Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

"The first is conventional surgery, where a transverse incision is made on the stomach. This kind of surgery is very painful and the recovery is slow, but 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. The pain is less and the recovery is quicker, but... the cost will be relatively high."

"Think about it, which surgical method to choose?"

Before the laparoscopic technique came out, Lin Yi certainly didn't need to talk so much, and he could just do conventional surgery.

But now with laparoscopic technology, it is equivalent to giving patients an extra 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 Lin Yi's explanation, the man said without any hesitation:

"Give it to my wife with a laparoscope. I don't want him to suffer that much."

"Spend a little more and get a little more!"

Lin Yi 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.

Afterwards, Lin Yi 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.

Lin Yi called Song Borui over to perform the operation together, and said to him:

"This patient is going to be done laparoscopy."

Wu Jiang, who was brushing his hands, suddenly stopped.

Ectopic pregnancy surgery is nothing more than a secondary surgery.

Song Borui, who is an attending physician in the emergency department, has done a lot.

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

When he was called over, he originally wanted to be the chief surgeon himself, and then Lin Yi was his assistant to complete the operation.

But he never expected that what Lin Yi talked to his family about was to use laparoscopy to perform this ectopic pregnancy operation.

He was dumbfounded all of a sudden.

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

Lin Yi also saw his concerns, so he said:
"I'll take the lead!"

"That's OK..."

Moments later, the operation begins.

Lin Yi 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 Lin Yi has to do now is to make a few holes in his belly to put in the laparoscope.

Song Borui stood opposite Lin Yi and stared at Lin Yi's operations without blinking.

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

After formally entering the abdominal cavity, it was filled 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 Song Borui doesn't know how to do laparoscopy, it's not that he doesn't understand the operation process at all.

He looked at Lin Yi's incomparably skillful operation.

I also admired secretly in my heart.

Brother Yi is really amazing!

There is simply no surgery he can't do!

While Song Borui was pondering, Lin Yi used a 10mm Trocar to puncture successfully once.

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 Lin Yi carefully inspected the abdominal cavity under the surveillance mirror, Wu Jiang 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."

Lin Yi nodded and said:
"There is a lot of bleeding, and it is ready to be recovered by itself."

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 Lin Yi's awesome operations, Song Borui couldn't help but secretly marvel.

"Brother Yi, you really surprised me."

"I didn't expect your laparoscopy skills to be so powerful!"

Although Wu Jiang doesn't know laparoscopic techniques, he can tell the difference between good and bad.

"Okay, the operation is over, let's push the patient out!"

Lin Yi smiled slightly and said directly.

"okay!"

After coming out and returning to the consulting room, I saw a man in his 30s holding Wu Jiang's arm and pleading.

"Doctor, I have seniors and children, I can't die, you must save me!"

The man held Wu Jiang's arm tightly with a sad face.

Wu Jiang couldn't help but sighed, let go of the man's hand and said softly:

"According to your chest ct scan, you only suspect lung cancer, but now it has not been diagnosed, so you don't have to be so afraid!"

Although Wu Jiang said so, according to the film, we can already see a general idea, and it is almost qualitative.

This is just to comfort the man.

Unexpectedly, the man became even more excited after hearing Wu Jiang's words.

"Doctor, you don't have to lie to me. Your doctors are always ambiguous. In my situation, as long as the CT scan shows that it is suspected to be lung cancer, basically you can't escape."

"And I also checked in Baidu. As long as it is found to be cancer, it is basically in the late stage."

"Doctor, I'm still young, I can't die so early. I beg you, you must find a way to keep me alive."

When the man talked about the excitement, he couldn't even breathe, and coughed violently.

After a while, he stopped coughing, and his face had turned a little pale.

The uncontrollable cough aggravated his fear of cancer.

Seeing this, Wu Jiang had no choice but to comfort the man again.

"I've already told you, don't believe what is said on the Internet."

"You can only see that it is possible from the film. The final diagnosis requires a pathological tissue biopsy. It may not be cancer by then, maybe."

"Besides, even if the diagnosis is lung cancer, there is no way to treat it now. You can perform surgery first, remove the diseased lung, and then undergo radiotherapy or chemotherapy. There is still a certain chance that it can be cured, so you don't have to worry too much now. !"