I really don't want to be a doctor

Chapter 196 Notes Method

The scalpel is sharp,
The appendix is ​​opened,
There are indeed fecal stones in it, and the hyperplasia of follicles is also obvious, which is a typical manifestation of appendicitis.

After carefully removing the fecal stones and washing them with antibiotics, Yu Wenxing slowly sewed up.

In fact, he has no idea.

Although the incision of this type of operation is not large, it is already too large for the small appendix itself, almost completely cutting the appendix itself.

such a big mouth,

Will suturing cause the appendix to narrow again?

This is something he has to think about,
after all,

The inner diameter of the appendix is ​​only 2-3mm,

It is much smaller than the 5mm-7mm of the common hepatic duct or the 6mm-10mm of the common bile duct.

Even for the common hepatic duct or common bile duct, before Yu Wenxing, there was no precedent for direct suturing.

And now,
However, the only 2mm appendix has to be sutured,
One can imagine how difficult this stitching was.

"This patient should have another surgery."

After sewing, Yu Wenxing poked the appendix with non-destructive forceps, and sighed softly.

A good surgeon can see the postoperative situation during the operation,

Although he thinks he sewed it well,
but,
The inner diameter of the appendix is ​​really too small, any narrowing may lead to appendicitis again,

not to mention,
In the inner diameter of 2mm, there are countless thin wires passing through,

Although the 11-0 thread used is already the ultimate suture thread,
but.
Gu Jianjun nodded lightly,
He could also understand what Yu Wenxing meant,
He was originally an expert in gastrointestinal tract, and he had considered the disadvantages of this method very clearly before the operation, but it was because of Yu Wenxing that the patient was recruited.

And obviously,

The situation during the operation is not optimistic.
At least for now,
The possibility of reoccurrence of appendicitis or even abscess around the appendix is ​​very high.
appendix stenosis,

It will inevitably lead to poor drainage.

And poor drainage will inevitably lead to re-emergence of inflammation.

Not beyond the two's expectations,
After general anesthesia, the patient still had abdominal pain repeatedly.

After repeated administration of analgesics, the effect was not good, and the patient was pushed back to the operating room again.

After coming and going again and again, today's time was delayed, and it was already afternoon when Yu Wenxing returned to the minimally invasive center.

After looking around at the patient, Yu Wenxing returned to his room and began to think slowly.

In fact, the original intention of this technique is very good.
The appendix can be preserved for the patient,
But this method of operation is absolutely wrong.

The difficulty of suturing the appendix is ​​far beyond imagination.

No less than blood vessels.

and,

Because there is blood circulation in the blood vessels, even if there is a slight hindrance, as long as the blood can flow normally, there will be no problem;

And the appendix,
It is already at the end of the intestinal tract, if there is a little obstruction, it will cause poor drainage,
cause inflammation,

This approach is not advisable.

Yu Wenxing made a conclusion for this technique in his heart, and the moment he shook his head and stood up, Yu Wenxing suddenly thought of another method.

"This"

Yu Wenxing's body suddenly froze in Yuandi, and he kept simulating in his mind.

Correct,
It is indeed a good idea to remove the bezoar and keep the appendix.

in case,

If the appendix cannot be opened externally to remove the bezoar,
That.
Can the bezoar be removed from it.
Another technique appeared in Yu Wenxing's mind,
ERCP!

Endoscopic retrograde cholangiopancreatography.

Yu Wenxing is not unfamiliar with this technique. It is inserted from the mouth to the duodenum, and then the special instrument is introduced, and then the bile duct is retrogradely explored. If stones are found, they can also be treated.

That.
Does the appendix have the same solution?
Yu Wenxing began to ponder.

The duodenum connects to the jejunum, the lower part of the jejunum is called the ileum, the ileum connects to the cecum, and the cecum connects to the appendix.

That.
Can it also be inserted directly from the mouth to the appendix like this method?
quickly,

Yu Wenxing denied this idea,

The distance from the oral cavity to the appendix is ​​too far, and there is no such long mirror at present.

Can.
Yu Wenxing thought of another possibility!
Mouth can not enter!
Anal can!

Thinking of this possibility, Yu Wenxing became excited.

This is definitely the way to go.

took out the phone,

"Professor Gu, help me find another appendix patient!"

Yu Wenxing said.

"Xiaoxing, didn't you say that this technique is completely meaningless?"

Gu Jianjun has a bag on his head,

He was really tired today, and he received a call from Yu Wenxing as soon as he lay down on the bed.

"I thought of a new approach!"

Yu Wenxing said excitedly.

"Oh, okay."

Gu Jianjun wanted to ask how to do it, but he didn't say it.

hang up the phone,

Gu Jianjun was not in the mood to sleep, got up from the bed, sat by the window and began to think slowly.

Looking at the bright moon outside the window,
Gu Jianjun frantically thought about how to change this technique.

I thought about it for a long time,

Gu Jianjun came to a conclusion,
That is, the stitching thread should be thinner.

After all, what he heard from Yu Wenxing today was because the lumen of the appendix is ​​too narrow, even if the 11-0 suture is used, the lumen of the appendix will be narrowed.

The way to solve this problem,
Then there is only one,
The sutures are thinner.

"Could it be that Xiao Feifei has some new invention?"

Gu Jianjun thought of this possibility, took out his mobile phone and called Bai Feifei.

Unfortunately,
No.

Think about it too, how can a company specializing in laparoscopy make breakthroughs in sutures?Gu Jianjun took a sip of strong tea and started calling the familiar director.

Early the next morning, the patient came to Shangyuan Hospital,
of course,

All medical expenses are still free.

Under Gu Jianjun's instruction, all preoperative examinations of the patient were completed within an hour. After signing the consent form for the operation, the patient was pushed into the operating room.

Yu Wenxing also came.

Yu Wenxing stayed up all night, frantically calculating the pros and cons of this approach in his mind.

The advantage is obvious,
If it can be successful, not only will it not leave scars on the patient's body surface, but it will also solve the pain.

Basically, it is the notes method in the true sense, that is, the scarless method.

And the disadvantages are also obvious,
There is no data on postoperative follow-up, and the cost is not low.

"Is there a colonoscopy in the operating room?"

When walking to the operating room, Yu Wenxing asked.

"Colonoscope?"

Gu Jianjun looked confused, thought for a while, "There should be."

Colonoscopy is generally managed by the Department of Gastroenterology, but one will be prepared in the operating room, and sometimes it is used when intraoperative exploration is required.

"Okay, ask the worker to push the colonoscope over."

Yu Wenxing nodded.

Gu Jianjun really didn't understand the purpose of Yu Wenxing's colonoscopy.

Is there something wrong with this patient's colon?
Flipping through the medical record board, Gu Jianjun thought for a long time and came to a conclusion.

I still can't figure it out!

(End of this chapter)