to perform surgery; instead, he first examined the patient's various preoperative tests.

Auxiliary examinations clearly showed that the adenomyosis was localized, located at the cervical position.

Upon realizing this, Zheng Ren immediately constructed a smooth surgical pathway in his mind.

Success was certain; Zheng Ren was full of confidence.

Then, let's begin the interventional surgery.

Because we are in the system space, the system defaults that all experimental subjects are patients with localized adenomyosis.

This also indirectly proves one point—diffuse adenomyosis is not an indication for interventional surgery.

Even possessing the system space, Zheng Ren is not omnipotent.

The etiology of adenomyosis remains unknown to date; the current consensus is that due to a lack of submucosal layer in the uterus, the basal layer cells of the endometrium proliferate and invade the muscular layer, accompanied by compensatory hypertrophy and hyperplasia of the surrounding muscular layer cells, forming the lesion.

Zheng Ren performed super-selective arterial angiography, seeking abnormal proliferative images in the angiogram.

Basal cell proliferation leads to the appearance of abnormal capillaries.

In super-selective arterial angiography, more contrast agent can be retained, showing on the image as a darker area compared to other locations.

Zheng Ren easily located the localized basal cell proliferative portion.

The subsequent surgery was simple—embolization, then angiography; finding no signal at the adenomyosis site, Zheng Ren considered it a success.

Yet the system judged the surgery's completion degree…… actually only 60%!

Barely passing.

The surgery consumed very little time—only a dozen or so minutes.

Such a procedure, if the patient weren't severely traumatized, after interventional embolization for pelvic fracture with vascular rupture, Zheng Ren could simply perform angiography and embolization as a matter of course.

That was exactly what Su Yun meant at the time.

But Zheng Ren feared the patient's condition might be poor, leading to other complications, so he did not give the patient treatment.

Looking now…… it's indeed insufficient; surely there's something we overlooked.

Because the surgery completion degree…… actually only 60%.

But where could the problem lie?

Zheng Ren did not continue the surgery; he sat foolishly by the pond, beginning to ponder.

Like pre‑operative research for a TIPS procedure, Zheng Ren discovered that sharpening the knife truly does not delay the work of chopping wood.

If we perform the surgery hastily, we can only reach a 60% level, still limited to localized adenomyosis.

What can we do about this?

He struggled to recall the literature and materials he had read.

But Zheng Ren previously worked in general surgery, so he would read liver cancer materials; however, he genuinely skimmed over adenomyosis resources.

After thinking for a long time, Zheng Ren was not nervous either.

Anyway, Director Qian's side communicating with the patient's family takes at least half an hour to an hour, so there is no urgency like before an emergency TIPS surgery.

Adenomyosis…… problem…… surgery……

Could it be that my angiography is problematic? Zheng Ren suddenly had this thought flash through his mind.

Zheng Ren's angiography has always been super-selective; that is, one must enter the fine three‑ or four‑branch arterial divisions before performing angiography.

Many doctors dislike doing this, because being super‑selective means prolonging surgery time and increasing the doctor's radiation exposure.

But doing so also has many benefits, such as making the surgery more precise, etc.

Why would the surgery completion degree be insufficient? Zheng Ren felt it should be because some part of the adenomyosis had not been treated.

The residual lesions could be early‑stage changes, or very slight alterations elsewhere in the uterus.

It's like growing grass—some seeds have already sprouted vigorously, while others remain dormant. Performing surgery, we only treat the grown weeds; those deeply buried weed roots are left untreated.

Right!

Zheng Ren slapped his thigh hard.

It hurt fiercely.

Uh... I can't be this excited from now on; hitting myself is never good.

Being too meticulous has instead become a problem; who can I reason with?

Zheng Ren smiled, with a thought, the System Operating Room rose up from the ground, and again began Shou Bing.

This time Zheng Ren did not perform an overly meticulous super-selective artery angiography.

As soon as the catheter entered the uterine artery, angiography began immediately.

Indeed, the experimental subject's uterus showed more fine points.

The denser areas are the currently diseased regions, while the less dense spots are areas that may develop problems later.

Zheng Ren knew that the rest, he just needed to embolize as much as possible.

Even the prostate's fine capillaries can be embolized, let alone the feeding arteries of uterine adenomyosis.

As each lesion was embolized one by one, the surgery completion percentage in the upper right of Zheng Ren's view kept soaring.

60%……65%……70%……

It took 2 hours and 12 minutes, and the surgery was finally completed.

Surgery completion, 100%!

Zheng Ren glanced at the time and gave a wry smile.

A minor surgery, he himself turned it into a major one.

However, limited-type uterine adenomyosis can achieve nearly 100% surgical treatment, which is absolutely a huge gain.

But Zheng Ren knew that only he could do it.

After all, Intervention Grand Master Level is no joke.