Inside the conference room.

Peng Tao's face changed completely, and the patients he arranged at first were only patients with slightly serious intra-abdominal tissue adhesions.

There will be a little trouble in the operation, but at most it will make Liu Guowei a little ugly.

But Chengyi, this guy, actually sent the patient who was about to be urgently transferred to the obstetrics.

That's a patient at 22 weeks gestation, and it's not going to kill you.

"During pregnancy, the omentum will be pushed open by the enlarged uterus, so it is not easy to localize the inflammation after perforation of the appendix, resulting in diffuse peritonitis.

When inflammation spreads to the serous layer of the uterus, it can stimulate uterine contractions, miscarriage and preterm birth, or cause uterine tonic contractions, leading to fetal hypoxia and even death. ”

"Deputy Director Peng, you don't know this bit of common sense, right?"

Liu Xiaojuan, the director of the obstetrics department, is an old doctor with a kind smile, but the eyes staring at Peng Tao at the moment are full of disgust and anger.

The private fight between the latter and Liu Guowei is known to the whole court.

But after all, it's none of our business, everyone has one eye open and one eye closed.

But now, personal grievances have spread to the patient, isn't it too much fun!!

"Peng Tao, give me an explanation!"

Dean Fu Qing also had a gloomy face.

"Dean, I..."

Peng Tao was at a loss at this time, and he knew that his future was ruined.

But

"My Peng Tao lost my job, but the patient's life safety is big!"

"Everyone, the top priority now is to find a way to stop this operation as soon as possible!"

Although Peng Tao is obsessed with the position of director, his original intention as a doctor has never changed.

The most important thing is that his wife just checked out that she was pregnant last month, and he knows better than anyone what it feels like to be a parent.

"Pregnant women and fetuses must not be fine!!"

Everyone also reacted one after another, and the top priority was to stop the operation immediately.

Otherwise, a medical trouble will directly push the Third Hospital to the forefront.

But at this moment,

"Oh no, the operation has begun!"

Someone pointed to the big screen of the live broadcast and shouted.

"What?"

Liu Xiaojuan, director of the obstetrics department, was furious, "Who is operating on it, it's just a mess." ”

Acute appendicitis during pregnancy is very different from that of ordinary appendicitis.

Because during pregnancy, the adrenal corticosteroid secretion of pregnant women will be too high, and the immune function will be suppressed, thereby reducing the stress response of body tissues to inflammation, and promoting the occurrence of inflammation.

In addition to causing diffuse peritonitis, it may also cause subdiaphragmatic abscess, infection and invasion of the uterus and placenta to cause miscarriage, premature birth, and stillbirth, which endanger the life of the mother.

Therefore, the preoperative examination is also very complicated, including urine routine examination, blood routine examination, ultrasound examination...

There is also blood culture + antimicrobial susceptibility test, and fetal fetal heart rate monitoring.

Large doses of broad-spectrum antibiotics must also be given at the same time as surgery to control the infection.

In short, every case of appendicitis surgery during pregnancy must involve professional obstetric medical personnel.

"Liu Guowei, is this the expert you invited?!!

Liu Xiaojuan was so angry.

She never married, worked in obstetrics for nearly forty years, and treated every newborn like her own.

Liu Guowei also looked wronged.

When he arrived at the emergency room, he happened to meet Cheng Yi, and only then did he know that the patient they sent over was a pregnant patient.

Besides, when the patient was sent over, he was directly pushed into the operating room, which Peng Tao was obviously afraid of refusal, so he came to a trick to catch the duck on the shelf.

And I asked Li Xiyang again...

Thinking of Li Xiyang's anger when he saw the patient, and the medical trouble that was likely to be provoked later...

Mom,

If something happens to Dr. Li, I'm afraid Mo Kai...

Wrong

I'm afraid that when the time comes, the entire First Courtyard will not let itself go.

After all, that young man is a genius!!

Thinking of this, Liu Guowei's face was even more sad than Peng Tao!

But the operation has already begun, and it is too late.

"Huh!"

At this moment, a sudden shock sounded in the conference room.

It's Dean Fu Qing.

Following his gaze, everyone looked at the live broadcast screen.

The next moment, everyone's mouths opened wide in surprise.

Padding gauze protects the abdominal wall...

Hemostat traction mesangium...

Give 1% procaine to block...

Perforated at the base of the mesangium and pulled through two No. 4 silk threads...

Through ligation...

Cut off the abscess ...

Small round needle, 4 wires, suture incisions...

The entire conference room was silent.

It wasn't until the patient was pushed out of the operating room that someone slowly came to their senses.

"Oh my God, what did I just see?"

"Perfect, this is definitely a perfect laparotomy for appendicitis."

"Did you notice, the operation only took ten minutes!"

"Ten minutes?"

"That's a 22-week gestational patient!"

"Unbelievable!"

“……”

In fact, the key to surgery for patients with appendicitis during pregnancy lies in how to accurately remove the part of the appendix lesion without controlling the spread of inflammation and without pressure on the uterus.

Normally, the position relationship between the root of the appendix and the cecum is fixed, but the position of the appendix is variable.

The appendix can follow the cecum as high as the subhepatic and as low as the pelvis.

In pregnant patients, the appendix is more likely to be displaced to the left side of the abdomen.

Although the patient in the large screen is not so severe, the appendix has clearly crossed the midline and tilted towards the left side of the abdomen.

But the chief surgeon was able to lift and remove the appendix without squeezing the uterus at all under such a small incision.

It's amazing!

In addition, even putting aside the special circumstances of the patient's pregnancy, an ordinary laparotomy for appendicitis cannot be completed in 10 minutes.

At least before this operation, no one had heard of it.

Dean Fu Qing quickly asked, "Deputy Director Liu, which expert professor in the imperial capital is this?" ”

"Imperial Capital?"

Liu Guowei shook his head, "Doctor Li is from Yuncheng First People's Hospital. ”

"It turned out to be from the First Hospital!"

Sheng Lei, deputy director of the heart department, smiled and nodded, he has always been the little fan brother of Li Hangliang, the director of the heart department of the first hospital.

Other doctors chimed in.

"It deserves to be the best hospital in our province."

"There are many talents!"

"Li Hangliang outside their hearts, Liu Qi outside their bones, Zhang Zhenhua in the emergency department..."

"By the way, there is also the genius doctor Mo Kai who is in the limelight, they are all the flag-bearers of our Lan Provincial Doctors Association!"

Speaking of Yuncheng First People's Hospital, the doctors present are all admired from the bottom of their hearts.

In private, everyone directly calls it 'the First Court of Lan Province'.

This is already a well-established fact in the industry!

Fu Qing also nodded, since he took over the Third Court of Hangzhou, the goal he has always set for himself is to be on par with the First Court.

But

Which boss in the First House is this?

Even though he wears a mask, he looks like a young man...