bookmarkrole Chapter 397
Chapter 397
Chapter 397
What is a hernia?
In layman’s terms: Our internal organs or tissues leave the normal anatomical position and enter another part through some congenital or acquired weakness, defect or gap, which is called a “hernia.”
A hernia in the abdomen is used to call it “hernia”.
In our groin, there is originally a potential gap, because the spermatic cord penetrates from here into the vagina (male). If the intestines and tissues in the abdominal cavity also squeeze into this gap, they will run to the surface of the body, or even fall into it. The scrotum, this is an indirect inguinal hernia.
If the lump can automatically retract into the abdominal cavity without causing “incarceration”-that is a minor problem.
But if the lump is stuck, can’t move, or gets bigger, it may cause compression ischemia, the pain will increase over time, and even avascular necrosis, which is very dangerous.
Lin Feng: “Let me see…”
Then, he lifted off the patient’s Huang Wei’s clothes and began to examine the bottom.
what,
“There is no hernia!”
“Doctor Lin, this is the case. I used to do it, but it will be better later…”
Lin Feng breathed a sigh of relief.
A false alarm.
“Then, appendicitis is still more likely…”
Thought for a while,
Lin Feng still gave the patient an electrocardiogram.
Be safe.
The ECG result will be released immediately.
·Result: Everything is normal.
Lin Feng breathed a sigh of relief and ruled out myocardial infarction.
“Then be a B-scan of the abdomen, and a blood draw and a chest X-ray!”
Lin Feng waved his hand.
Three checklists were opened.
…
1 hour later,
Both results came out, and the patient retrieved Lin Feng with the results.
·Result of blood draw: normal
·B-ultrasound: It suggests that the appendix is slightly enlarged, there are no gallbladder stones, no kidney stones.
· Chest radiograph: No free gas shadow under the diaphragm was found, which means that it will not be abdominal pain caused by gastrointestinal perforation.
Lin Feng read the inspection results,
The possibility of appendicitis has increased to 99%!
Lin Feng analyzed the results with the patient, and finally said.
“Let’s have an operation, cut off the appendicitis…”
“Does surgery have to be done? Can it be treated conservatively?”
The patient Huang Wei hesitated.
Mainly because I think the operation is a big problem, I am a little scared, and after all, it is an operation…
Lin Feng reluctantly explained: “Appendicitis must be cut. The appendix should be relatively light now, and the operation is relatively simple. If you wait until the perforation and gangrene before surgery, the entire appendix will be messed up and the operation will be much more difficult, and it will happen after surgery. The risk of complications is also much greater, and the gains outweigh the losses.”
“All right……”
Patient Huang Wei can only agree, after all, Lin Feng has said so clearly.
“The condition is more urgent, so I will be admitted to the hospital, take some intestine clearing medicine, and have surgery at night…”
“Doctor Lin, are you doing the operation for me?”
“No, I have other operations to do. I will arrange for other doctors to do it for you…”
Lin Feng shook his head.
This kind of minor operation, Lin Feng has already begun to give to those who have just become regular trainees.
(Dr. Gui Pei: Thank you Lin Feng for your reward!!)
(Student Xiaoru: “Wow, I can have surgery tonight!!”)
The patient Huang Wei cried suddenly when he heard it.
Soon, Huang Wei’s family arrived, communicated, obtained consent, paid the fee, and was admitted to the hospital…
…
night,
Lin Feng is in the operating room, performing another operation.
As for the patient Huang Wei, the emergency department’s doctor Gui Pei Yan Haoyu led the operation, and the other two Gui Pei doctors assisted the other two, and then Chen Qingru watched them. Later, he could get a suture operation…
Appendicitis is one of the lowest level of surgery, no difficulty.
And because of lack of money, the patient chose to open the abdomen instead of laparoscopy.
Although Yan Haoyu has just turned normal, he has experienced more than 20 cases of appendicitis.
So Lin Feng is very relieved.
…
The operation started,
McDonald’s cut his belly…
Open the view…
I saw a little yellowish exudate in the abdominal cavity, which is not purulent, indicating that the lesion is still mild…
Yan Haoyu breathed a sigh of relief.
The operation has become easier.
Then……
He found the appendix!
“Fuck me!!”
He was dumbfounded!
The appendix is seen,
It can be regarded as appendicitis, but it is only slightly inflamed. There is no need to cut this section of the appendix. It is OK to treat it directly with conservative medicine!
Medical malpractice! !
Yan Haoyu’s face changed!
“What’s wrong?”
“I go!!”
0 ········Find flowers·····
One help and two help, the vision was almost the same, and I soon discovered that there was something wrong with the appendix.
“It’s over!”
“The diagnosis is wrong!”
Then the entire operating room was panicked.
After all, they are all adorable, and it is the first time that they have encountered this kind of “surgery misdiagnosis”, an absolutely compelling medical accident.
If the patient is held accountable, it will be troublesome!
At this time, Lin Feng’s student Chen Qingru woke up, quickly went to find his mobile phone, and then called Lin Feng.
On the other side of the operating room,
Lin Feng is performing liver transplantation on the patient.
Then I received a call from Chen Qingru.
“What? Not appendicitis? Wrong diagnosis?”
“impossible?”
Lin Feng was also dumbfounded.
“Don’t panic, don’t move, I have half an hour to complete the operation, and then I can go over and see… In addition, check for what reason, this appendix disease is not enough to cause such severe abdominal pain, there must be other More serious problem…”
0 ……. …
Lin Feng didn’t panic at all.
This is not a medical accident.
Because all examinations only focus on appendicitis, there are indications for appendicitis surgery.
When the time comes, even if the investigation team comes, the result will still be the same.
So Lin Feng is not afraid,
Of course, if family members want to make trouble, it is also a hassle.
Lin Feng had a quick liver transplant operation last night, then washed his hands and took off his surgical coat.
Hand washing and disinfection,
Walk quickly to the operating room of Huang Wei, a patient with appendicitis.
Fortunately, there is no need to go through the waiting hall for the family members of the operation, otherwise it will be a bit troublesome to be seen by the family members.
…
Lin Feng came to the appendicitis operating room,
Upon entering the door:
Lin Feng: “Did you find the reason?”
Doctor Zhong Guipei shook his head: “No.”
Seeing that all the rules are new, Lin Feng comforted:
“Don’t panic, little problem… this is not a medical accident…”
Everyone saw Lin Feng calmly, and he was relieved…
Lin Feng washes his hands, dresses and wears gloves…
Stepped onto the operating table,
Yan Haoyu gave way and got off the operating table.
Lin Feng stood at the position of the chief surgeon and looked at the appendix.
It is true that appendicitis is very rare.
“This is weird…”
Lin Feng frowned…
“If the appendix was not the mastermind that caused this abdominal pain, what would be the problem?”
.again.