Look at the man's screen name: A lancet!

"Haha, Brother Dao is here again!"

"Good evening, Brother Dao!"

"Has Brother Dao eaten it?"

The status of the Lancet in the live broadcast room is not low.

Although he didn't start a live broadcast, every operation of Li Xiyang could be explained by him thoroughly, and his medical skills could be seen.

"Brother Dao, what did you just say, appendicitis?"

"I can't!"

First of all, the surgical incision is wrong.

The open incision for appendicitis should be at the McSs point, while the anchor's incision is significantly higher.

The Lancet shook his head, "Keep watching!" ”

In the operating room, Li Xiyang finally used a suction device to suck up all the pus, and at the same time did a good job of peritoneal protection.

Then use a hemostat to dissociate the omentum a little bit, and when a gap is opened,

it!

A gray-black tissue about 1 thick and 1 long appeared in the field.

"What the hell, this is an appendix?"

"No, why did the appendix come here?"

"This..."

"That's right, it's really a subhepatic appendix!"

"Brother Dao, what did you say, subhepatic appendix?"

The Lancet explains, "The physiological development of the normal appendix occurs at the sixth week of the human embryonic stage when a cone-shaped blind pouch appears on the mesangial border of the distal branch of the midgut, the primordia of the cecum.

The tip of the blind bag will gradually develop into an appendix.

At week 10, the midgut in the umbilical cord returns to the abdominal cavity and begins to rotate counterclockwise, with a total rotation of 270 degrees at birth.

It turns out that the lower left cecum and appendix will rotate to the right iliac, which is where the appendix of a normal person is.

In the process of growth and development, when the intestinal rotation is incomplete, the appendix and cecum will stay under the liver, forming an ectopic high subhepatic appendix.

Everyone was stunned!

Brother Dao also said, "Due to the abnormal anatomical position of the subhepatic appendix, coupled with the atypical and uncommon medical history, it is difficult to diagnose preoperatively.

Clinically, hypohepatic appendicitis and acute cholecystitis, cholelithiasis, upper gastrointestinal perforation, and even liver abscess are often mistaken.

For example, the subhepatic appendix is adjacent to the gallbladder, and once the appendix develops, the stimulation of inflammation will spread to the gallbladder, so that the gallbladder wall will be affected and become rough and thickened, and the volume will increase, and it will often be misdiagnosed as acute cholecystitis in clinical practice.

If ultrasonography reveals gallstones, the diagnosis can be further misleading.

Therefore, when diagnosing patients with high appendicitis, it is necessary to inquire about the medical history in depth, the physical examination must be careful, and at the same time combine various auxiliary laboratory examinations for comprehensive analysis, otherwise it is easy to cause misdiagnosis. ”

"Brother Dao is right!"

Yi Lang recalled, "In the first half of the year, our hospital received a patient who began to feel abdominal discomfort, and after 3~4 hours, there was persistent swelling pain in the umbilicus, and then moved to the right upper abdomen, nausea and vomiting 3 times, which was the stomach contents, and our hospital was admitted to the hospital with abdominal pain.

A review of the patient's medical history revealed that the patient often had right upper quadrant pain, dyspepsia, and sometimes fever in the past two years, which was relieved by antibiotic treatment with cholecystitis several times in internal medicine.

So we arranged for a urinalysis routine and abdominal fluoroscopy, but there was no obvious abnormality, and we continued to give antibiotics for cholecystitis.

The next day, he found obvious muscle tension in the right upper abdomen, and began to suspect high appendicitis, and continued conservative treatment and observation.

In the afternoon, the patient's symptoms and signs worsened.

Therefore, under epidural anesthesia, the right upper rectus muscle incision was taken for surgery.

Intraoperative exploration of the liver, gallbladder, bile duct, and stomach were normal,

Exploration of the right inferior lobe space of the liver reveals local tissue edema, omentum coverage, and severe adhesions.

Separation of the omentum showed a large amount of thin pus overflowing, smelly,

Only then did I find out that the cecum was actually under the liver.

However, at that time, cecal adhesions, suppuration, and edema were already very serious, and the patient did not wait for the appendectomy at all, and the heartbeat stopped. ”

"Damn, it's so dangerous!

”

It was the first time that many people had heard of the cutting of the appendix and the cutting of human life.

At this time, Brother Dao explained, "High appendicitis, due to the abnormal anatomy, once gangrene perforation occurs, the omentum is not easy to wrap, and the inflammation is not easy to localize, so it is easy to form diffuse peritonitis, aggravate acidosis shock, and then threaten life."

Therefore, it is clinically required that even if the diagnosis cannot be confirmed, as long as there are indications similar to high appendicitis, surgical exploration should be done immediately. ”

"Hiss~"

"Then the anchor's surgery is dangerous!"

As the surgical field became clearer, some people already noticed the terrible condition in the patient's abdominal cavity.

Acute peritonitis!

Acute hypohepatic appendicitis!

Gangrenose appendix perforation!

Septic shock!

Right kidney stone!

"Damn, it's a miracle that this man is still alive!"

"Xiaoqiang who can't be killed!"

Li Xiyang carefully peeled off the tissues around his appendix, and his movements were much slower than any previous appendicitis surgery he had done.

Appendix infarction has almost suppurated, and if you are not careful, it will contaminate the tissues of nearby organs, causing irreversible damage.

"Assi, I'm so nervous, you said that the elder shouldn't miss this time!"

"It's hard to tell."

Subhepatic appendicitis is rare.

An appendix with gangrene to this extent is even rarer.

"Don't beep, watch the big old show operation seriously!"

There are still many staunch supporters of Li Xiyang in the live broadcast room.

And Li Xiyang is indeed experiencing the biggest test since his surgery, and it took 40 minutes just to free the omentum.

The inside of the surgical gown was already soaked with sweat.

Su Xintong held the gauze and stood next to Li Xiyang in a daze.

Whenever you see sweat oozing out of the sterile cap, wipe it off quickly.

Su Xintong had never seen Li Xiyang sweat so much.

Chen Xu didn't know what to do at all, and was reduced to a spectator the whole time.

Pray silently in your heart!

Passing through the omentum, Li Xiyang began to free the adhesions between the appendix and the surface of the liver and gallbladder, and he was careful with every step.

Another half hour passed.

"Whew, finally the wandering has succeeded."

Everyone in the live broadcast room followed Li Xiyang and let out a long breath,

Next up is the sewing!

When the adhesion was completely separated, Li Xiyang's movements were finally no longer so cautious.

The needle holder was very agile in his hand,

needle insertion,

out of the needle,

Then with a flick of the wrist, a cumbersome and firm surgical knot was completed.

"Damn, so fast?"

"The anchor's hand speed is against the sky!

”

New friends come in every day in the live broadcast room, and their reactions are so similar.

The old fans laughed and brushed a wave of "Ji Cao Don't 6"!

There is also a young lady herself, "Follow the anchor and don't get lost, be careful to go a wave!"

"Scissors."

"Specimen bag."

A complete appendix is then removed from the patient's abdominal cavity.

"Whoosh, this is an extremely rare case of subhepatic appendicitis, brothers, take notes!"

"Watching the anchor's surgery is like admiring a work of art, ne~"

"The great god really didn't disappoint me, continue to worship!"

"Don't say anything, 20 big rockets go!"

The eldest brother always appears in the finale at the end, and a wave of rocket 20 consecutive hits directly leads the atmosphere of the live broadcast room to the most explosive.

To provide you with the fastest update of the Great God Xinglin Holy Hand's Great Power Chief Surgical Holy Hand, in order for you to see the fastest update of this book next time, be sure to save the bookmark!

Chapter 107 Subhepatic Appendicitis Free Read.