This is a laparoscopic minimally invasive surgery with a single port!

Because Billie is young, only 15 years old, and the days to come are still long, so Zhou Qiao chose this technique.

Using the natural scar of the umbilical foramen, the surgical instruments are "straight in" and then cleverly sutured after surgery, which can perfectly "hide" the surgical scar, thereby reducing the physical and psychological trauma of the patient.

In general gynecological laparoscopic surgery, the conventional method is to make 3~4 surgical incisions of about 0.5~1cm in the patient's abdomen, and insert a cannula into each of them, and all operations are carried out through these channels.

However, single-port laparoscopic surgery reduces multiple incisions to one incision, which has many advantages that traditional laparoscopy does not have, such as the patient's pain is lighter, the patient can get out of bed one day after surgery, and the incidence of complications such as postoperative intestinal adhesions is reduced; A single incision is made in the umbilicus, which has a good appearance after healing; It is not easy to get infected, and the postoperative recovery is faster.

Anesthesia method: endotracheal intubation and intravenous aspiration combined with general anesthesia, opening of peripheral large veins, routine monitoring of NIBP, SPO2, HR, RR, etc.

The mask is given oxygen and nitrogen denitrogenization for several minutes, and intravenous rapid induction (0.3 mg of long tonin, 2 mg of liyuexi, sufentanil 25 mcg, etomidate emulsion 20 mg, cisbenzene 14 mg)......

After success, the endotracheal tube was inserted through oral vision, and after confirming that it was in the trachea (the inner diameter of the catheter was 7mm to the depth of the incisors was 22cm), the catheter and dental pad were properly fixed, and the breathing was controlled by an anesthesia machine.

After anesthesia, routine time out......

Anesthesiologists, itinerant nurses, instrument nurses, surgical assistants, surgeons...... One person comes again.

Although Murphy has always been taciturn, but at this time, with Zhou Qiao's encouragement, he had to open Chrysostom, otherwise, the process would not be able to go on.

Murphy is just autistic, not stupid. At this time, she will not insist on not saying anything.

Check that there are no errors, and the operation begins.

Inhaled sevoflurane and intravenous pump of propofol remifentanil are maintained. Intraoperative smoothness, small dose pump of dextrome, monitoring muscle relaxation.

……

It has to be said that Murphy is worthy of a medical genius, although it is the first time to practice, but the technique is extremely skillful, dexterous two-handed control of the instrument, first in the middle of the patient's umbilicus incision a 1.5cm incision, and then placed a single-port laparoscopic puncture device into the laparoscope.

At this time, the patient can clearly observe on the electronic display screen that the patient has a large cyst of the left mesangium and a cyst of the right ovary, with a smooth surface and torsion of the left adnexa for 3 weeks.

Because of the intuitive imaging, Murphy doesn't have to waste brain power to simulate holographic three-dimensional images, but on the electronic display screen, along with her mind, one after another comment boxes appeared, which is the combination of the virtual construction annotation map that she is good at and the image on the electronic display screen!

Pure imagination is condensed, only she can see it, and no one else can see it.

Murphy first performed left mesangial cyst exfoliation, electrocoagulation of the surface of the cyst, opening of the surface of the cyst, using bipolar electrocoagulation of the blood vessels between the mesangium and the cyst, and gradually separating ......

Complete removal of the cyst......

Place in a specimen bag and take it out......

Intermittent sutures were used with 3-0 Vicryl (Vicryl threads) to restore the mesangial structure......

In this process, Zhou Qiao naturally has some instructions, such as paying attention to hemostasis during the operation, the cyst should not be removed too quickly, gradually separated along the gap between the cyst and the mesangium, electrocoagulation of the blood vessels between them, and reducing bleeding and bleeding from the mesangial surface after the cyst is removed.

In the case of mesangial suturing, it is recommended that Murphy use intermittent sutures, which will help restore the normal structure of the mesangial fallopian tubes, and can effectively stop bleeding.

These points, along with Zhou Qiao's explanation, all appeared in Murphy's "comment box" one by one.

After the condensation of her imagination, it is equivalent to the kind that is imprinted in her mind and is difficult to easily forget.

Exquisite, exquisite, and easy, the drum does not need a heavy hammer, sometimes Murphy hesitates slightly, Zhou Qiao just clicks slightly, and Murphy immediately understands.

I have to say that teaching this kind of genius student is really super worry-free.

If you teach stupid students, you will probably be angry and can't help but curse!

Subsequently, the right ovarian cyst is removed......

Ovarian ......

The entire operation, which lasted about 45 minutes, successfully removed the pelvic mass from Billie's body.

After the operation was stopped, Billie was pushed to the resuscitation room and gradually woke up.

After waking up, Caroline, the anesthesiologist, asked some questions, and Billie was conscious and answered the questions with a fist.

The tracheal tube and oral secretions were aspirated, and after antagonism, the tracheal tube was removed, and the SPO2 was maintained at more than 95% without oxygen inhalation for 10 min.

Connect to PCIA, maintain oxygen with an oxygen bag, and send it out of the resuscitation room.

Ariel was naturally extremely happy to hear the news of the successful operation, and as soon as she put away the bullet, she immediately helped push it back to the Iris Clinic ward, and the oxygen bag was not needed, and the Iris Clinic ward had a special oxygen pipe.

Continue to monitor vital signs.

The sample tissue is sent to the testing center for pathology.

When the report came out and showed that it was a benign lesion, Zhou Qiao, Murphy, Ariel, and Billie all breathed a sigh of relief!

Billie was lying on the bed at the Iris Clinic and said to Ariel, "Sister, the operation didn't hurt at all, it was amazing, I felt like I had a dream, a very strange dream." ”

Zhou Qiao took Murphy in to check the room, Ariel expressed her gratitude, and then hugged Murphy heavily, Murphy did not resist, but did not respond.

"Murphy, thank you so much! You're going to be a great doctor in the future! Ariel was impressed.

The heart said that Murphy is only 4 years older than my cousin, but his medical skills are already so superb that he is worthy of being a disciple trained by Dr. Zhou!

I don't know where Dr. Zhou kidnapped such a medical genius, his eyes are really like eagles, and they are like torches in the dark!

Zhou Qiao checked Billie's physical condition and said with a slight smile: "Billie needs to stay here for about 5 days. Ariel, if you have something to do, you can go and get busy. Rest assured, we will take care of her. ”

"It's only been 5 days?" Ariel was stunned, and Billie was overjoyed. They thought they would have to stay in the courtyard for a long time.

"Dr. Zhou, how much will this surgery cost? I paid for it in advance! Originally, it was necessary to wait until the time of discharge to settle the bill, but Ariel felt that it was better to give it first. After all, the clinic has helped her a lot.

Give it early, and the clinic's funds can also be turnover, and it is not good for people to advance money.

Zhou Qiao asked Ava to bring the bill, looked through it carefully, and said, "You can give 15,000 Dao Le." ”

Ariel said: "Let's make up a whole number and give 20,000." ”

As he spoke, he took out 20,000 cash very happily, saying that Zhou Qiao must accept it!

She knows the market, Billie's disease, and there is no medical insurance, if she goes to other clinics, or big hospitals, she can't get down without 50,000 US dollars, and if she encounters some black-hearted people, it may cost 180,000, or even more.