I'm a god of medicine

Chapter 400 Aren't You Going To Change Your Lap?
Many people think that teratoma is brought out by the patient from the mother's womb, and that tumor is the brother or sister who was 'killed' by the patient.Even some doctors think so.

This is simply wrong.

So far, the pathogenesis of teratoma has not been clearly determined, and it is most likely related to factors such as abnormal changes in embryonic germ cell differentiation.

The saying that 'it was originally twins, but one of them was killed by the other, and the dead one attached to the living body, forming a teratoma' is simply untenable, it is purely ignorant rumors.

Most of the patients with teratomas are women, and they can occur in the intracranial or gastric body. The most common site is the ovary, and a very small number of male patients can occur in the testis. Most of the teratomas that occur in these parts are mature teratomas. , That is, benign tumors, and a small number of patients will occur in the sacrum, like an extra tail. Most of this type of teratomas are immature tumors, that is, malignant teratomas.

From the B-ultrasound examination, the little girl's teratoma occurred on the left ovary, and a cyst was formed inside the tumor. It may be because the little girl just came to puberty, and the hormone level in the body has changed significantly. It may also be because It was caused by other reasons, in short, the teratoma had an extremely rare inflammatory manifestation, and the fluid in the cyst increased rapidly, causing the tumor to expand, causing the little girl's lower abdomen to bulge.

The operation is not difficult, and the general gynecological attending doctor has a certain degree of confidence in this type of operation, either through laparotomy or laparoscopy, to remove the tumor and one side of the appendage as a whole, and then do a quick pathology during the operation. If it proves to be a mature tumor, the operation will be terminated. If it is an immature tumor, the scope of surgical resection will be expanded.

Can the attachment on the affected side be preserved?

Although women have two sets of appendages on the left and right sides, two sets of fallopian tubes and two sets of ovaries, cutting off one of them does not seem to have much effect... Theoretically speaking, it is true, just like the human body has two kidneys, cutting off one of them, The effect on physiological function is basically invisible.

But the reality is that women only rely on one side of the appendage, and their hormone levels and future pregnancy chances will be affected to varying degrees.

Yang Xi was thinking about whether he could keep the affected side attachment for the little girl, and the system seemed to be thinking about it too. Just as Yang Xi installed the laparoscopic instruments, and when he was exploring the surgical field, the system displayed a surgical demonstration. Suddenly incarcerated.

On the stage, Yang Xi couldn't help being stunned.

Seeing this, Gao Yong asked with concern, "What's the matter?" Gao Yong really couldn't figure out why Yang Xi was stunned. The operation was not difficult, and it was simpler than ordinary laparoscopic cholecystectomy. If the battle can be resolved within an hour, for Yang Xi, what problems would cause him to be stunned on stage?

"I was wondering if I could keep the affected ovary." Yang Xi responded flatly.

The sudden incarceration of the systematic surgical demonstration did have an impact on Yang Xi, but the impact was not too great.If it is decided to keep the ovaries, the big deal is to change to laparotomy. If it is still done according to the traditional operation method, Yang Xi can successfully complete the operation even without a systematic operation demonstration.

Hearing this, Gao Yong couldn't help frowning, held Lian Xiangdong's hand, adjusted the angle of the laparoscopic lens, and carefully observed the anatomical structure of the tumor and ovary.

"The shape of the ovary is not bad, and there is a possibility to keep it, but..." Gao Yong paused, took a deep breath, and continued: "Then it needs to be changed to open surgery to be safe."

At this moment, the system's surgical demonstration became smooth again.

"Exquisite!" Yang Xi couldn't help admiring.

Gao Yong on the other side couldn't help being startled, I just made a suggestion, how did he get Xi Shao's praise?
How rare!

Yang Xi smiled lightly, and said in disguise: "Boss, you are not afraid of trouble for yourself, and you can consider the interests of patients. You are really a fastidious person."

Gao Yong returned a disapproving look, Boss, I am loyal and kind, of course I am a fastidious person.

But in fact, the admiration that Yang Xi blurted out was aimed at the little maniac.

The first step of operation provided by the system is not free ligation of the ipsilateral fallopian tube, but puncture of the tumor and suction of fluid in the sac.In other words, the surgical plan formulated by the system was thought of together with Yang Xi.

Save the patient's ovaries!

"Old Yin, turn on the video recording equipment. It's a pity that it's too late to broadcast live, otherwise..." Yang Xi's words came to an abrupt end.

Ma De, it's true that he almost slipped his tongue, and he can earn a lot of charm points, but if he said it, others would have to regard him as a male god... crazy.

With a gloomy face, Yin Wei got up to adjust the equipment.Grandma has a leg, I am getting less and less face-to-face in front of you monster, what kind of full-time anesthetist put aside in advance, just say this name, it used to be called by brother Yin one by one, but now it is the old Yin who opened his mouth and kept his mouth shut , after a while, maybe this bastard will call himself Xiao Yin.

On the stage, Gao Yong asked in surprise, "Aren't you going to change your belly?"

Yang Xi shook his head and said, "Try it first, if you really can't do it, it's not too late to change."

Yin Wei turned on the video recording and said with a sneer: "This evildoer just complained that it was too late to broadcast live. If you can say that, you must be sure in your heart."

Yang Xi chuckled.

nonsense!

With systematic guidance, how can there be any surgery that cannot be performed?At most it just takes longer.

Yin Wei returned to the anesthesia area, and said to Yang Xi again: "Listen to people's advice, eat enough, brat, let's change to laparotomy, don't forget that there are two operations behind you, if I delay my meal Let's see how I clean you up for lunch!"

Yang Xi gave Yin Wei a supercilious look.

Not at all!

What can I do if I delay your lunch?

Bite me?
Can you catch up with the young master?
Lai Xiaoye a meal?

There are millions of cash in my system account, and hundreds of lucky draw opportunities, would you care about the cost of one or two meals?

But seeing Yin Wei's eyes widened, Yang Xi quickly looked away, the young master was wrong, and the young master admitted that he cared about the price of the one or two meals, okay?

Get down to business now!

Under the guidance of the system, Yang Xi first sucked out the fluid in the sac, and then peeled off the junction of the tumor and the ovary little by little.The precision is similar to peeling grape skins, except that the guy in his hand has changed from a conventional instrument to a laparoscopic instrument.Laparoscopic instruments are not as convenient as conventional instruments, so naturally they cannot peel off six grape skins in 10 minutes.

However, in the eyes of Yang Xi, even a tractor can't match the operation, in the eyes of Gao Yong, Yin Wei and others, it is still a top sports car.

After 40 minutes, Yang Xi finally peeled off the deflated teratoma from the affected ovary.

(PS: The surgery in this chapter does not conform to medical practice, please do not take it seriously.)
(End of this chapter)