[Ding, test for level A surgery: flexible ureteroscope holmium laser lithotripsy]

[Warning: The risk of surgical failure is 70%...78%...83%]

[Warning! The risk of surgical failure exceeds 85%, it is not recommended to continue the surgery]

Just when the CEO of the Department of Urology was about to start the lithotripsy operation, Su Jie's retina was instantly stained with a faint blue arc of light.

The words formed by the arc of light made Su Jie stop the operation without thinking.

The risk of failure is as high as 85%. This is no longer a risk that a normal operation should bear. The surgeon must have missed some important information, causing the operation to go in the wrong direction from the beginning.

In fact, just after Su Jie stopped the operation and the boss of the urology department stopped lithotripsy and began to think about the patient's sudden urinary tract stones and septic shock, the system's warning gradually became weaker.

[Warning: The risk of surgical failure is 80%...75%...50%...]

【Alert lifted】

A 50% failure risk is at least a reasonable range, but in Su Jie’s opinion, it is still too high!

"This is really not normal."

The CEO of the Department of Urology frowned and said thoughtfully: "But something is too abnormal. In just one night, there is no reason for a patient to develop from urinary tract stones to septic shock so quickly. Moreover, under flexible ureteroscopy, there is no trace in the urethra."

Nothing special."

While talking, the CEO of the Department of Urology also deliberately adjusted the position and angle of the flexible ureteroscope. Compared with the previous doctor on duty, his operation was full of details, the lens moved dexterously, and the internal situation of the ureter was quickly panoramic.

Apart from the yellow stones of different sizes, there really is nothing special about it.

"Is there something wrong with the stones?" Su Jie suddenly asked, seeming a little reluctant.

"What can be wrong with stones..."

The boss of the Department of Urology smiled and shook his head, but the next second the smile solidified on his cheeks, as if he had thought of something.

Li Minghui pondered at this time: "The main reason for the formation of urinary system stones is that there is too much of a certain substance in the urine. The urine flow rate slows down and accumulates slowly. The core of the stone continues to gather after it is formed."

"The most common stone is calcium oxalate stone. Of course, there are also different types of stones such as phosphate, urate, and carbonate stones."

"But because of the stones, the patient quickly went into septic shock. I have never seen this before."

Li Minghui worked in the Department of Urology for a period of time when he first entered clinical practice, so he remembered the basic knowledge very well, and he could easily analyze the components of urinary tract stones.

But after all, he was still a cub back then. He had a solid foundation of basic knowledge, but there were fewer rare cases and special circumstances.

"Yes, I once saw a patient who developed septic shock twelve hours after urinary tract stones. In the end, the septic shock symptoms did not slow down but worsened after the operation. In the end, the patient died due to explosive systemic sepsis.

…”

The CEO of the Department of Urology said in a deep voice at this time, with an extremely serious expression on his face.

The department of urology rarely has acute and severe patients, and the prognosis of most patients is very good. This is an advantage of the department of urology, but it is also a heavy shackle for the department of urology.

This means that the Department of Urology cannot kill people.

Most of the patients in the emergency department are in critical condition, and their family members have already prepared for the worst when they are sent to the hospital. If they can bring the patient back safely, it is because of the doctors' wonderful rejuvenation, and the patient himself is blessed with great luck, but if it really happens

Can't go back...

In fact, many family members can accept it in their hearts. After all, they were so seriously injured that they had no choice but to accept their fate if they could not be rescued.

But the Department of Urology is different.

It's just a small stone in the urethra. It only hurts a lot. How could it possibly kill someone?

You walk in the ward of the Department of Urology, and if you go into any ward, you will see which patient is holding a urinary catheter and chatting and laughing, as if this is not a hospital, but more like a large flower and bird market!

And in this kind of department, if a patient suddenly dies, what will the family think?

Is it the cause of the disease?

Or is it... the doctor or the hospital?

Seeing other patients in the ward laughing and laughing, but their own family members covering their faces in white scarves, this kind of thing is difficult to find a balance in the eyes of most people, and it is also unacceptable.

"After the death of the last patient, the family had a long dispute. Although the final diagnosis result was issued by the relevant agency, which was not our hospital's responsibility, out of sympathy, the hospital still compensated the patient's family a large amount of money."

The CEO of the Department of Urology recalled: "The diagnosis after the patient's death was that the cause of death was that the stones contained a large number of bacteria!"

"During the operation, although the surgeon followed strict surgical procedures and took out all the stones after holmium laser lithotripsy, the moment the stones were crushed, a large number of bacteria hidden deep inside the stones were also destroyed.

Once released, the fragments can be removed by the stone extraction basket, but the bacteria cannot be recycled."

"The bacteria accumulated for more than twelve hours were released in an instant. The patient's body was obviously unable to withstand such a severe invasion. The systemic sepsis after the operation could not be corrected, and he died soon after."

After hearing what the boss said, the other three doctors on the operating table were stunned.

Although Su Jie had systematic reminders and knew that this operation would definitely not be as simple as usual, he still felt a little incredible when he heard the boss's explanation.

In other words, unlike other patients' stones whose main components are calcium oxalate stones, phosphates, urate, and carbonate, the main component of this patient's stones is bacteria?

Or to be more specific, a large number of stones cling to the inside of the stone, while the outside is covered with other ingredients, forming such a special infectious stone?

Under the camouflage of ordinary yellow stones, there is a fatal danger hidden inside?

If the current commonly used clinical method of ureteral stone removal is followed, with holmium laser lithotripsy followed by stone basket removal, the final result will be that a large number of bacteria buried inside the stone will be released in an instant, causing the patient to suffer from severe and difficult-to-correct systemic pus.

Toxaemia?

Thinking of this, all four doctors on the operating table broke into cold sweats. If Su Jie had not stopped the boss of the department of urology and allowed him to start the holmium laser lithotripsy, the patient would probably be in danger now.

"Thank you." The CEO of the Department of Urology looked directly at Su Jie and thanked him very sincerely.

To say that the most panicked person on the operating table at this time was the doctor on duty at the Department of Urology.

This was his first emergency surgery at the Urology Department, and he was extremely nervous. The success of placing the mirror before finally made him relax a little, but he didn't expect that he would make such a serious mistake in the blink of an eye.

He so carelessly ignored the important information provided by the patient's family, almost causing the boss to fall straight into the pit...

Gudong.

The doctor on duty at the Department of Urology swallowed hard. He was eager to say something to redeem his previous poor performance.

"Boss, we can lower the intensity of the holmium laser so that the stone is 'polished' instead of completely shattering it. This should not lead to the release of bacteria."

The doctor on duty racked his brains and offered suggestions.

But the boss frowned and said, "No, we can't take this risk. The patient has already shown symptoms of septic shock. Once the bacteria continue to enter the blood and the symptoms worsen, we will be in trouble!"

"Then, what should we do? If there are so many large stones, how can we remove them without crushing and polishing them."

The ureter is not a smooth road, it is more like a country trail. Some areas are wide, but some areas are winding and narrow.

The stones continue to gather and grow in a relatively spacious area. If they are not crushed and polished, it will be difficult for the surgeon to grab it and pass through other winding and narrow areas to take it out directly.

But at this moment, Li Minghui smiled and said: "It seems that the old almanac is not completely useless."

"Back when we were removing stones, there was no such thing as a holmium laser."
Chapter completed!