Great Medical System in a Veterinarian-Chapter 467 - 210: Plans Can’t Keep Up with Change, Condition Worsens, Racing Against Death for Another Surgery!

Chapter 467: Chapter 210: Plans Can’t Keep Up with Change, Condition Worsens, Racing Against Death for Another Surgery!

"Currently, the ultrasound suggests the presence of a fishbone-like foreign object within the liver artery."

After Old Zhan arrived, he directly pinpointed the fishbone with precision and assisted the expert team.

"Our colleagues in radiology processed the patient’s CT images and conducted a 3D reconstruction and CT angiography of the thoracoabdominal aorta, also confirming the fishbone is located in the liver artery."

The radiology teacher also displayed a colleague’s 3D reconstruction and angiography images.

The large screen showed two images.

Both were marked with yellow arrows.

With these annotations, the location of the fishbone became very clear.

"I really didn’t expect it, but within a few hours, the fishbone actually traveled from the aortic arch to the liver artery!"

The whole interdisciplinary medical team in the conference room exclaimed in astonishment.

The speed was truly fast.

"It could be because the aorta is relatively large in diameter, and the blood flow within the artery is fast, causing the fishbone to rush to the distal artery after falling into the aorta. It stopped in the liver artery possibly because the liver artery has a certain curvature instead of a straight line, and also because the fishbone may have stimulated the liver artery causing arterial spasm, leading the artery to contract to a size close to the fishbone."

Professor Wang is the director of vascular surgery at Ji Da.

He is also a doctoral supervisor at Jidai Medical College, a first-tier expert mainly specializing in vascular surgery and liver transplantation vascular reconstruction, so he provided an analysis immediately.

"Previously I was concerned about whether the fishbone damaged or pierced the liver artery or caused liver blood circulation obstruction, but it seems for now, such severe outcomes have not occurred."

He added another sentence.

Once the fishbone pierces through the liver artery, causing obstruction of blood flow to the liver, the patient’s condition would become critical.

"What should we do in this situation? Should we remove it immediately or opt for conservative treatment? Everyone can share their opinions based on their experiences freely."

Huang Xiangning encouraged everyone to speak freely at this moment.

After all, she is experienced, but she is only familiar with the emergency field, and she still maintains a learning attitude towards many things.

Especially in such complex situations like now, a full department discussion is needed.

"Currently the fishbone has been confirmed to be in the liver artery, but the fishbone may not always stay in the liver artery. If more time passes, it could pierce the liver artery or flow into smaller branches of the liver artery that are closer in size to the fishbone. My suggestion is to surgically remove it as soon as possible."

At this time, the voice of the director of hepatobiliary surgery rang out.

Even though there is no danger now.

Such a foreign object inside the body should be removed immediately.

"Old Wei, although the fishbone was found in the hepatic artery, the patient just underwent thoracotomy exploration and currently is not suitable for immediate second surgery, I’m not in favor of it."

The deputy director who just participated in one of the surgeries in the thoracic surgery department said at this moment.

After all, they just performed thoracotomy.

Moreover, the patient is quite old and has some underlying diseases, apparently unable to withstand a second ordeal.

"Yes, the patient just underwent surgery and all vital signs are relatively stable. I also suggest monitoring to see if there are any other discomforts besides postsurgical chest pain such as fever, abdominal pain, or bloating. If not, it would indicate that the fishbone has not yet caused any damage to the vessel wall in the liver artery, and since the liver artery is relatively small in diameter, the possibility of it relocating is relatively low."

Director Wang of the vascular surgery team from the external support nodded, agreeing with the words of the deputy director who just participated in the thoracic surgery.

And he also started analyzing.

"But..."

Half an hour quickly passed.

"Alright, let’s make this decision, let Vice Director Huang communicate with the patient’s family."

The final decision was made.

Let Huang Xiangning go communicate.

"Okay, no problem, I will now go out and communicate with the patient’s family."

After thorough discussion across the department and considering the patient’s actual physical condition, a conservative treatment plan was formulated first.

Because the patient just underwent a thoracotomy exploration, they can’t endure another ordeal in a short time, forcibly removing the fishbone already in the liver artery might lead to unforeseen dangers.

Furthermore, there exists the possibility of not finding the fishbone again, as it can move within the arteries.

Positional changes during surgery might affect its location, potentially causing the patient to suffer gravely.

The outcome of their discussion also needs to be communicated with the patient’s family.

Thus he came to the ward.

"Vice Director Huang, what is the result now? Can the fishbone in my wife be removed?"

Uncle Niu saw Huang Xiangning walking toward them, indicating that a decision was likely made, and asked immediately.

"It’s like this, after discussing among multiple departments, we have drafted a general plan and would like to discuss it with the family."

Huang Xiangning said.

"Vice Director Huang, please go ahead."

The three of them looked at each other.

"We have now located the fishbone in the liver artery, but since the patient just underwent chest surgery today, she can’t undergo a new round of surgery yet. Therefore, the expert team suggests that she undergo conservative treatment for one week first, and then undergo surgery after a week. What do you think?"

Huang Xiangning asked.

"Indeed, I’ve actually had this thought before. My mother’s body probably can’t withstand such a procedure."

Upon hearing this, Niu Caicai nodded.

"Vice Director Huang, we will follow your arrangement."