My medical skills are a billion points

"Ectopic pregnancy is an abnormal pregnancy process in which the fertilized egg implants and develops outside the uterine cavity. It means that the fertilized egg should have implanted and developed in the uterus, but it went to another place.

The most common place where ectopic pregnancy occurs is the fallopian tube.That is, the fertilized egg implants and develops in the fallopian tube.

As the fertilized egg develops, the fallopian tubes rupture.Patients often experience abdominal pain, dizziness and shock.

Your spouse's situation is quite special, the abdominal pain is not obvious, the main reason is dizziness and palpitation.We now need an operation to remove the fallopian tube on the diseased side. If the operation is not performed, life will be in danger. "

Xiao Chu explained in such detail, and directly told the man about the harm of this disease.

If he still disagrees with the operation, it means that he doesn't want his wife to live.

Chapter 36

Hearing that the operation would kill him, the man nodded half-understood.

"I agree to the operation, doctor, then you should quickly perform the operation on my wife."

Xiao Chu said again: "For ectopic pregnancy surgery, there are two options. I need to tell you which one you choose."

"The first type is conventional surgery. A transverse incision is made on the stomach. This kind of surgery is painful and slow to recover. The advantage is that it costs less."

"The second type of surgery is laparoscopic surgery. This kind of surgery is to make a few holes in the stomach without surgery. It is less painful and quicker to recover. However, it costs a lot. This surgery costs about 2 yuan. Think about it, which surgical method to choose?"

Before the laparoscopic technique came out, Xiao Chu certainly didn't need to talk about it so much, just do conventional surgery directly.

But now with laparoscopic technology, it is equivalent to giving patients one more choice.

The main difference is in the cost issue.

Therefore, it is necessary to explain clearly to patients or family members and let them choose by themselves.

After hearing Xiao Chu's explanation, the man said without any hesitation, "Give my wife a laparoscopy. I don't want him to suffer so much."

Xiao Chu saw that his clothes were not very upscale.

It seems that the family conditions are also average.

However, he was able to agree to do laparoscopy, it seems that he loves his wife very much.

Xiao Chu took out the consent form for the operation and asked the man to sign it.

All the preoperative preparations have been done, and the patient has been pushed into the operating room.

While washing his hands, Xiao Chu said to Zhou Ziqiang: "This patient needs to be treated with a laparoscope."

Zhou Ziqiang, who was brushing his hands, suddenly stopped.

Ectopic pregnancy surgery is nothing more than a secondary surgery.

Zhou Ziqiang, who is the attending physician, has done dozens of cases.

Although it can't be said to be extremely skilled, it can be done completely without accidents.

He knew that Xiao Chu's operation for appendicitis was a batch of bulls.

Hand surgery is also awesome.

But he didn't think that Xiao Chu could do everything, even ectopic pregnancy surgery.

So before going on stage, he thought about it.

He was the chief surgeon himself, and then Xiao Chu was his assistant to complete the operation.

But Zhou Ziqiang never expected that what Xiao Chu talked to his family about was actually to use laparoscopy to perform this ectopic pregnancy operation.

Zhou Ziqiang was stunned all of a sudden.

He can't use laparoscopy to perform ectopic pregnancy surgery!

Seeing Zhou Ziqiang who was brushing his hands stunned, Xiao Chu asked: "What's wrong, Brother Zhou?"

Zhou Ziqiang smiled awkwardly.

"Did you really talk to the family members about using a laparoscope for this operation?"

"Ok!"

Xiao Chu nodded.

Zhou Ziqiang suddenly showed a wry smile.

"This is trouble!"

"Did I do something wrong?"

Even Xiao Chu couldn't figure out what was going on with Zhou Ziqiang's expression.

Xiao Chu thought that he had done something wrong.

"You didn't do anything wrong, but the current operation cannot be performed immediately."

Zhou Ziqiang dried his hands and sighed.

"Brother, let me tell you the truth, I don't know how to do laparoscopic surgery."

"We're still waiting for Director Chen to come and do it, but now Director Chen is on stage and won't come down for a while, what do you think?"

In fact, Sun Guodong can also perform laparoscopic surgery for ectopic pregnancy.

However, Zhou Ziqiang and Chen Bin are a couple.

It was impossible for him to ask Sun Guodong for help, and he couldn't face it.

So he could only wait for Chen Bin to get off the operating table before performing this ectopic pregnancy operation.

However, Chen Bin's operation seems to have just been on stage not long ago, and he doesn't know when it will come down.

If the patient can't wait, he may have to change the operation plan and can only use conventional surgery.

In doing so, although breaking the promise to the family members, it is better than medical malpractice.

What did Xiao Chu think Zhou Ziqiang was worried about?

It turned out that he couldn't do laparoscopy.

Xiao Chu smiled slightly.

"What's so difficult about it? I can do laparoscopy for this operation."

"what?"

"You can do it?"

Zhou Ziqiang's eyes widened in surprise.

"Really or fake? This is not a joke!"

Xiao Chu said: "Brother Zhou, do I dare to make fun of you for matters related to human life?"

Zhou Ziqiang was completely shocked!

Xiao Chu would definitely not lie.

In other words, he really knows how to use laparoscopy to perform ectopic pregnancy surgery.

In other words, Xiao Chu would not be able to do this surgery without him.

Such an awesome person, is he really a hospitalized trainee from the county seat?

Anyway, Zhou Ziqiang couldn't figure out what to think.

Since Xiao Chu said he would do it, Zhou Ziqiang believed in Xiao Chu.

Because it's not a joke to go on stage for surgery.

If Xiao Chu went to the stage for surgery, then there would be no need to wait for Chen Bin to come down.

Patients can also undergo surgical treatment as soon as possible to avoid danger.

The two came to the operating table, and the patient was anesthetized.

And Xiao Chu first spent [-] points to activate the laparoscopy technique, then spent [-] points to upgrade to the intermediate level, and then spent [-] points to upgrade to the advanced level.

There is no need for laparoscopic technology to be world-class, advanced laparoscopic technology is enough for Xiao Chu to sweep away the provincial doctors.

Although Zhou Ziqiang does not know laparoscopic techniques, there is no problem at all in completing the operation with Xiao Chu, a senior expert, leading him.

Xiao Chu only needs to guide Zhou Ziqiang and let him hold the mirror.

Take all the rest.

Zhou Ziqiang did the job of spreading the towels and disinfecting them without saying a word.

He now feels like an intern in front of Xiao Chu.

Xiao Chu picked up the scalpel and made a longitudinal incision below the navel chakra.

Cut the skin 1 cm and puncture it with a puncture needle.

What Xiao Chu has to do now is to make a few holes in his belly to put in the laparoscope.

Zhou Ziqiang stood opposite Xiao Chu and stared at Xiao Chu's operation without blinking.

One is to see how Xiao Chu's laparoscopic technique is, and the other is to take the opportunity to learn.

Xiao Chu's boiling water test confirmed that after entering the abdominal cavity, he was inflated with CO2 gas.

The intraperitoneal gas pressure reached 12mmHg, and the hepatic dullness disappeared.

This is the first step of laparoscopy, first to create artificial pneumoperitoneum.

The main purpose is to provide enough space for the operation and expand the field of view under the microscope, and to avoid accidental damage to organs and tissues.

Although Zhou Ziqiang doesn't know how to do laparoscopy, it's not that he doesn't understand the operation process at all.

He looked at Xiao Chu's incomparably skillful manipulation techniques.

I also admired secretly in my heart.

This Xiao Chu is really a monster!

There is almost no surgery he can't do!

It seems that Xiao Chu is going to become a knife in the provincial hospital!

While Zhou Ziqiang was thinking to himself, Xiao Chu successfully punctured once with a 10mm Trocar.

Put into the laparoscopic monitor, and make the second, third, and fourth punctures at the right and left anterior superior iliac spine 5cm inside, and 8cm above the pubic symphysis, respectively. 5mmTrocar was placed in each, and instruments were inserted for operation.

Under the surveillance mirror, it can be clearly seen that the pelvic cavity is filled with dark red free blood, nearly a thousand milliliters.

The uterus is anterior, full, and congested. The left ovary is about 3*3*2cm, with a smooth, off-white surface.

The ampulla of the left fallopian tube is 5*4*3cm enlarged, purple-red, with a breach on the surface, bleeding into the abdominal cavity, and the tissue is accompanied by edema.

Obviously, the enlarged part is the implantation of the fertilized egg in the ampulla of the fallopian tube.

Therefore, bleeding is caused.

The right ovary is about 3*3*2cm, and the appearance is normal, and the appearance of the right fallopian tube is normal.

After Xiao Chu carefully inspected the abdominal cavity under the surveillance mirror, Zhou Ziqiang finally said: "Obviously, this is a ruptured pregnancy in the ampulla of the left fallopian tube. Fortunately, it was discovered early, otherwise it would be troublesome."

Xiao Chu nodded and said, "There's a lot of bleeding, and I'm going to salvage it myself."

Then start pelvic flushing to remove free blood.

At the place near the uterine horn of the left fallopian tube, electric hook electrocoagulation was used to cut off the left fallopian tube, and the wound surface was electrocoagulated to stop bleeding.

Flush the pelvis well until the water is clear and check for no active bleeding.

Spray sodium hyaluronate on the lesion.

From the first puncture port, a self-made garbage bag is placed, and the surgical specimen is implanted in the self-made garbage bag, and taken out through the first puncture hole.

Evacuate the Surveillance Mirror and Trocar.No. 7 silk suture below the umbilical cord was used to suture the anterior sheath of the rectus abdominis muscle.

No. 4-0 absorbable suture was used to suture the puncture site without bleeding.

The whole operation was done perfectly.

Seeing Xiao Chu's series of crazy operations, Zhou Ziqiang was amazed.

"Xiao Chu, you are really unexpected."

"I didn't expect your laparoscopy skills to be so powerful! Looking around, you are almost invincible!"