I am a kryptonian doctor

"Perforated appendix? The problem is quite big!"

"There is also chronic peritonitis and infection has occurred. So I recommend using Taineng! And in large doses."Obstetrician Zhou Jingning said in a deep voice. Yang Tian was listening. He knew that Taineng is a broad-spectrum antibiotic. This drug is safe and has a low incidence of side effects.

"Is it okay for the fetus to use large doses?"Yang Jinrong still couldn't help but ask.

"There should be no problem, otherwise I wouldn’t dare to use such a large dose. Zhou Jingning said confidently. She has been an obstetrician for so many years and has experienced a lot of similar patients. Only with her rich experience can she dare to use medicine like this.

"Okay, now that Dr. Zhou has solved the problem of surgical infection and appendicitis infection, the next step is to discuss what type of surgery should be used. Yang Jinrong smiled and said

"Since the patient is a 6-month-old pregnant woman, I do not recommend traditional appendicectomy surgery. Such surgical wounds are relatively large and can easily affect the fetus during the operation. Zhang Zongrong said solemnly

"Your suggestion is to use laparoscopic appendicectomy? Yang Jinrong frowned and said

"Yes, laparoscopic appendicectomy has a small incision, less postoperative pain, faster postoperative recovery, and less impact on the fetus."Zhang Zongrong said.

Yang Tian knows that this laparoscopic appendicectomy is different from traditional surgical appendectomy. This laparoscopic appendicectomy is not like traditional surgery. It only requires three small holes, and the largest hole is only 3 cm to 4 cm

"I admit that this laparoscopic appendicectomy is less harmful than the traditional open appendicectomy, but I remember that this operation takes about half an hour or more. Second, this laparoscopic appendicectomy requires general anesthesia! What are the effects of general anesthesia on pregnant women and fetuses?"Yang Jinrong looked at anesthesiologist Liu Qiang

"For a 6-month-old pregnant woman like this, the current patient's fetal heartbeat is unstable and there are slight uterine contractions.

I do not recommend general anesthesia!

Because general anesthesia still has an impact on pregnant women and fetuses.

Also, once general anesthesia is given, the patient's family and the patient must sign a waiver of pregnancy.

I'm afraid that the patient and the patient's family will disagree~" explained anesthesiologist Liu Qiang.

Giving up the pregnancy is equivalent to signing a contract to protect the older child and abandon the younger child.

In other words, if there is a problem during the operation, the doctor will give up the child and save the adult.

For the family members I guess many people will disagree! This is the problem!

"What is the probability of this impact?"Yang Jinrong asked

"It depends on luck. Maybe ten pregnant women will not be affected, but among a hundred, maybe four or five will affect the fetus! The probability is 5%."Liu Qiang didn't dare to vouch for it. He had given general anesthesia to several pregnant women before, and everything was fine. But one of his fellow seniors gave general anesthesia to pregnant women in other hospitals, and something went wrong!

This is why they often dare not give general anesthesia to pregnant women during anesthesia. , it’s basically local anesthesia. If it’s local anesthesia, there will basically be no problem.

Yes, no one dares to bet on the 5% chance. What if the bid is won?

"You mean, you recommend local anesthesia?"Zhang Zongrong said

"Yes, I recommend local anesthesia, it’s the safest and best!"Liu Qiang nodded.

"In this case, we can only give up on laparoscopic appendicectomy. Only traditional surgical appendicectomy can be used."Zhang Zongrong sighed

"However, the risks of traditional surgical appendicectomy are not small.

First, the incision is large and the operation is more dynamic than that of laparoscopic appendicectomy.

Second, although local anesthesia is good, the current condition is complicated and the operation may take too long.

The current situation of pregnant women is not optimistic.

Unless, unless the operation can be completed within 15 minutes!

Make the dose of anesthesia smaller so that pregnant women can recover from anesthesia as quickly as possible.

Zhou Jingning said solemnly.

For a moment, Yang Jinrong was caught in a dilemma.

There are risks on both sides!

The biggest impact of laparoscopic appendicectomy is general anesthesia, which is afraid of affecting pregnant women and fetuses.

Traditional surgical appendicectomy is afraid of the impact on pregnant women and fetuses. The operation time is long, the operation movement is large, and the uterus is affected. The wound is too large and recovery is difficult.

"Yang Tian, can't Yang Tian perform an appendicitis operation in five minutes?"Zhang Zongrong looked at Yang Tiandao.

As soon as these words came out, Zhou Jingning from the obstetrics department looked at Yang Tian in surprise, five minutes? Is that so fast?

"No, no, no, this appendicitis surgery is more complicated.

First of all, the pregnant woman, but also the peritoneum, mesentery, etc.

are displaced, and some other structures will also be in different situations.

Second, this pregnant woman’s condition is quite serious.

The operation is many times more difficult than ordinary appendicitis surgery.

Even with the speed and quality of Yang Tian's five-minute appendicitis surgery, this surgery would take at least half an hour.

"Yang Jinrong shook his head.

Yang Tian didn't say anything, but he knew that it was fast. Compared with ordinary simple appendicitis surgery, a complex appendicitis surgery like this could not be done in five minutes or even ten minutes, at least half the time. Hours!

However, he can still earn money!