The uterus in front of the eye maintains the anterior position, and the uterine body is significantly enlarged, such as the size of 3 months of pregnancy.

There are 2 lobulated fibroids on the back of the cervix, and I measured it with a soft ruler, the diameter of the right side is about 10cm, and the diameter of the left side is about 25cm.

Chen Qi was not only not happy, but his brows furrowed again:

"Director Lu, judging from the size of the patient's belly, it seems that these two tumors in the uterus are far from enough."

Chen Qi didn't say that he had quietly done B ultrasound and bedside CT, and obviously saw adhesion foci and swollen lymph, which would not have happened if it was just a uterine hemorrhosis.

Then there must be something wrong somewhere.

Yu Yaqin, director of the Department of Obstetrics and Gynecology of the Fourth Hospital, also feels the same way:

"Yes, the tumor in the uterus is not big enough, Chen Qi, you push the uterus to the side and check the ovaries and other accessories."

"Okay, Director."

Chen Qi continued to probe downward, pushing open the huge uterus, and his eyes suddenly lit up:

I saw that the lower edge of the ovarian cyst on the left side was densely adherent to the posterior wall of the uterus, and the pale yellow fluid in the abdominal cavity was almost 250ml, and the one-room cyst was about 30*30*15cm.

Because Lu Yue is a helper, his vision is better, and he exclaimed repeatedly:

"Obediently, I was guessed by Lao Yu, there is a huge tumor in this left ovary, look at the degree of adhesion, I am afraid that it is more than auspicious."

When Yu Yaqin heard that she had guessed correctly, the old lady was secretly happy in her heart, and said proudly:

"Lao Lu, since it is a tumor in the Department of Obstetrics and Gynecology, you, the director of major surgery, let Xian, come, help me do it, this is the first time I have encountered a huge uterine tumor and ovarian tumor in my decades, which must be studied and studied."

Director Lu glanced at him secretly and said unhappily:

"Don't talk about you, I've been a surgeon for so many years, and it's the first time I've come across it, so you want to study? This is a written paper, whether it is "Surgery" or "Obstetrics and Gynecology" medical journals will definitely be published. ”

Women who come out of the obstetrics and gynecology department often have a strong sense of female boxing, and Yu Yaqin pouted:

"Then it depends on which of our papers will be published first, now you dodge and save the patient first."

Dean Gai, who was visiting the operation next to him, saw that his own doctor couldn't beat the doctor of the fourth hospital, so he hurriedly helped:

"I said two, this paper has to be written by the chief surgeon, the chief surgeon is not in a hurry, what are your assistants in a hurry?"

Yu Yaqin replied while helping Chen Qi pump the yellowish liquid in the abdominal cavity:

"Then I don't care, anyway, this paper is written by the old lady, Comrade Chen Qi is good, and he will be the second author of the paper by then, how about it? Chen Qi, do you have any comments on such an arrangement? ”

What can Chen Qi say? He is a little budding newcomer who has just joined the work, how can this paper grab a few old fritters?

"Hehe, whatever Director Yu says is what it is, I have no opinion."

"Look at this kid, sensible, you will be the object in the future, who is it, Lan Lijuan, right? I'll cover you in the fourth courtyard, see who dares to bully her? ”

The old lady is very bad, and she threw out a king bomb at a critical moment, in fact, she is telling others that I have a hostage in my hand, and I am happy to help her carry the sedan chair, and I am not happy to make her work unhappy.

Lu Yue was dumbfounded when he heard this, how can he rob this?

Dean Gai looked anxious, and hurriedly said:

"Comrade Chen Qi, don't be afraid, our second hospital is a county hospital, and it is trivial to transfer you and your object to the second hospital at that time, our hospital is much better than the fourth hospital."

Zhang Qi, the dean of the Fourth Academy, couldn't help it: "Lao Gai, you are not authentic, you can't pull all the good things into your family's rice bowl." ”

At the scene, Deputy Director Qiu Mingcai interrupted in a deep voice:

"Okay, okay, let's not say a few words, now the focus is to make sure that the operation is successful, if the operation fails, who will you write your paper to? Who would dare to publish? Comrade Chen Qi, you should follow your own train of thought and don't be disturbed. ”

Chen Qi took a deep breath:

"Okay, Director Qiu, then Director Yu, Director Lu, Director Bian, this patient is 51 years old, there is no need to have children, I am going to have a total hysterectomy + bilateral salpingectomy + double ovarian cystectomy, and at the same time to clean the surrounding tissues and lymph."

The three assistant directors all nodded: "Yes, no comment." ”

An hour later, the huge uterus had been removed, and Chen Qi shouted:

"Xie Ying, immediately take out these bloody fluids and uterus to make the emergency pathology unpredictable, and report the results immediately."

Hysterectomy is simple, but left ovarian removal is more difficult, and macroscopic lesions involve the fallopian tubes, left parametrius, uterine serous surface, and part of the muscles.

Director Lu took a look, glad that he was not the chief surgeon, it was all adhered to like this, and the operation was going to be expanded, which was too difficult.

Director Yu also began to worry:

"Chen Qi, this is troublesome, there is no need for pathological sections, nine times out of ten it is ovarian cancer, and it has spread and metastasized around it, no matter how much it is cleaned, it can't be cleaned. Now let's not talk about how difficult this operation is.

Even if you cut it off, without follow-up treatment, I am afraid that the survival rate of the patient will be very unsatisfactory, maybe the abdomen will not move the cancer cells, and she can live a few more days with follow-up conservative treatment, is it better? ”

Chen Qi glanced at the unconscious patient who was anesthetized and sighed softly.

"Director Yu, this patient talked to me all night before the operation, talked about her past life, she began to be widowed when she was young, if it weren't for her two children, she would have wanted to die at that time, and her family was so poor that she didn't even have to eat.

It is difficult to survive without a man in the countryside, she said that she is working in the team day and night, and she does not fall behind in carrying burdens, opening mountains, and farming like men, so she has endured all the hardships she should have suffered, and as a result, she ended up sick.

Finally, the children were raised, they all married daughters-in-law, and they saw that they could live a good life, but she had this strange disease, not only did outsiders not understand, but even the two daughters-in-law scolded her for being shameless and scolded her for why she didn't die?

She said that it didn't matter if she was sick, and she was not afraid of death, but she was afraid of leaving an infamy for her son and grandson, so that her children and grandchildren would not be able to raise their heads in the village from now on, and she didn't want them to be ridiculed by the township, so she couldn't eat this wrong.

Even if she died on the operating table, she was willing, as long as she cut out the contents of her stomach and showed it to the people of Xiawan, so that they could see with their own eyes that she was wronged, and she did not abide by women's morals, which was equivalent to saving her whole family's life.

So this surgery must be done, and I want to help her finish it and help her prove that she was wronged. ”

As soon as these words came out, everyone in the operating room was silent, how could a woman not agree to her by cutting her stomach to prove her innocence and want to protect the reputation of her children and grandchildren?

So, at Chen Qi's insistence, the operation continued.

The emergency pathology report also came out, confirming the existence of ovarian cancer, so the scope of surgery was expanded, and the surgical grade was also raised to grade 4.

Total hysterectomy + double adnexectomy + omentectomy + appendectomy + pelvic adhesion release + right paracolic gutter sigmoid mesocolonic surface lesion resection.

Just by hearing the names of these surgeries, you can see how difficult the surgery is.

Chen Qi did not flinch, and kept his head down and bent over for surgery, and the time passed minute by minute.

Many leaders in the operating room have quietly gone out, they are so tired that they can't even hold their urine after standing for several hours.

Only those clinical experts are sticking to their posts one by one, including three director-level assistants.

Five hours later, when the three huge tumors were completely removed, everyone breathed a sigh of relief.

At the same time, the surprise in everyone's hearts is needless to say, let's describe it this way, these three tumors can't fit ordinary stainless steel dishes at all, and they have to take an enamel basin to fill it.

The "sarcoma" full of basins, this feeling of numbness is worse than the roundworm intestinal obstruction in the cross-road at the beginning.

The operation went smoothly, purely from the perspective of surgery, and several directors wanted to give Chen Qi full marks.

Because of this kind of major surgery, even they may not be able to bear it, but a secondary school student who graduated less than a year ago, or a small doctor who works in a township health center, successfully won it, which has to be said to be a miracle.

Dean Gai of the Second Hospital and Dean Zhang of the Fourth Hospital were also thinking about how to bring this talent to their own hospital.

Chen Qi is still doing layer-by-layer suturing in the abdomen, and other little doctors will naturally take over the matter of stitches.

The enamel basin with tumors was placed in the middle of the table, surrounded by Yu Yaqin, Lu Yue, and Bian Pengfei, and the more they looked at it, the more beautiful it became.

Dean Yan held a tape measure in his hand, and hurriedly came over with Chang Xihua: "Come, several directors will let go, let's measure the size of these three tumors first." ”

In the past, it was a preliminary measurement, but now it is necessary to measure accurately, which is related to the authority and data reliability of subsequent papers.

"This one is 12 cm in diameter, the second one is 20 cm directly, and the third one is the largest, reaching 31.5 cm in diameter."

As soon as the data came out, the operating room was full of exclamations one after another, no one had ever seen an operation, so many and such a large number of tumors.

Director Lu Yue couldn't help but urge: "Lao Yan, is there a scale?" Weigh it, hurry up, hurry up. ”

"Yes, weight, it's important."

Dean Yan smiled and took out another round scale: "I have already prepared." ”

The result is that I don't know, I was shocked, and it adds up to 15KG.

Not surprisingly, this data has broken the largest number of huge abdominal tumors in the central region of Vietnam, even if it is ranked first in the country, and several assistant-level directors present have their minds full of papers.

After the operation, the most excited person was Director Wang, who hurriedly rushed over with the reporter and saw the three tumors in the enamel basin and smiled so much that his eyes were gone.

"How's it going, was the operation successful?"

Dean Yan was the first to jump out and shouted excitedly:

"Report to Director Wang, the operation went quite smoothly, the tumor in the patient's abdominal cavity has been cleared, and the patient's condition is now stable."