What should I do if a tumor is found in 6 months of pregnancy?Should the operation be performed immediately after the termination of the pregnancy and the induction of labor, or should the surgery be performed after the child is successfully born?Ms. Wang, a 40-year-old pregnant woman, encountered such a problem. Liu Dongming's expert team from the Department of Urology of Jiading Branch of Renji Hospital (Jiading District Central Hospital) gave a "win-win" plan - "fetal protection and tumor removal".
Ms. Wang likes children, and at the age of 40, she is pregnant with her third child, and the family is overjoyed, however, when she was examined two months ago, she found a tumor with a diameter of 8cm in her right kidney. When seeking help at the best local hospitals, doctors agreed that the tumor was huge and there was a great risk of continuing the pregnancy. To prevent further progression, surgery is recommended immediately after induction of labor**.
This news was like a bolt from the blue, and Ms. Wang's family could not accept it. In order to save the fetus in their wombs, they sought medical treatment everywhere, and finally found Liu Dongming, chief physician of the Department of Urology of Shanghai Renji Hospital. After receiving the consultation, Liu Dongming learned about the patient's condition in detail and gave a different plan, and Ms. Wang's heart also settled down.
Kidney tumor removal surgery for pregnant women is extremely risky, and the slightest carelessness can lead to serious consequences of not saving the fetus. However, seeing that the mother in front of him wanted this child so firmly and trusted herself so much, Liu Dongming still decided to "protect the fetus and remove the tumor".
After a careful analysis of the risks and pros and cons of the surgery, Ms. Wang and her family decided to give it a go and accept the doctor's advice. Under Director Liu's arrangement, Ms. Wang was soon admitted to the Department of Urology of Jiading District Central Hospital to undergo surgery.
In order to ensure the smooth progress of the operation, before the operation, the team of Director Liu Dongming of the Department of Urology, together with Director Zhu Yijun of the Department of Anesthesiology and Director Shi Qin of the Department of Obstetrics and Gynecology, carried out a joint consultation, evaluated the condition of the patient and the fetus in detail, and made sufficient plans.
Under the escort of the multidisciplinary team, Liu Dongming's team performed laparoscopic surgery for the patient's right kidney cancer. During the operation, the condition of the patient and the fetus in the womb were stable, and the operation was very successful
After the operation, the Department of Obstetrics and Gynecology followed up and evaluated the fetus for many times, and the fetus was normal. During her hospitalization, the nursing team of the special needs ward also attached great importance to Ms. Wang and gave her both physical and mental care. With the close cooperation and meticulous care of the medical staff, Ms. Wang was successfully discharged from the hospital on the 10th day after surgery. Before being discharged from the hospital, Dr. Fu Qibo of the Department of Urology also formulated a detailed postoperative follow-up and *** plan for Ms. Wang.
After being discharged from the hospital, Ms. Wang's family presented pennants to the urology team and the nursing team of the special needs ward. These two pennants contain the true feelings of doctors and patients, and condense the hard work of medical staff.