write yet having recovered from an operation type nightmare of 9 hours without rest or respite. These situations leave you exhausted not only physically but especially from the point of morale. Stand it because you have to finish the job: an operation can not end because you're tired or stressed, or not serve the handover times, or hunger or sleep. There are no excuses that are worth: only worth a job well done.
is a young woman and I say it is my age and that also influences-diagnosed several months ago of a colon tumor with multiple bilateral liver metastases. When diagnosed, the 8 segments of a single liver was not affected by the disease. Presented at the meeting and decided to recommend chemotherapy. After 10 months of chemotherapy was reintroduced in session with an answer-size reduction of metastasis. After careful consideration we decided that if there was a possibility of removing metastases. The surgery meant removing 5 of the 8 segments of the liver to what was necessary to make a left portal vein embolization to achieve the remaining liver to grow enough to allow intervention.
far so perfect. At 9 am we started the incision and from the very beginning we realized that the intervention would be an obstacle: the liver had a dimpling appearance of shape metastases and chemotherapy in addition to adhering to the stomach a previous intervention. After exploring the abdomen and an ultrasound, we were wondering if it was possible resection or not. We knew it was the only chance that the patient is cured or at least got longer survival. The patient had been informed of the risks of surgery and had stated that the assumed. After weighing all the options we decided to go ahead. The resection was extremely complex, but we do it after 6 hours of intervention. When we finished we realized that the arterial blood of the little that we could maintain healthy liver was not suitable. To solve it we had to arterialized the holder to an anastomosis between the hepatic artery and portal vein. Among the above described, to give us hemostasis and close at 6 pm-9 hours of surgery with a break of 15 minutes. After the family informed of the situation patient and high risk for liver-fatal complication in most cases, the mother and father were older and did not understand the extent of their disease and less-technical explanations in these situations is difficult to capture the information. Once the drink is bad news to write the surgical protocol, talking to anesthesiologists and intensive care physicians. Results from the hospital at 7.30, ten hours after the start of the intervention.
The feeling of physical fatigue, stress accumulated frustration at failing to perform surgery without technical problems, the conversation with the family, explain to the rest of the companions, and in short, the feeling that all that effort was in vain and that the patient's hopes had been frustrated, got to be a day really hard, do not forget that, of those who leave scars and torn pages of the calendar. By now the patient is well, but with data from liver dysfunction, as expected.
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