This is also why doctors always emphasize to patients the importance of postoperative review and long-term medication.
"Did you find it?" Since she couldn't keep up with the pace of the operation, Lin Chenrong had no choice but to ask her about the results again.
"There is three."
What! ?
The onlookers at the scene suddenly discovered that the one who actually threw the bomb among them and blew them up was probably not the surgeon but her classmate Xie. "You said three?" Lin Chenrong raised her fingers and counted three. She couldn't believe her ears for hearing the numbers and asked her. He didn't see any good or bad. Turns out she said three.
"It's three." Xie Wanying said firmly.
"Three in a row?"
"No, the two positions are relatively close, and the other one is farther away." Xie Wanying said.
Three, so many, could this situation be beyond the preoperative prediction of neurology? Lin Chenrong and the others saw a collective silence among the doctors at the neurosurgery department.
A cardiologist might express surprise at the number of three.
For neurosurgeons, this disease is not unfamiliar and does not require much surprise.
Multiple intracranial aneurysms MIA is not a rare clinical case. It accounts for an average of more than 20% of the overall incidence of intracranial aneurysms. The most common age group for the disease is Dr. Hu's age. Female patients are three and a half times more likely than male patients, and some patients are characterized by high blood pressure. If you think about it carefully, it would not be too surprising for this patient to be diagnosed with such a result.
What keeps neurosurgeons silent is probably how to deal with this disease.
The clinical treatment principle for MIA is that it is best to remove as many tumors as possible at one time and avoid secondary operations as much as possible.
Why do we have to deal with it all at once? Because the cause of MIA is caused by congenital factors and acquired factors, but congenital factors account for a large proportion, it can be said that the so-called aneurysm is an abnormal bulge caused by congenital artery wall defects. In this case, it is common in clinical practice that tumors in many patients are discovered after they have followed the patient's growth for many years. When discovered, the tumor is about to explode or has already exploded.
It is equivalent to say that most of these tumors will increase over time, and if they increase to a certain extent, they will endanger the patient's life. In the past, patients had no symptoms before the attack, and they could not detect it in daily physical examinations, so they did not know how to deal with it. If you know it, you must deal with it as soon as possible to avoid the destined explosion.
Can neurointerventional surgery remove several tumors at one time? I'm not a cardiologist, so I don't really understand.
Lin Chenrong walked back to Jin Tianyu and discussed in a low voice: "If you don't speak outside the nerves, are you considering switching to craniotomy surgery?"
If you don’t understand the neurosurgery profession, you can only observe it from the expressions of your neurosurgery colleagues. The colleague said nothing and had a solemn expression, indicating that there was a high possibility that it could not be handled in the interventional surgery room, and it was possible to switch to craniotomy.
Jin Tianyu crossed his chest with both hands.
It was when I saw Deputy Director Lu picking up his cell phone that he seemed to be contacting the operating room and anesthesiologist on the third floor.
However, it is not this person but Cao Yong who can make the final decision.
As for the big experts appointed by the outer hospital, the boss, Director Zhai, remained silent.
In short, we can wait and see if the surgeon operating in the operating room has any next steps. If so, it means that the neurosurgery will continue to try interventional surgeries.
