I really don't want to be a doctor

Chapter 57

Yu Wenxing did not give up,
The entire abdominal cavity was slowly explored again.

Time, more than an hour has passed.

but,
Still nothing unusual was found.

Deng Liming's face was as heavy as water.

Although he has never had a laparoscopy, it does not mean that he is not familiar with the abdominal cavity.

in contrast,

He knows a lot about the abdominal cavity.

He has been dealing with the abdominal cavity for more than 30 years, and he has at least seen most of the common and rare ones on video.

But he knew very well,
At least within the scope of all probes so far,
Nothing unusual.

He was suddenly a little rejoiced,
Fortunately, Yu Wenxing proposed laparoscopic abdominal exploration.

If this is the case after a laparotomy,

He didn't even know how to talk to the patient's mother.

Although no problems have been found so far,
But at least,
No gash was left on the patient,

Patient costs are not high.

"Do you want to stop looking at the small intestine?"

Deng Liming asked softly.

Yu Wenxing nodded helplessly, starting from the suspensory ligament of the duodenum, slowly and carefully explored the small intestine again,
The small intestine was smooth and no abnormalities were seen.

"Could the lesion be inside the intestine?"

Li Xiaojun asked.

This is not impossible. Many lesions in the intestinal tract cannot be seen outside the intestinal tract.

"Maybe this patient has a psychogenic disease."

Deng Liming didn't find anything unusual, so he could only comfort himself and Yu Wenxing in this way.

"probably."

Yu Wenxing felt a little uncomfortable,
While continuing to turn his intestines, he shook his head.

The atmosphere in the operating room,
Dignified.

Even Tang Ling, who is usually smiling,

I can also feel this unusual atmosphere, and my expression is uncomfortable.

Yu Wenxing's operating lever is still moving.

But everyone can clearly feel that,
Yu Wenxing, who is usually full of confidence, is a little decadent at this moment.

Yu Wenxing was in a bad mood,

He hopes to do his best to help this little patient solve his pain,

But unfortunately,

He tried his best,
But it doesn't make sense.

"There is nothing perfect in the world."

Yu Wenxing sighed inwardly, and slowly completed the last investigation.

Li Xiaojun also saw that Yu Wenxing was not in high spirits, so he stopped talking.

Deng Liming's face became even darker.

The operating rod goes down slowly, and when it returns to the back of the blind again,
Yu Wenxing's eyes suddenly lit up.

"Ultrasonic Knife."

Yu Wenxing took out an operating rod and replaced it with an ultrasonic scalpel.

Immediately, Yu Wenxing carefully separated the mesentery above the ileocecal part.

He separated very slowly,

As if confirming something,
After the mesentery of the ileocecal part was completely separated, Yu Wenxing gently lifted the ileocecal part apart with non-destructive forceps, and a small twisted intestine appeared on the monitor.

This section of the intestine is very small.

But twisted horribly.

"Could it be."

Deng Liming's pupils suddenly dilated.

"appendix???"

Li Xiaojun asked incredulously.

After Yu Wenxing carefully identified it again, a smile appeared on his face,

"It's definitely the appendix!"

He never thought,

Here, there is such an appendix.

At least, this operation is not meaningless.

Even if the patient still feels abdominal pain after getting off the stage, he can still say that he did not open his stomach to see if there was any problem and then closed it again.

"Chronic appendicitis?"

Li Xiaojun still couldn't believe it.

Just appendicitis?

"The manifestations of chronic appendicitis are very atypical, and auxiliary examinations may not be able to find positive manifestations. Only after laparotomy can there be a chance of diagnosis."

Deng Liming said slowly, "Let's wait for the biopsy results to come out."

Although he said so,

But he also had a feeling,
All the symptoms of this patient should be caused by chronic appendicitis.

Yu Wenxing was even more certain.

After eliminating almost all known diseases, the only one left, no matter how outrageous, is the truth.

As a doctor of general surgery,
Yu Wenxing's theoretical knowledge is very solid,
He is confident,
I have ruled out almost all possibilities.

The appendix is ​​very small and twisted. It is difficult to separate the appendix blood vessels. But for Yu Wenxing now, it is not difficult at all. He can clearly separate the root of the appendix in three strokes and five divisions. After ligating the two sutures, , the appendix was cut out.

When the appendix, which was only 2cm long, was pulled out of the body,
Yu Wenxing smiled.

Maybe this is pride.

A sense of pride that only a doctor can experience.

The little patient did not have general anesthesia, and there was no need for an anesthesia recovery room, which saved another 300.

Touching the gas abdomen, the little patient's face finally stopped being so distorted, and he let out a heavy breath. It was only at this moment that the little patient's eyes showed a look of fatigue.

Persist for more than two hours.

Make him too tired.

"finished?"

After he said this, he fell into a deep sleep.

This startled Li Xiaojun. Just as he was about to call for help, he glanced at the stable blood pressure and pulse on the monitor, and then took a good look at the little patient. Then he smiled embarrassingly, "You little brat, at this time sleep."

"Come and try for more than two hours."

Yu Wenxing laughed.

"forget it."

Li Xiaojun waved his hand.

The patient was sent back to the ward, and the second patient was carried up again.

This time,
Li Xiaojun took the lead.

Li Xiaojun worked very hard, trying his best to control the joystick,
There are still more than 30 patients in the appendix group, and the volume of operations is now normal, and the speed of transferring patients from the lower hospitals has also decreased.

The first is that critical appendicitis patients are not always available.

The second is that the lower hospitals do not refuse Deng Liming's visits. When encountering critically ill patients, they also intend to discuss with their own hospital first, and then transfer to Jiangzhong County No. [-] Hospital if they really can't handle it.

This kind of discussion is indelible for the improvement of medical level. In the past, everyone was happy with the situation, picking up simple patients and repeated simple cases, which would not improve doctors too much.

And now, because of this constant discussion, doctors are forced to study hard.

Even doctors from township hospitals have already applied for laparoscopy training.

Deng Liming did not expect to have such a big impact on township hospitals. Perhaps this is the original intention of the medical alliance.

With the unconditional support from the higher-level hospitals, the lower-level hospitals dare to let go.

However, the hospital did not agree to the application for laparoscopy. After all, the First Hospital of Jiangzhong County did not even have the qualifications for laparoscopy.

However, laparoscopic surgery continues to be carried out.

Simple, Li Xiaojun did it.

For complicated ones, Yu Wenxing will do it.

The two of them cooperated more and more closely. After a few days of surgery, Yu Wenxing felt that I, Li Xiaojun, could do it myself.

After all, a laparoscopic appendectomy is, after all, an appendectomy,

For Li Xiaojun, who was already familiar with the structure of the appendix, there was not much difficulty.

(End of this chapter)