Many people believe that teratomas are brought out of the mother's womb by the patient, and that the tumor is the brother or sister who was 'killed' by the patient. Even, some doctors know the same.

This is completely false.

So far, the cause of teratoma has not been definitively determined, and it is most likely related to factors such as abnormal changes in embryonic germ cell differentiation.

The argument that "they were originally twins, but one of them was killed by the other, and the dead were attached to the living body, and teratomas were formed" is simply untenable, and is purely a rumor from the ignorant.

Teratoma patients are mostly female, which can occur in the skull or in the stomach, the most common part of the ovaries, a very small number of male patients will occur in the testicles, most of the teratomas that occur in these parts are mature teratomas, that is, benign tumors, and a small number of patients will occur in the sacrococcygeal, like giving birth to an extra tail, this type of teratoma is mostly immature tumors, that is, malignant teratomas.

From the B-ultrasound examination, the little girl's teratoma occurred on the left ovary, and a cyst was formed inside the tumor, which may be because the little girl happened to come to puberty, and the hormone level in the body has changed significantly, or it may be caused by other reasons, in short, the teratoma has an extremely rare inflammatory manifestation, and the fluid accumulation in the cyst increases rapidly, causing the tumor to swell, causing the little girl's lower abdomen to bulge.

The operation is not difficult to do, and the general gynecological attending doctor will have a considerable confidence to take this kind of surgery, or open the abdomen, or use laparoscopy, to remove the tumor body together with one side of the appendage as a whole, and then do a rapid pathology during the operation, prove that it is a mature tumor, then end the operation, if it is an immature tumor, then expand the scope of surgical resection.

Is it possible to preserve the attachment on the affected side?

Although women have two sets of appendages on the left and right sides, and two sets of fallopian tubes and two sets of ovaries, cutting one of them does not seem to have much effect...... Theoretically, this is true, just like the human body has two kidneys, and cutting off one of them will have a largely indisputable effect on physiology.

However, the reality is that women rely on one attachment alone, and their hormone levels and future chances of pregnancy will be affected to varying degrees.

Yang Xi was worried about whether he could keep the affected side attachment for the little girl, and the system seemed to be thinking about it, just when Yang Xi had placed the laparoscopic instruments and explored the surgical field, the surgical demonstration shown by the system suddenly became incarcerated when he was probing the surgical field.

On the stage, Yang Xi couldn't help but be stunned.

Seeing this, Gao Yong on the other side asked with concern: "What's wrong?" Gao Yong really couldn't think of why Yang Xi was stunned, the operation was not difficult, it was simpler than ordinary laparoscopic cholecystectomy, and he could solve the battle within an hour at his own level, for Yang Xi, what problems would make him stunned on the stage?

"I wondered if I could save the ovary on the affected side. Yang Xi responded flatly.

The sudden incarceration of the surgical demonstration of the system did have an impact on Yang Xi, but the impact was not great. If it is decided to keep the ovaries, the big deal is to change to open surgery, if it is still done according to the traditional surgical method, even if there is no systematic surgical demonstration, Yang Xi can successfully complete the operation.

Hearing this, Gao Yong couldn't help but lock his brows, took Lian Xiangdong's hand, adjusted the angle of the laparoscopic lens, and carefully observed the anatomy of the tumor and the ovary.

"The ovarian shape is not bad, and there is a possibility that it will be preserved, but ......" Gao Yong paused, took a deep breath, and continued: "Then you have to change to open surgery to be safe enough." ”

At this moment, the systematic surgical presentation was smooth again.

"Exquisite!" Yang Xi couldn't help but sigh.

Gao Yong on the other side couldn't help but be stunned, Lao Tzu just made a suggestion, why did he get praise from Xi Shao?

It's so rare!

Yang Xi smiled faintly and disguised: "Boss, you are not afraid of your own trouble, you can consider the interests of patients, you are really a particular person." ”

Gao Yong replied with a disapproving look, boss, I am loyal and kind, of course I am a particular person.

But in fact, Yang Xi blurted out an exclamation that was aimed at the little madman.

The first step given by the system is not to ligate the fallopian tube on the affected side, but to puncture the tumor and aspirate the fluid in the sac. In other words, the surgical plan formulated by the system thought of Yang Xi.

Preserve the patient's ovaries!

"Lao Yin, turn on the video recording equipment, it's a pity, it's too late to broadcast live, otherwise ......" Yang Xi's words came to an abrupt end when he said this.

Ma De, I almost leaked my mouth, and it is true that I can earn a lot of charm points, but if I say it, others must not regard myself as a male god...... Menstrual illness.

Yin Wei grimaced and got up to debug the equipment. Grandma's legs, Lao Tzu is getting more and more faceless in front of your demons, what full-time anesthesiologist put aside in advance, just say this title, it used to be a mouthful of Brother Yin, but now it is Lao Yin who opens his mouth and closes his mouth, and after a while, I don't guarantee that this bastard will call himself Xiao Yin.

On the stage, Gao Yong was surprised: "Aren't you going to change your stomach?"

Yang Xi shook his head and said, "Try it first, if you really can't do it, it's not too late to change it." ”

Yin Wei turned on the video recording and sneered: "This demon complained just now that he didn't have time to broadcast live, if you can say that, you must be sure in your heart." ”

Yang Xi smiled.

Nonsense!

With systematic guidance, how can there be an operation that cannot be done? At most, it will take a little longer.

Yin Wei returned to the anesthesia area and said to Yang Xi again: "Listen to the persuasion, eat a full meal, stinky boy, let's change to open the abdomen, don't forget that you have two more surgeries behind you, if you delay Lao Tzu's lunch, see how I clean you up!"

Yang Xi gave Yin Wei a roll of his eyes.

No, no!

What can you do if you delay lunch?

Biting the master?

Can you catch up with the master!

A meal for Master Lai?

There are millions of cash in the master's system account, and there are hundreds of lottery opportunities, so do you care about the money for one or two meals?

But seeing Yin Wei's eyes wide, Yang Xi hurriedly withdrew his gaze, the master was wrong, the master admitted that he cared about the cost of one or two meals, okay?

Let's get down to business!

Under the guidance of the system, Yang Xi first aspirated the fluid in the capsule, and then peeled off the junction between the tumor and the ovary little by little. It's about the same level of finesse as peeling a grape skin, except that the guy in his hand has changed from a conventional instrument to a laparoscopic instrument. Laparoscopic instruments are not as good as conventional instruments, so naturally it is not possible to peel off six grape skins in ten minutes.

However, in Yang Xi's opinion, even the operation that a tractor can't compare to, in the eyes of Gao Yong, Yin Wei and others, is still a top sports car.

After 40 minutes, Yang Xi finally peeled off the deflated teratoma from the ovary on the affected side.

(PS: This chapter of surgery is not in line with medical practice, please do not take it seriously.) ）