Taoyuan little fisherman

Chapter 659 Autologous Transplantation
Dr. John nodded after hearing this, and added: "The incubation period of liver echinococcosis is as long as 5-30 years, and the course of the disease progresses gradually, very slowly, and often occurs in young and middle-aged people aged 20-40.

The initial symptoms are not obvious, and a mass in the upper abdomen can be discovered by accident and start to attract attention.When it develops to a certain stage, there may be a feeling of fullness in the upper abdomen, slight pain or corresponding symptoms caused by oppression of adjacent organs.If the mass oppresses the gastrointestinal tract, there may be epigastric discomfort, loss of appetite, nausea, vomiting, and abdominal distension. "

Gerald confirmed: "My father has always had liver disease, so he didn't take these symptoms seriously. Because he was busy with work, he didn't pay much attention to it. He took medicine when he felt uncomfortable, so the illness was delayed."

Wang Tianhui continued to add: "The patient has liver disease itself, and the liver hydatid erodes the liver to aggravate the condition, and then the condition develops rapidly, causing the cyst to rupture into the bile duct. pain, jaundice.

Breaking into the abdominal cavity, in addition to peritonitis, due to the toxic albumin contained in the cyst fluid, it often causes allergies and shock in severe cases.

Pleurisy occurs when it breaks into the chest cavity, and then breaks into the bronchi, coughing up cystic fluid containing bile and forming a bronchial fistula. "

The more Wang Tianhui spoke, the wider Dr. John's eyes widened.

"How do you know all this?! This is more detailed than what we can check with our instruments."

With the approval of Mr. John, the Geralds completely admired Wang Tianhui.

"If the hepatic hydatid cyst was removed early, the difficulty of treatment would be very low, but until now, there is basically no hope of survival." Wang Tianhui's tone meant to blame Dr. John.

Doctor John blushed, bowed his head and was speechless.

"But I can't blame you. After all, only people in poor and backward areas get liver hydatid disease. Who would have thought that a dignified earl would get such a poor and lowly person's disease? You must have regarded it as a disease from the beginning. Liver cancer was treated, and the result became more severe." Wang Tianhui boldly guessed.

This time not only Dr. John blushed, but also Mr. and Mrs. Gerald.

Because Wang Tianhui guessed it right.

Just when the atmosphere was extremely embarrassing, a little nurse suddenly ran out of the operating room.

"Mr. John, it's not good. The patient has a high fever. The injection of ammonium barbital doesn't work. The high fever is still continuing. What should I do?!"

"High fever? How many degrees?" Dr. John asked anxiously.

"38.9." said the nurse.

A patient who just finished a major operation suddenly had a high fever, which was very serious, and Dr. John's sweat came down instantly.

He immediately put on his mask and prepared to rush into the operating room.

Before entering the door, he yelled at his assistant, "Hurry up and prepare another surgical gown, and let Mr. Wang come in too!"

This time, he didn't ask for the opinion of Viscount Gerald and his wife, but directly extended an invitation to Wang Tianhui.

Of course, the Geralds did not object, and now they are both panicking.

"One more set, I want to go in too! I want to accompany my grandfather and cheer for her!" Olivia said excitedly.

Doctor John glanced at Olivia and said, "You can go in, just watch quietly and don't talk!"

"En!" Olivia nodded, and then took the surgical gown from the assistant.

Wang Tianhui and Olivia entered the operating room together.

At this time, the doctors and nurses in the operating room were all busy, staring at the data on the instrument while rubbing alcohol on Earl William's body to cool down physically.

When Wang Tianhui saw Earl William on the hospital bed, he couldn't help but gasped.

The old man had been tortured badly by liver echinococcosis.

He had jaundice due to liver damage, his skin was as yellow as if he had been coated with iodine, and his whole body was dry and thin, leaving only a piece of skin, only his stomach was swollen and bulging, like a big-bellied toad.

Wang Tianhui stared at Earl William's stomach, and suddenly his scalp went numb.

Although most of the lesions in the liver have been removed by surgery, the abnormally enlarged liver is almost covered with worms, and the dense forest makes people uncomfortable.

The entire abdominal and pleural cavity is full of fluid, and the inflammation is very serious.

It can be said that he has been able to last for so long.

Now Dr. John's team is working hard to cool down Earl William. High temperature is very harmful to the body, especially the brain. If the high fever continues, the brain will be damaged soon. Even if Earl William is saved, he may be in a vegetable state. .

"Mr. Wang, do you have any good suggestions?" Doctor John asked Wang Tianhui.

Earl William's fever was worse than he expected. He was a little confused now, not knowing what to do next.

As the chief doctor of the royal family, this was the first time he panicked.

Wang Tianhui sighed and said: "You are lonely after this surgery. To be honest, it's okay if you don't have the surgery. After the surgery, the hydatid liver didn't go away much, but a large piece of the liver was cut. Earl William's physical condition Just weak, and now even weaker, with his current physical condition, let alone resisting the disease, it is difficult to protect himself."

Hearing what Wang Tianhui said, Dr. John's sweat came down.

"At first we planned to replace his liver, but Earl William's condition was more serious than we imagined, so we temporarily decided to remove the lesion for him, and let him rely on his own immunity to survive. This is the only way. said Doctor John.

"Who said it was the only way?" Wang Tianhui said.

"Then tell me, what else is there to do? I have been practicing medicine for decades, and besides early resection and late liver transplantation, I have never heard of a third method." John said in disbelief.

"I didn't say there is a third way, but have you ever thought about it, since his current body can't withstand the rejection and can't transplant other people's livers, why not move his own liver?" Wang Tianhui asked rhetorically .

"Autologous transplantation? What do you mean?" John was shocked.

"It is to remove his liver, then clean up the lesion and repair the damaged part, and then re-transplant the repaired liver back into the patient's body. This can reduce the area of ​​liver resection and prevent rejection, but it is a test of the doctor's skills. I don't know if you can do it." Wang Tianhui said.

Doctor John sorted it out in his mind for a long time with surprise on his face, his jaw almost dropped in shock.

"Autologous transplantation is still possible like this! We have never considered this aspect before, Mr. Wang, you are really amazing!"

Then he patted his chest again and assured him: "I have absolutely no problem with the technology. I have done the most precise surgery in the world, not to mention repairing a liver, even a surgery as precise as a craniotomy. I have never made a single mistake."

Dr. John is the best doctor in the Eagle Country. Maybe he is not so flexible in his mind, but his hands are definitely the most flexible in the Eagle Country.

(End of this chapter)