Ms. Cai, who has undergone a total of 4 abdominal surgeries before and after "appendectomy, caesarean section, cholecystectomy, and radical endometristomy", will face a fifth abdominal surgery to remove the mass that has grown in the pelvic cavity for 2 years.
For such a person, multiple abdominal surgeries were performed
Patients with adhesions to intra-abdominal tissues and organs
Ms. Cai's appeal to remove the lumps
After visiting several hospitals, he was rejected one after another
Conservative treatment is recommended
Ms. Cai was reluctant to give up, and after many inquiries, she learned that the Zhabei Central Hospital in Jing'an District had introduced an excellent obstetrics and gynecology medical team from the tertiary hospital, and she decided to give it a try.
It turned out that 2 years after the endometrial cancer surgery, 64-year-old Ms. Cai found another mass in the pelvic ultrasound examination, and she was afraid of the recurrence of the cancer. However, the condition of abdominal adhesions not only increases the difficulty and risk of surgery, it is easy to injure blood vessels, intestines, bladders and other organs.
Xing Feng, director of the obstetrics and gynecology department of the hospital, carefully reviewed the medical history, combined with the previous diagnosis and treatment records, he gave the recommendation for surgery: "The patient's abdomen is seriously adhesion after multiple operations, and the difficulty and risk of re-operation are very large. But if there is no surgery, there is really no better solution at present."
After repeated deliberation and communication, in line with the goal of putting the patient's quality of life first, Xing Feng finally decided to perform surgery for the patient.
After careful preoperative preparation, on the operating table, in order to avoid the most adhesion to the most severe tissue, the chief surgeon Xing Feng abandoned the traditional laparoscopic method of peri-umbilical peri-umbilical perforation, punched a hole 2 cm to the right of the upper umbilicus, and successfully placed the laparoscope after puncture.
During the operation, the team worked closely together to successfully peel off all the adhesions little by little without damaging other organs, and finally found the cystic mass hidden in the vaginal stump, successfully separated and removed all of them, and the whole operation took 1 hour and 30 minutes.
After the operation, Ms. Cai learned that the pathology report showed that the lump was benign, and excitedly took the doctor's hand to express her gratitude, thanking the doctor for not only curing her physical disease, but also curing the heart disease that weighed on her heart, and she could finally spend the New Year with peace of mind.
Xing Feng, director of the Department of Obstetrics and Gynecology of Zhabei Central Hospital in Jing'an District, introduced: "This operation does face great challenges, after four operations, abdominal adhesions are almost all over the entire middle and upper abdomen, and the adhesions may imply the intestinal tube and various new blood vessels, a little carelessness will cause damage, light bleeding leads to unclear vision, must be operated to stop bleeding; heavy damage to the intestinal tube, bladder, etc., resulting in serious consequences, which is also the main reason why most experts do not recommend minimally invasive surgery for patients with multiple abdominal surgery history. ”
Xing Feng said that the success of the operation was due to the hospital's strong surgical team, relying on accurate judgment of the anatomical position and excellent laparoscopic operation technology, coupled with full preoperative preparation and close intraoperative cooperation, to complete the operation together. As a doctor, in the face of the patient's appeal and trust, we will do our best to turn the "impossible" into the "possible" and let the patient achieve the best treatment effect.
Reporter: Wang Wenying
Photo: Wang Wenying
Edit: Lu Jinglin
Source: Zhabei Central Hospital, Jing'an District