I really don't want to be a doctor

Chapter 151 Mission Completion [[-]]

The patient's family members fell into constant self-blame.

"It's all my fault. If I knew about it, I would have brought the child to the hospital earlier."

"It's all my fault for dragging the child's illness to such a serious level."

"Blame me"

After blaming herself, women can only put all their hopes on the doctor.

Re-sterilize the drapes,

Continue to put the whole anesthesia on.

"Call the blood bank first and prepare 3 units of blood."

"Knife!"

Deng Liming has not stood in this position for a long time,

His current task on stage is to stand on the platform,

There is really not much time for him to do it himself.

A flashing scalpel was handed over to Deng Liming. Deng Liming held the knife in his right hand, and the index and middle fingers of his left hand tightened the patient's skin. The next moment, his knife cut through the skin.

Pull it directly from under the xiphoid process to the navel, make a half circle around the navel, and then pull it down a centimeter, Deng Liming stopped.

big cut,
it's that big
Central laparotomy in the abdomen!

The patient did not have much subcutaneous fat, and Deng Liming did not change the electric knife. He held the gauze in his left hand and the knife in his right.

The peritoneum was quickly opened.

laparotomy,

It's really a caesarean section.

Even scarier than cesarean section,
Such a large wound puts a lot of pressure on both the patient and the operator.

Deng Liming took a deep breath,

"Pull the hook."

The cesarean retractor is also very large.

Standing in the position of the second assistant, Yu Wenxing tried his best to open the incision as far as possible.

Deng Liming first put his hand into the abdominal cavity, and rubbed it bit by bit.

hand touch,

It cannot be replaced by the joystick.

Not everyone has Yu Wenxing's proficiency in the joystick, and they believe in the feeling brought by direct touch with hands.

He touched very slowly,
Starting from the liver in the upper right abdomen, Deng Liming touched everything he could touch, including the spleen and bladder.

bit by bit,
inch by inch
After groping his entire abdomen, Deng Liming's face turned dark.

"Wet gauze, big one."

Deng Liming whispered.

Open the wet gauze, this time, Deng Liming was even slower.

"Some intestinal perforations are so small that they can't even be seen without looking carefully."

Deng Liming found a possible diagnosis for himself and began to investigate.

First, the transverse colon and its mesentery were pulled apart, exposing the small intestine.

His first probe was the appendix.

After all, right lower quadrant abdominal pain, the first consideration is still appendicitis.

But Deng Liming didn't look for it blindly, but looked at it inch by inch,
Especially the mesentery of the intestine, he looked very carefully,
Is there ischemia or edema?

move down a little bit,
"There's a little congestion in the intestines here."

When Deng Liming saw the junction of ileum and cecum, Deng Liming's spirit trembled suddenly,
There is congestion here! !
Although the congestion is not obvious, at least it can be explained to the patient's family members.

enteritis.

"Yes, I just saw this section of intestine under a laparoscope."

Yu Wenxing nodded.

"See?"

Deng Liming was stunned,

Why didn't I see it just now.

"Correct."

Yu Wenxing nodded.

Deng Liming didn't speak, he first wrote down this gut, and continued to move down.

The colon belt was pulled out. Deng Liming repeatedly held the colon belt in his hand and looked at it for a long time, confirming that he did not see the appendix, and was just about to put the intestine back.

Yu Wenxing said suddenly, "Director."

"??"

Director Deng looked up suspiciously.

"Do you think surgery has been done here?"

Yu Wenxing pointed to the colon belt.

Deng Liming read it a few more times, and immediately took a breath, "Where's the appendix??"

below the colonic band,

There is indeed no appendix.

and,

There is no trace of surgery here.

Appendectomy, whether it is laparotomy or laparoscopy, will leave traces, such as scars, such as clips.

But this colonic band,
Incredibly smooth.

Where can I see the slightest abnormality.

"I probably understand."

Yu Wenxing nodded slightly, and a name of a disease that had never been seen before popped up in his mind.

"Understand what?"

Deng Liming was even more confused.

"Nothing, let's investigate first."

Yu Wenxing shook his head.

Deng Liming didn't ask any further questions and continued to investigate.

Deng Liming's face turned even darker after the entire abdominal cavity was examined.

Except for the slightly congested intestinal lumen.

the entire abdominal cavity,

No abnormalities were found.

"I still don't believe it!"

With enteritis to explain?

can,

but,
After so much effort and such a long operation, it seems a bit unwilling to explain it with enteritis.

Can,
What can be done then?

Deng Liming's gaze returned to the back to the blind department.

appendix!

When all possibilities have been ruled out, the most unlikely diagnosis becomes possible.

Deng Liming's diagnosis at the moment returned to the appendix.

"Maybe it's gone inside! I'll take a look at the back."

Deng Liming was not convinced.

The abdominal organs are divided into extraperitoneal organs, interperitoneal organs, and retroperitoneal organs.

But the exploratory laparotomy has already checked all the organs. At this moment, Deng Liming's thought is that the appendix has mutated, and it has grown from the outside of the peritoneum to the retroperitoneum.

And carefully cut the colon band,

The retroperitoneum is opened,

After Deng Liming read it carefully,
No appendix cord was found.

this moment,
Deng Liming stopped,
he knows,
It's time for him to make a diagnosis.

The operation time has exceeded six hours,

Now that almost all possibilities have been eliminated, there is absolutely no point in continuing.

Glancing at the opened abdominal cavity,
Taking another glance at the CT of the abdomen that was not clear, which was stuck on the reading light, Deng Liming sighed softly,

"Close the abdomen. This patient is considered to have enteritis."

"This"

Although Li Xiaojun did not want to admit this diagnosis,

But no way,

Deng Liming read it, Yu Wenxing also read it, and he himself also read it.

In addition to enteritis,

Probably no longer a reasonable explanation.

"what do y'all think?"

Deng Liming still asked a symbolic question.

"I think it should be."

Li Xiaojun sighed.

"However, this patient is really strange. Although enteritis can cause abdominal pain, it is too difficult for this young man to explain that enteritis has not been relieved repeatedly for half a year."

Enteritis, which is inflammation of the intestinal tract,
Generally speaking,
Like this young man with normal immunity, even if there is inflammation in the body, he can quickly control it through his own immunity.
As for this patient, he has not been relieved for six months, which is a bit unexplainable.

"Besides, this section of the intestinal tract obviously has very mild inflammation, this kind of inflammation."

With that said, Li Xiaojun sighed.

"Uh,"

Deng Liming was in a daze,
He couldn't explain it either.

Too,

Although there is very little congestion in the intestinal cavity,

But this little inflammation,
Will it cause repeated abdominal pain for half a year?
"Besides, we didn't find the appendix of this patient."

Li Xiaojun is still thinking about this question,

This is his biggest problem today.

"Uh"

Deng Liming didn't know how to explain it.

"Actually, it should be the diagnosis of enteritis!"

Yu Wenxing spoke suddenly.

Without waiting for Li Xiaojun to ask questions, Yu Wenxing continued, "This patient's symptoms are indeed considered to be enteritis, but he is a bit special; we have not found the appendix of this patient."

"So, my diagnosis is, congenital absence of the appendix.

"And we all know that the appendix is ​​a shelter for probiotics in the human body, and this patient's congenital absence of the appendix led to a decrease in immune cells, which led to an imbalance in the flora. Therefore, repeated enteritis and repeated right lower quadrant pain appeared. .”

"Right, that is it."

Yu Wenxing nodded affirmatively.

"The task is completed, the reward experience value is 1000, and the current remaining experience is -6327."

(End of this chapter)