Chapter 129: How Awesome Is It?
At eleven o'clock, Li Ying healed the first patient under the guidance of Yin Wei.
A middle-aged woman in her forties was diagnosed with gallbladder polyps.
Gallbladder polyps are mostly asymptomatic and are often found due to some other problem that requires a B-ultrasound examination. Although it is clear in the textbook, gallbladder polyps are also benign and malignant, and the malignant polyps mentioned in them are not cancerous, but that they are very likely to become cancerous, or even classified as precancerous. However, this type of adenomatous polyp is extremely rare, and its morphology and progression are also significantly different from other types of polyps, and it is easy to distinguish it clinically.
Thus, what doctors call gallbladder polyps basically refers to benign polyps.
It is asymptomatic, cancerous, and grows slowly, so doctors always warn patients that the disease does not require special treatment, only regular observation is sufficient.
However, there is one type of gallbladder polyp that is not so worry-free, and that is the polyp that grows on the neck of the gallbladder.
The opening of the neck of the cystic duct is not wide, and a polyp blocks the door, and every time the gallbladder needs to release a large amount of bile after eating, it will always cause gallbladder emptying disorder due to blocking the door, resulting in clinical signs similar to cholecystitis that cause pain or cramping in the right upper quadrant.
In fact, the more frequent emptying disorders occur, the more chronic cholecystitis accompanies them.
The woman lying on the operating table had gallbladder polyps, which belonged to this type.
Previously, the woman had been to the county hospital and a major hospital in the city accompanied by her family, and was told to undergo laparoscopic cholecystectomy. Rural people don't know what laparoscopy is, all they care about is how much it costs, and the doctor in the county hospital casually reported a number, between 10,000 and 10,002, while the big hospital in the city is more expensive, at least 15,000.
The reimbursement ratio of the agricultural insurance in the county hospital and the large hospital in the city is 60% and 50% respectively, that is, if the patient chooses to be operated in the county hospital, he needs to pay 4,000 to 5,000 yuan out of his own pocket, and if he wants to go to the big hospital in the city for surgery, he will have to pay at least 8,000 yuan out of pocket.
For the rich, 4 or 5,000 yuan is nothing, or the cost of a meal, or a birthday gift for a friend's child. However, for many poor rural households, 4 or 5,000 yuan is enough for a family to live for a year, or even longer.
Reluctant!
Then you can only stiffen up.
It was until the event of this free surgery launched by Willow Springs Hospital.
Yang Xilian washed his hands to the east and went to the stage, while Gao Yong sat firmly in the lounge and did not allow Dean Lin to leave.
As for Dean Lin's proposal to prescribe two surgeries at the same time, Yang Xi had already categorically rejected it. Zhou's task is to complete 12 surgeries, and there are only 15 patients in total, half of which is gone, isn't this a good thing to ruin him.
Wu Weihua also wanted to follow his hands to the stage, but was ruthlessly rejected by Lian Xiangdong. This is just a little bit of an operation, I don't know if I can help this demon as an assistant, you come to power again, isn't it a pure waste.
Pulling a large knife to cut the gallbladder, in a sense, is simpler than cutting an appendix, cutting the appendix will still encounter the posterior cecum appendix or ectopic appendix, but the gallbladder never has ectopia, at most it is anatomical malformation.
An arc incorporating incision was made under the right upper costal margin, the abdominal cavity was opened, the gallbladder triangle area was exposed, the cystic duct was separated and cut off at the distal end, and then the gallbladder was removed from the gallbladder bed with a separate swab.
Yang Xi stood in the position of the chief surgeon, his eyes slightly closed, and the description and atlas of cholecystectomy in "Huang Jiasi Surgery" immediately appeared in his mind.
"Let's go!" After trying the depth of anesthesia, Yang Xi greeted Li Ying at the head of the operating table.
......
After the patient was cured, Yin Wei came to smoke addiction, ran to the lounge to ask Boss Gao for a cigarette, a cigarette just finished smoking, Director Liu sent all kinds of pastries and drinks, Yin Wei was greedy, pinched a few things and tasted them, courtesy expressed appreciation, and Dean Lin's cigarette was handed to him.
Smoking cigarettes, eating pastries, drinking drinks, chatting about some anecdotes on the rivers and lakes, before I knew it, twenty minutes passed.
Suddenly, he heard the sound of a cart hitting the door outside the door, Yin Wei suddenly froze, and hurriedly took out his mobile phone to look at the time. When he came out, Yang Xi's kid was still washing his hands, and when he finished washing his hands, he went to shop the order, so he had to use up ten or eight points, how long had it been, should he go to pick up the next patient?
Mader, it's okay not to bring it so fast!
Yin Wei threw away the cigarette butt, without saying a word, and rushed straight out of the lounge and went straight to the operating room.
Dean Lin and Wu Weihua didn't know what was going on, and in a panic, they also threw away half of the cigarette in their hands and chased after Yin Wei.
Only Gao Yong is still steady and quiet.
Yin Wei rushed into the operating room, but saw that Yang Xi was already preparing to step down, leaving Lian Xiangdong on the stage and busy closing his abdomen.
"Done?" Yin Wei looked incredulous.
Yang Xi nodded, pointed to Lian Xiangdong and said: "The main thing is that the old man has deep skills and is in place." ”
Yin Wei coughed dryly, and licked his lips unconsciously, what level Lian Xiangdong is, others don't know, but he Yin Wei knows it very well.
Behind him, Dean Lin and Wu Weihua, who caught up, were also surprised.
Yang Xi is a demon on the operating table, there is no doubt about it. However, although the surgical skills shown by this demon in the town hospital a month ago are shocking, they still have a sense of youth, and today, it only took ten minutes to get a cholecystectomy, which gives people a lot of imagination.
What kind of surgery will it be?
Facing everyone's eyes full of doubts and curiosity, Yang Xi just smiled faintly, said nothing, and quietly left.
Lian Xiangdong on the stage replied draggedly in the face of Yin Wei's questioning: "For the two of us, this is just a normal performance." ”
Yin Wei had an impulse to knock the pretending criminal on the stage to the ground, but he gritted his teeth, held back, and turned to ask his cousin Li Ying again, Li Ying shook his head and said with a wry smile: "I didn't see anything, Dr. Yang said hello to me and said that he was going to start the operation, during which I checked the patient's vital signs, and then filled out an anesthesia record, and then ...... The surgery is coming to an end. ”
Yin Wei sighed, and made up his mind in his heart, when the next operation started, Lao Tzu said that he would not go out to smoke again, just staring at that stinky and shameless thing here to see how awesome he was.