Come on, Dr. Wu

Chapter 317 The first laparoscopic surgery for obturator hernia!
Wu Man's voice came from the other side of the phone.

Well, at this moment, Wu Xiaofu no longer had anything else to worry about. This was the confidence given by his elder sister. He would work hard and leave the rest to his sister. Wu Xiaofu suddenly felt that the beatings he had received over the years were not that painful anymore.

"Sister, thank you."

"You are so silly. You are being polite to me now."

In the law firm, Wu Xiaofu signed, thanked, and was also told, however, Wu Man never said anything from beginning to end to ask Wu Xiaofu to pay attention to anything next time. She knew that Wu Xiaofu had his own code of conduct, and since Wu Xiaofu did it, it must be right.

If it's correct, why should we pay attention to it?

The one who dotes on his younger brother with all his strength is Wu Man.

After seeing Wu Man suing for Wu Xiaofu, Yu Shifu felt relieved. When it comes to litigation, a professional lawyer is needed, not to mention that the sister is Wu Xiaofu's biological sister and there is an entire law firm to help Wu Xiaofu.

This matter will definitely not affect Wu Xiaofu's work status.

After the award ceremony here, Wu Xiaofu will return to Donghai. Now Wu Xiaofu is the signature of Donghai General Surgery Department. In the outpatient clinic the day after tomorrow, Wu Xiaofu will still make an appointment as usual. It is not known how many people will come to seek medical treatment.

However, after returning, Wu Xiaofu received a call from Jiang Ruonan.

"Doctor Wu, sorry to bother you. I'm calling you this time because..."

Listening to the very serious and procedural voice on the phone, Wu Xiaofu knew that Jiang Ruonan had official business.

Sure enough, it was because of offer2.

Offer2 is still in the audition stage, but it is about to end. My grandmother wants Wu Xiaofu, as the winner of the previous session, to shoot a video for the younger students who will participate in the next session.

The purpose is to inspire them and share some experiences.

As for the connection between the past and the present, it was difficult for Wu Xiaofu to refuse such a thing, so he nodded and agreed immediately.

By the way, when Wu Xiaofu thinks about Offer2, he will participate in the program as a mentor. He is very much looking forward to it. It is like a graduate returning to campus to give a speech to other students. This feeling is hard to describe.

Jiang Ruonan also understood Wu Xiaofu's personality, so the video recording this time was much simpler. Of course, Jiang Ruonan also felt that Wu Xiaofu no longer needed too many fancy embellishments. Just sitting there, he was a living signboard.

Of course, there was another reason for recording the video, which Jiang Ruonan did not say.

Following the announcement by Donghai TV that it would host Offer 2, many other TV stations also began to host similar programs.

The imperial capital at least changed its name to "Dream of Beauty."

Well, I don’t know who came up with the name, it’s very abstract. People who don’t know would think it’s some youth idol drama. But at least it’s a changed name. Other satellite TV stations are much simpler, they are just offer2 Jinling Station, offer2 Xijing Station, etc.

You know what, a lot of it was sucked away.

Many people feel that Donghai TV is too popular and their chances are slim, so they settle for the second best and choose other TV stations. There are also those who submit their resume to multiple channels, and their main goal is to cast a wide net, catch more fish, and then select the best ones.

He will go to whichever satellite TV station allows him to pass the audition. If multiple satellite TV stations give him opportunities, he will choose the best one.

Well, it made the students very distressed.

It’s hard to imagine that when we meet on campus, everyone asks: Hey, which satellite TV program have you signed up for? I signed up...

Moreover, because Wu Xiaofu had participated in the World Surgery Competition before, the number of people paying attention to this type of program increased suddenly. Therefore, the attention to Yiluoffer2 increased suddenly.

After opening the webpage unexpectedly, I can see a lot of discussions about the program.

There were even quite a few people who gave suggestions to the program team, saying that a certain student was famous and should pass the audition.

Of course, I don’t know whether the students themselves can form a navy.

When making a video, he first makes some big words and then speaks his true feelings, but he cannot say too much. In the video that lasts for a full half hour, Wu Xiaofu can be said to have complete freedom to express himself.

"Dr. Wu, thank you for your cooperation. I didn't expect you to prepare so much for this video, and it was passed so smoothly in one go."

Jiang Ruonan thought that Wu Xiaofu had prepared in advance, memorized the script, and practiced many times, so he passed it with just one recording. But the fact is that Wu Xiaofu now has so many award-winning speeches that these words really come out of his mouth.

in the hospital.

The patient with endometriosis has been examined almost completely, and the result is just as Wu Xiaofu expected, that the endometriosis is indeed endometriotic to the liver.

Compared with ectopic cancer to other parts of the body, the risk and complication rate of ectopic cancer to the liver are obviously much higher, and the effectiveness of medication will be greatly reduced. In this case, surgery is almost the only treatment method.

Wu Xiaofu also told the patient the same thing after he met him.

Although the patient was depressed when she heard that she needed surgery, she still agreed. At this time, the patient's family had also arrived. It was the patient's husband. When he heard that his wife was suffering from a rare disease that may only have a dozen cases in the world, he was shocked.

While chatting with the patient's husband, Wu Xiaofu also received two messages.

One reason is that the patient grew up in an orphanage, and they didn't know anything about the patient's mother's condition. This is why when Wu Xiaofu asked the patient about his genetic condition, the patient shook his head and said he didn't know.

Another thing is that these two people actually had sex during their menstrual period, and not just once. This is not a small matter.

However, it is also the result of poor propaganda guidance.

Having sex during the physiological period, that is, the menstrual period, has many harmful effects, such as the possibility of causing menstrual irregularities, gynecological infections, endometriosis, anti-sperm antibody formation, infertility, etc.

When having sex during menstruation, vaginal secretions are more likely to go up into the urethra than usual, leading to urinary system diseases such as urethritis.

Moreover, women's immunity is low during menstruation. Once the male genitals are not cleaned thoroughly and are contaminated with bacteria, women can be infected with vaginal inflammation through sexual intercourse, and even develop reproductive system diseases, such as endometritis, salpingitis, pelvic inflammatory disease, etc., affecting women's reproductive health.

In addition, sexual intercourse during menstruation will cause congestion in the female genitals, leading to menstrual irregularities such as increased menstrual volume and prolonged menstrual period. During this period, it may also induce the production of anti-sperm antibodies, leading to immune infertility and sterility.

In addition, sexual intercourse during menstruation will cause the female uterus to contract, which may squeeze endometrial fragments into the pelvic cavity, causing endometriosis and leading to female infertility.

This may be the direct cause of the patient's endometriosis, and it is also related to the ectopic location to the liver.

Wu Xiaofu did not hide anything and talked about this matter directly with the patient's husband. Although he is a young man with strong sexual energy, he still needs to control himself when he should. It's only a few days. How can he not bear it?

After hearing what Wu Xiaofu said, the patient's husband felt ashamed and very regretful.

He really didn't know all this. If he knew this, he would never have done anything rash. Now that his wife had to go through surgery, he felt even more guilty. However, Wu Xiaofu didn't say anything more. He even comforted him with a few words, telling him that it was good that he realized the seriousness of the problem. Perhaps this was not the reason. Now the most important thing was to treat the patient.

With the consent of the patient and her husband, Wu Xiaofu asked Chen Zhendong to start the pre-operative arrangements.

Preparation is scheduled for Monday.

However, there was a small episode in the middle. The director of gynecology felt that endometriosis was a gynecological disease and that patients should go to their department for surgery. Well, this was because of this rare case.

The dispute was left to Chen Zhendong. Although endometriosis is a gynecological disease, when it is dislocated to the liver, it becomes a hepatobiliary surgery disease. Moreover, they came to the hepatobiliary surgery clinic. As the first visiting doctors, they had greater right to choose.

However, seeing that gynecological issues were getting too complicated, Wu Xiaofu simply let the patient make the choice.

The director of gynecology was a little embarrassed, but finally agreed.

However, the patient came for Wu Xiaofu, especially after hearing Wu Xiaofu's admonition, she trusted Wu Xiaofu even more. How could she give up Wu Xiaofu and choose gynecology at this time? So she firmly rejected the director of gynecology.

All the patients had to be treated by Wu Xiaofu, and the director of gynecology had no choice but to nod and leave.

It was already Thursday. If he wanted to have surgery, he had to undergo some necessary preoperative examinations and preparations. Friday was Wu Xiaofu's outpatient clinic, so the surgery could only be scheduled for next week. "Let's schedule it for Monday."

The next day, Wu Xiaofu went to the outpatient clinic again.

Granny Wang was the first patient Wu Xiaofu saw in the morning.

"Doctor Wu, my mother has been in pain for more than half a month. I told her to come to the emergency room first, but she insisted on seeing you because she was afraid of wasting money. So she endured it for half a month, and now it feels worse than before.

Before, I just had a stomachache, but now even my legs hurt."

The person who was speaking was the patient's son. Wu Xiaofu looked at the registration information. Granny Wang was already 75 years old, which was not a young age. At this age, if she had a stomachache, many diseases had to be considered.

Cholecystitis, gallstones and the like are actually minor problems.

"Come, let me take a look."

On the treatment bed, Wu Xiaofu found that the patient mainly suffered from lower abdominal distension and pain in the right thigh hip flexion. In addition to abdominal distension and pain, there was also pain in the thigh. If this was the case, it did not seem to be some tumor-related disease.

The human body's internal organs actually have time validity. As we age, various organs may have problems. This is also the reason why the probability of cancer increases with age.

The liver and stomach are especially prone to problems.

Now the patient says that he has stomach pain, or persistent pain, which inevitably makes people assume the worst. However, when a tumor occurs, it usually does not spread to the legs unless it is a more serious situation.

However, the probability is much smaller.

“How does it feel here?”

"pain."

"Here it is."

"It's all right here."

"Ma."

"numb."

Fortunately, although Grandma Wang is old, her hearing is not bad, otherwise the consultation would be difficult to continue.

Finally, Wu Xiaofu confirmed that the main symptoms were still in the abdomen, but in addition to the abdomen, there was also numbness, pain, abnormal sensation, and radiating pain in the groin and inner thighs, which seemed like neurological symptoms.

And it only occurs when the sciatic nerve is compressed and damaged.

In that case, is it a hernia?

As for the abdominal condition, the patient has not eaten much in the past half month, because as soon as he eats, he will have stomach pain. Moreover, when sleeping, he will wake up because of the cramps, and his bowel movements are not good.

This indicates that the abdominal problem is mainly in the stomach and intestines.

If this is the case, it does correspond to hernia.

With an idea in mind, Wu Xiaofu just followed the investigation. Modern medical practice is different from ancient medical practice. In modern medical practice, a preliminary diagnosis is made first, and then examinations are conducted based on the diagnosis. After the diagnosis is confirmed, treatment is then carried out.

However, in ancient times, it was almost impossible to make a diagnosis because there were no modern methods. Treatment could only be carried out based on the preliminary diagnosis. This is why there are good and bad doctors.

Good doctor, the initial diagnosis is correct, and the treatment is effective in one step.

A mediocre doctor will make a poor initial diagnosis, which can easily lead to delayed treatment. If the condition is serious, the patient may die.

Therefore, this modern examination method is good no matter what, and can reduce many misdiagnoses.

Given the patient's condition, a CT scan of the lower abdomen would be sufficient.

Grandma Wang’s CT scan results didn’t come out until the afternoon.

Examination report: right-side obturator hernia incarcerated, the hernia content is part of the small intestine.

It turned out to be a hernia.

However, this hernia is different from the hernia we usually see. It is an obturator hernia.

The obturator foramen refers to the passage from the pelvis to the thigh, a round hole formed by the pubic bone and the ischial part of the hip bone. It is located above the obturator membrane and can generally accommodate the passage of a fingertip.

An obturator hernia is an extraperitoneal hernia in which abdominal organs protrude through the obturator foramen of the hip bone into the femoral triangle.

This type of obturator hernia is very rare in clinical practice, with an incidence rate of less than 1% among all hernias, and is more common in women.

Because the symptoms are mild at the onset and it is difficult to feel a clear lump, it is difficult to make an early diagnosis.

Only when the obturator nerve is compressed and symptoms of intestinal obstruction appear, such as numbness, pain, paresthesia, radiating pain in the groin and inner thigh, will active examination and diagnosis be carried out.

Just like Grandma Wang, the symptoms are almost all matching. Moreover, obturator hernia is more common in elderly, weak, thin women who have given birth many times. Because of such patients, the obturator structure changes, they are very prone to incarceration and intestinal necrosis.

Granny Wang only delayed it for half a month, so she didn't develop intestinal necrosis, but she did suffer from intestinal obstruction, which was the reason for her abdominal symptoms.

Once an obturator hernia occurs, do not attempt to reduce it using manual manipulation, as this will only cause greater damage.

Surgery is usually required to resolve the problem.

Moreover, due to structural reasons, the operation is quite difficult. The main difficulty lies in the fact that when loosening and freeing the hernia sac and surrounding peritoneum, great care must be taken to avoid damaging the obturator vessels and obturator nerves.

Once injured, it will be difficult to stop bleeding and there will be sensory nerve dysfunction in the lower limbs after surgery.

Grandma Wang's obturator hernia was incarcerated for a relatively short time, and there was no intestinal necrosis. Wu Xiaofu planned to use a biological hernia patch to repair and cover the obturator during the operation to avoid recurrence of hernia after surgery to the greatest extent.

However, this type of surgery was previously performed as a traditional open surgery, but this time Wu Xiaofu had some other ideas and wanted to try to use laparoscopy.

Although they are both hernia surgeries, the difficulty of laparoscopic surgery for obturator hernia and laparoscopic surgery for conventional hernia are not at the same level. After all, obturator hernia involves too many nerves and blood vessels, which is not comparable to ordinary hernia.

Moreover, obturator hernia is rare, so not many major hospitals would have the opportunity to try laparoscopic surgery.

Therefore, there is no laparoscopic surgery for obturator hernia in the world now.

If Wu Xiaofu succeeds, it will be the first case in the world.

Although the incidence of obturator hernia is not high, there are still many cases of it all over the world. If laparoscopy can be used for surgery, it will undoubtedly be a great blessing for these patients.

After all, laparoscopic surgery has the characteristics of less trauma, quick recovery, short hospitalization time, clear surgical field, and thorough surgery. Compared with traditional surgery, it has many advantages.

Obturator hernia surgery should not be delayed, so Wu Xiaofu directly scheduled the surgery early in the evening after the outpatient clinic ended.

The clinic didn't end until almost evening.

Wu Xiaofu did not delay and went straight into the operating room. When he saw the last few patients, Grandma Wang had already been sent to the operating room. When Wu Xiaofu entered the operating room, Peng Xia had already started disinfection.

(End of this chapter)