“Is the appendix pierced? The problem is bigger! ”

“There’s also diffuse peritonitis, which has produced infections. So I recommend using Tyneon! And in large doses. Obstetrician Zhou Jingning said in a deep voice.

Yang Tian listened on the side, he knew that Tai Neng was a broad-spectrum antibiotic, which had good safety and a low incidence of side effects.

“With large doses, is it okay for the fetus?” 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 there are many similar patient experiences, and she has rich experience in this way.

“Well, since Dr. Zhou has solved the situation of surgical infection and appendicitis infection, then the next step is to discuss what type of surgery should be used.” Yang Jinrong said with a smile.

“Since the patient is a 6-month-old pregnant woman, I do not recommend using traditional appendicitis removal surgery, which has a large surgical wound and is easy to affect the fetus during the procedure.” Zhang Zongrong said in a deep voice.

“Your recommendation is to use laparoscopic appendicitis resection?” Yang Jinrong frowned.

“Yes, laparoscopic appendicitis resection has a small incision, less postoperative pain, faster postoperative recovery, and relatively little impact on the fetus.” Zhang Zongrong said.

Yang Tian knows that this laparoscopic appendicitis resection is different from the traditional open appendicitis resection, this laparoscopic appendicitis resection is not like the traditional surgery, it only needs to open three small holes, the largest hole is only 3 cm to 4 cm.

“I admit that this laparoscopic appendicitis resection is less harmful than a traditional open appendicitis resection, but I remember the procedure taking about half an hour or more. Second, this laparoscopic appendicitis resection requires general anesthesia! What are the effects of general anesthesia on the pregnant woman and fetus? Yang Jinrong looked at Liu Qiang, an anesthesiologist.

“Pregnant women like this 6-month-old, and the current patient has an erratic fetal heartbeat and mild contractions. I do not recommend general anesthesia! Because general anesthesia still has an effect on the pregnant woman and the fetus. Also, once general anesthesia is performed, the patient’s family and patient must sign a renunciation of pregnancy. I am afraid that the patient and the patient’s family will not agree~” Anesthesiologist Liu Qiang explained. Giving up pregnancy is tantamount to signing the big and abandoning the small. That is to say, if there is a problem during the operation, the doctor will give up the child and save the adult.

For the families, it is estimated that many people will disagree! That’s the conundrum.

“What is the probability of this impact?” Yang Jinrong asked.

“This depends on luck, ten pregnant women may not affect ten pregnant women, but a hundred, maybe four or five will affect the fetus!” 5% chance. Liu Qiang did not dare to pack tickets. He had given general anesthesia to several pregnant women before, and he was fine. But he had the same senior brother who gave general anesthesia to pregnant women in other hospitals, and something happened!

This is also why women are often afraid to give general anesthesia when anesthesizing, basically local anesthesia, local anesthesia, basically there will be no problem.

Yes, no one dares to bet on that 5% chance, what if they win the bid?

“You mean, you recommend local anesthesia?” Zhang Zongrong said.

“Yes, I recommend local anesthesia, safety is best!” Liu Qiang nodded.

“In this way, we can only give up laparoscopic appendicitis resection. Only conventional open-cut appendicitis resection can be used. Zhang Zongrong sighed.

“However, the traditional open-cut appendicitis resection is not small, first of all, the incision is large, and the surgical movement is greater than that of laparoscopic appendicitis resection. Second, although local anesthesia is good, the current condition is complicated, and perhaps the operation time will be too long. The situation of pregnant women is not optimistic now. Unless, unless the surgery can be done in 15 minutes! Make the anesthesia dose smaller, so that the pregnant woman can complete the anesthesia as soon as possible and recover. Zhou Jingning said solemnly.

For a moment, Yang Jinrong fell into a dilemma.

There are risks on both sides!

The greatest impact of laparoscopic appendicitis resection is general anesthesia, which is afraid of affecting the pregnant woman and fetus.

The traditional appendicitis resection is afraid that the operation time will be long, the operation will be static, affect the child-uterus, the wound will be too large, and it will be difficult to recover.

“Yang Tian, can’t Yang Tian get an appendicitis operation in five minutes?” Zhang Zongrong looked at Yang Tiandao.

As soon as this sentence came out, Zhou Jingning of the obstetrics department looked at Yang Tian in surprise, five minutes? Godspeed?

“No, no, no, this time the appendicitis operation is more complicated, first of all, pregnant women, but the peritoneum, mesangium, etc. have been displaced, and some other structures will also be different. Second, the pregnant woman’s condition is more serious. The difficulty of the operation is not known how many times higher than that of ordinary appendicitis surgery. Even with the speed and quality of an appendicitis operation in Yang Tian’s five minutes, facing this operation is at least half an hour. Yang Jinrong shook his head.

Yang Tian didn’t speak, but he knew that the speed was fast, it was compared to ordinary simple appendicitis surgery, like this complex appendicitis surgery, not to say five minutes, ten minutes can not be done, at least half an hour!

However, he can also krypton gold!



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