(Thanks to my friend Ou Tuan Chang for his encouragement, thanks to my friend Three Ghosts, Silence529, Poor Road You Guess, and Encourage me to start a monthly pass)

"It's a bit big now, only the ovary on the left side is some inflammation, do you think this teratoma will really be so small?" Liu Banxia brought the big guy together again.

Looking at the results of this MRI, the big guy is a little blind like him. If the MRI didn't come out, how small must it be a teratoma?

"Give me a reference. Seeing that everyone was silent, Liu Banxia said helplessly.

"Mr. Liu, what can be done now is laparoscopic exploration. Maybe there is really very little tissue wrapped in this teratoma, only a little brain tissue?" Wang Huan said.

"Anyway, now the left ovary is a little inflamed and enlarged, and the rest of the organs are not manifested, I guess it's about the same. Laparoscopic exploration will not cause much damage and can also see the general situation. ”

"That's the only way, right? I have nothing to do with Zhang Xiao, it's not up to us, and you have to come by yourself, Mr. Liu." Zhao Bo said with a smile.

"Hey...... , I'm afraid that I won't be able to find it after I investigate. Liu Banxia sighed and said.

"At that time, all that can be done is to remove the left ovary. It's a bad decision, what if it doesn't?"

Hearing his words, everyone fell silent, even Xu Yi, who was still a little excited just now.

Because now the patient is too young to be married. If you remove an ovary for nothing, something will happen.

This is still the first aid center has just started to operate, if Liu Banxia pokes out such a big basket, how can he do the work in the future?

This is a risky matter, although it is said that the patient's family will be allowed to probe after the investigation, and then choose whether to take it according to the actual situation, as long as the family agrees to sign and confirm, there is nothing wrong with it.

This is only procedural, the correct procedure is one thing, and the patient and family are not in trouble.

But in combination with the current situation, Liu Banxia can't think of any other possible parts. The MRI has been swept through, and the only thing that has some conditions is this.

I went outside and explained the results of the discussion to the patient's parents. Even some of their speculations were told.

Even if they wanted to cure their daughter, this matter made them hesitate. Or because of the importance of the ovaries, even if only one is picked, it may affect fertility in the future.

"This is the diagnosis we can make at the moment, although we are not 100% sure that this ovary contains teratoma, and there is a high chance that it is very likely. Liu Banxia continued.

"That'...... If not, can we go back to it?" asked the patient's mother.

Liu Banxia shook his head, "Even if it can be installed, there will be a great risk, not to mention that we have to do a pathological examination of the entire ovary to see if there is still a teratoma." ”

"There is only one option left for us now, or we have to give up the treatment. Even if there is a teratoma, the specificity of this teratoma is too strong. ”

"In the past, most of the so-called teratomas were cysts, which may contain teeth and hair. Combined with your daughter's current condition, there may be only a small number of remaining brain tissue cells. ”

If anything else, Liu Banxia didn't dare to say more. Otherwise, it is misleading the patient's family. Again, the decision is in their hands, and the doctor only has the right to recommend.

They also know that if they do give up treatment, their daughter's life may be in danger in the near future.

Seizures are so frequent that they have gone beyond normal. And they have a headache every morning, and they know it. I've taken a lot of medicines, but now I don't even have painkillers.

"Do it, we choose to believe you. After hesitating for a moment, the patient's father nodded vigorously.

"Well, you are always waiting for news from us, and I will tell you what I have seen and what I have judged after I have investigated. Liu Banxia also nodded vigorously.

This stems from the trust that the patient's family now has in him, and this trust is equally heavy. Although he did not mislead the patient's family, he did not have many options for the patient's family in terms of his description.

Although it is only a laparoscopic exploratory surgery at present, it may be converted to laparoscopic ovarian removal surgery in the future, which is still very likely.

It is also because there are no procedural risks associated with this surgery, but there are conscientious risks that follow. Even if Liu Banxia followed him into the operating room, his group of interns were not as excited as before.

"The first Kong Li Hao, the second Kong Liu Yiqing, and the third Kong Huangbo, promise a promise and a help. After coming to the operating room, Liu Banxia said.

"What is the chance of teratoma?" Wang Lei asked curiously.

"It's not good to say, most of the female teratomas are in the ovaries, but this patient showed headache, epilepsy, hemolytic anemia, and did not have any abdominal pain symptoms, and the MRI did not scan out cysts or lumps. Liu Banxia said.

Wang Lei nodded.

"Teacher Liu, the operation is over. At this time, Li Hao had already completed his operation and put it in the laparoscope.

Liu Banxia walked over, operated it himself, and took a closer look at the pelvis.

"Exploration showed adhesions and edema in the upper part of the left ovary. After observing for a while, Liu Banxia said.

"If you look at the edema, it's here, it's hair, it's about a centimeter. I'm afraid because I have my own biases and look like. ”

Everyone was looking at the screen, and now they saw the line, but they were also a little unable to tell. You say it's hair, it's like it, but it's also like capillaries. Because it's not pure black like normal human hair, it's a little light.

If there is a cyst, then it is very easy to do, just peel off the cyst. But now I only see adhesions, edema, and suspected hair strands of less than a centimeter in length, which is difficult to judge.

He had no choice but to go outside and communicate with the patient's family.

"Dr. Liang, do you think the patient's parents can agree?" Xu Yinuo asked curiously.

"Almost all of them will agree, although there are no definite indications, for ordinary people, they can only choose to believe in doctors. Liang Xiaolin thought for a while and said.

"But what if that's the case? Xu Yinuo said.

"Don't you have to hold on, it's really hard to tell. Wang Lei answered.

"Teacher Wang, haven't you seen such a teratoma before?"

"There are many ways in which the symptoms manifest themselves, and I also read the pre-operative information. Don't look at me as just an anesthesiologist, I also agree with Banxia's judgment. ”

"If the brain tissue is distributed in a very small amount in a certain area, the MRI may not be able to sweep it out. And now there is edema in the ovaries and adhesions around it, which is actually a manifestation of inflammation. ”

"It's only because today is the first day of the opening of the emergency center that Banxia will be so cautious. I'm afraid to cause trouble for the emergency center, after all, there are too many people paying attention to the emergency center now. ”

"When you become a doctor, you have to face a choice a lot of times. Some choices have to grit your teeth, how can there be so many safe times. ”

As he was talking, Liu Banxia walked back. It's just that he is still frowning, and no one dares to ask what the final result is.

After coming back, Liu Banxia carefully observed the entire ovaries, especially the suspected hair. It's really hard to tell, and it's not on the surface of the ovaries.

This observation lasted for nearly twenty minutes.

"Cut. ”

Liu Banxia, who had been silent, spit out a word.

There was silence in the operating room, and it was possible to make him hesitate for so long before making a decision, so you can imagine what kind of pressure he was bearing.

The operation notice had been signed before entering the operating room, and even if Liu Banxia didn't ask or hesitate, it could be completely removed.

Although it was the first time for Liu Banxia to have this kind of surgery, he had a comprehensive grasp of the anatomy of the human abdominal cavity and pelvis. Even if it was the first time I did it, it was very smooth.

Ding! The surgery is complete

Gain 100 XP, 50 Diagnostics Skill, 50 Dressing Change Skill, 50 Suture Skill Proficiency, and 400 Ovarian Surgery Skill Proficiency

This is a routine oophorectomy operation, and it doesn't give much to him about his basic skill proficiency.

"Dr. Liang, you go directly to the pathology department. Ask them to check first, and check carefully. Liu Banxia said.

"Oh, good. Liang Xiaolin glanced at him and responded.

Liu Banxia has always been a very resolute person, but he didn't expect to become so muddy today. Seems like the first time I've seen him like this?

"How did it take so long?" asked Shi Lei after returning to the hall.

"Hey...... I hesitated and weighed it for a long time before deciding to cut it. If there are adhesions and edema, the cyst is not visible. At the beginning, there is also a centimeter of material that appears to be hair, which is actually capillaries. Liu Banxia said with a wry smile.

"I always thought that this ovary must be abnormal, but there is no data to support it. If it's really wrong, I'll apologize to the patient. ”

Shi Lei patted him on the shoulder, originally wanting to persuade him, but he didn't speak.

This waits, and the wait is even longer. Even if the emergency center has a pathology department, it will give priority to Liu Banxia's request, but it will take time during the examination.

After waiting for dinner, I saw Liang Xiaolin running over from the pathology examination room like a wind.

"It was diagnosed, and it was really a teratoma. Before she could get to her, she shouted hard.

Ding! Patient reception is done

Gain 500 XP, 500 Diagnostics Skill Proficiency, and 3 Glory

This mission is rated as Flawless, gaining 500 experience points, 300 diagnostic skill proficiency points, and 5 glory points

After being stunned, Liu Banxia waved his fist vigorously, and the big stone pressed in his heart could really be put down.

Then he glanced around, and Shi Lei saw the opportunity to run away. Wang Chao was still stupidly following the music, and he was picked up and turned around.