Super Doctor: Become Stronger From Signing In

Looking at the woman who had fallen into a semi-coma, Su Yang knew that the operation could no longer be delayed. He looked at the middle-aged man and asked seriously: "Let's make a decision."

The middle-aged man sighed for a long time, then looked at the young woman lying on the hospital bed, and then slowly said, "Doctor, I respect her decision."

"I see."

Su Yang said lowly.

He turned his head and said to Dong Xin: "Call the operating room to prepare for laparoscopic surgery, and then ask the obstetrics and gynecology department to send a doctor to cooperate with the operation."

Just now, Su Yang thought about it. The conventional method would definitely not be able to complete this extremely difficult appendicitis operation without stimulating the fetus.

The only way is to make a small incision in the abdomen and introduce it into the abdominal cavity with a hysteroscope catheter to perform the operation.

However, in this case, the difficulty is greatly improved. Due to the enlargement of the uterus, a suppurative appendix can be found under normal incisions.

Not to mention that under hysteroscopy, the field of view is very limited, and because the appendix has been purulent and pus has accumulated in the abdominal cavity, it is even more difficult to find the appendix accurately.

"good."

Dong Xin nodded and ran out to make a phone call.

"Doctor, please be sure to save both mother and child, please!"

The middle-aged man finished speaking and bowed deeply to Su Yang.

Su Yang saw the middle-aged man bow, held him gently, and slowly said, "I will try my best."

In half an hour.

The young pregnant woman has been pushed into the operating room. Su Yang stood at the door of the operating room and briefly explained the methods and risks of the operation to the middle-aged man before entering the operating room.

At this moment, a woman with a disheveled hair, wearing a nurse's uniform, trot over, grabbed the middle-aged man by the collar, and said hysterically: "Wang Hao, you still have the face to come here and say, the one inside, is it you? The wild woman outside, she broke the wild seed for you, right?"

The middle-aged man pushed away the middle-aged woman angrily and said, "Fu Jing, I have divorced you, and none of this has anything to do with you."

Su Yang saw through the glass window of the operating room door that the woman with loose hair was the head nurse Fu Jing.

In this way, the middle-aged man in front of him is Fu Jing's ex-husband, the young woman who is about to undergo surgery, and his identity is self-evident.

"I tell you, this is the retribution for your cheating!"

Fu Jing looked at her ex-husband bitterly and said.

"We have been separated in fact for three years, but you have been reluctant to sign. Now Axiu is going to have an operation. Don't make trouble unreasonably."

The middle-aged man said angrily, even before meeting A Xiu, Fu Jing's endless suspicion and savage entanglement had already made him exhausted.

Su Yang saw the scene in front of him, not knowing what to say, and sighed.

Until he walked into the operating room far away, Su Yang still heard noisy noises coming from outside the operating room.

Soon, Su Yang dressed neatly and came to the operating room.

The young woman was already pale and lying on the hospital bed with her eyes closed.

"The patient's vital signs are stable and surgery can begin."

Said the anesthesiologist.

"Well, let's start the operation, Dr. Lu, the monitoring and evaluation during the maternal operation will be left to you."

Su Yang said solemnly. Standing across from him was Lu Chenxi, the chief physician in obstetrics and gynecology.

"I see, Dr. Su."

Lu Chenxi answered.

The current situation has exceeded her expectations. The results of the abdominal ultrasound show that this young woman not only has uterine abnormalities, but also has an abnormal fetal position.

In the process of appendicitis surgery, a little carelessness that stimulates the fetus or uterus will most likely cause the umbilical cord of the fetus to wrap around the neck. In this case, the fetus cannot be saved.

"Scalpel number four."

Su Yang said loudly.

The instrument nurse standing by, handed the scalpel to his hand.

Su Yang picked up the scalpel and made a small 2cm incision beside the right rectus abdominis muscle higher than Mc's point.

"Doctor Su, is the field of vision not enough for such a small incision?"

Lu Chenxi said with some worry.

"I'm sure, no matter how big the incision is, it will stretch and stimulate the uterus."

Su Yang said seriously.

"Now I want to introduce the catheter into the laparoscope, Dr. Lu, the condition of the mother's uterus and fetus, I will trouble you to monitor it."

Su Yang continued.

"I see."

Lu Chenxi nodded, picked up the ultrasound probe and placed it on the skin of the young woman's abdomen. On the electronic screen of ultrasound at the bedside, she kept looking at the fetus in the young woman's abdomen.

Su Yang picked up the laparoscopic catheter and carefully inserted it into the incision. Soon, the real-time image of the abdominal cavity appeared on the electronic screen next to it.

hiss. . .

When everyone saw the picture on the electronic screen, they all took a breath.

Because the abdominal cavity is already full of pus at this time, this shows that the appendix has been purulent and perforated, and the pus has spread to the entire abdominal cavity.

In this case, the suppurative appendix must be found, removed and ligated, and then the pus must be sucked out.

Otherwise, allow the pus from the perforated appendix to spread, and once it spreads to the uterus, not only the child, but even the uterus will not be saved.

Lu Chenxi, who was standing opposite Su Yang, was also awkward. In such a situation, he had to perform blind exercises.

It is to judge the location of the appendix based on experience when there is no field of view at all, and then perform excision and ligation.

It is conceivable that if the judgment is wrong, the excision is not the appendix, but the colon or cecum, and the pus will flow into the intestines instantly, causing serious systemic infection and sepsis, and even death. Shock.

Su Yang looked at the electronic screen and lowered his head. He had no vision at all, and it was useless to look at it.

[System, open the diagnosis and treatment optimization system, optimize the current operation, additional tags-simplified]

[Ding, completed]

Soon, the surgical plan was transferred to Su Yang's mind, which included the extremely accurate location of the appendix.

It seems that simplifying this function is the greatest possible way to simplify the operation process, especially in the face of such an operation that has no visual field at all, to be able to directly find the lesion in one step.

Relying on the precise positioning of the system, Su Yang quickly determined the location of the appendix.

"Doctor Lu, pay attention to monitoring the condition of the fetus. I am about to start removing the appendix."

Su Yang lowered his head and said.

"Doctor Su, are you sure?"

Lu Chenxi still wanted to ask again, all this is a matter of life and death!

"Well, I'm sure."

Su Yang said lightly.

He is sure that it is not difficult to find things according to the diagram.

"Okay, I know."

Lu Chenxi's heart was twitched, but seeing Su Yang's calm look at this time, she felt a little more relieved inexplicably.

The process of removing the appendix is ​​actually very simple. At the level of Su Yang, it can be completed in 20 minutes. This is because the operation is performed under laparoscopic surgery.

If you have a field of vision and use both hands to perform the operation directly, Su Yang is confident that it will take no more than ten minutes at most.

Soon, Su Yang lifted the catheter, and a dark green purulent appendix was clamped out of the abdominal cavity.

The instrument nurse on the side hurriedly handed over the tray.

Seeing that Su Yang put the removed appendix on the tray, everyone breathed a long sigh of relief. Next, just suck the pus clean, and then lavage the abdominal cavity with saline and antibiotics.

Moreover, due to the small incision, the suture is very fast.

In half an hour.

Su Yang completed the suture of the abdominal incision.

When Su Yang made the sutured incision and covered it with gauze, everyone in the operating room looked at Su Yang with an extraordinary admiration.

At this level, I have to accept it!

"Doctor Su, can I ask, how do you accurately judge the position of the appendix when you have no field of view?"

Lu Chenxi said curiously.

"Feel it."

Su Yang still said lightly.

I really want to feel this way too!

This was the strongest thought in Lu Chenxi's mind at this time.

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