Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 197 This thing is actually quite beautiful!
After being told by Lin Yi, the woman couldn't help but calm down.

She turned her head to look at Lin Yi, panting heavily, nodded and said:
"Okay, I'll sign."

"Doctor, you must try your best to perform this operation on my husband! She is the pillar of our family, we can't do without him!"

After she finished speaking, she stared at Lin Yi with expectant eyes.

"Well, we'll do our best!"

Lin Yi nodded in agreement, and hurriedly arranged for her to sign the relevant documents without wasting any time.

After everything was over, the patient was wheeled into the operating room.

"anaesthetization!"

Lin Yi stood in front of the operating table and issued the order directly.

The anesthetist Lao Ma nodded and directly administered general anesthesia to the patient.

After a while, the patient was anesthetized. Lin Yi picked up the scalpel and prepared to make an incision.

"Because the hydatid cysts in this patient are mainly in the right lung."

"And he didn't have hepatic echinococcosis, so he only needed an incision on the right side."

Lin Yi opened his mouth to explain to the people next to him.

Song Borui couldn't help but nodded, staring closely at Lin Yi's hands, ready to see his next move.

As for Chen Qiang and Wang Qiaoya, they seemed to understand half-understood, but they still listened carefully.

Lin Yi's surgery used a complete internal capsule removal.

To select an appropriate part of the tenth intercostal space on the right side, the skin, subcutaneous tissue, and intercostal muscles need to be cut in sequence, and free tissue should be carefully removed to enter the thoracic cavity.

This surgical method is suitable for cases where hydatid cysts protrude more than one-third of the lung surface and there are no complications such as co-infection.

In this way, as long as the ascus is not broken, it can be completely removed and recurrence can be avoided.

In this case, the most ideal surgical method.

Afterwards, Lin Yi didn't waste any time and started making the incision directly.

After finishing, he opened his chest while explaining the steps and essentials of the operation to Song Borui and others.

"You see, the pulmonary hydatid cysts of this patient are relatively complete and multiple, so we need to remove the large cyst first."

"But you must be careful when taking it out, and you must not break it!"

"Because once it is broken, the cyst fluid inside will flow out, which will easily cause the recurrence of the disease, and it will be very difficult to deal with in the future!"

"Yes, got it!"

Song Borui nodded after listening, and said immediately.

As a doctor in emergency surgery, he still has a certain understanding of thoracic surgery.

So when Lin Yi said this, he could understand it well.

On the other hand, Chen Qiang and Wang Qiaoya didn't know much about it.

But they all kept what Lin Yi said in their minds, and they waited to do research after going out.

Afterwards, Lin Yi placed wet gauze pads under the lungs and inside the chest cavity to fully expose the pulmonary hydatid cyst.

Immediately afterwards, on the gray-white outer capsule fibrous wall, cut the outer capsule wall with the front part of the blade.

This step requires stable anesthesia or the patient pauses breathing to avoid puncturing the lungs, which is a key point.

While operating carefully, Lin Yi explained this point to Song Borui.

Lin Yi tilted the scalpel at 30°, applied even force, and scraped and peeled off with the blade.

"When doing this operation, it is very important to master the strength. You must not use gravity, and try to be as gentle as possible. Otherwise, if the worm sac breaks, all previous efforts will be wasted."

When cutting the small opening of the outer capsule, Lin Yi used his fingers to protect the inner capsule, and then quickly used scissors to widen the incision.

To prevent the incision of the outer capsule, sudden decompression, and a sudden increase in the local pressure of the inner capsule, causing rupture of the inner capsule.

The enlarged outer capsule incision is slightly larger than the diameter of the inner capsule, and a "ten" incision is made.

When peeling off the adhesion of the inner and outer capsules, Xiao Chu used the peeler and fingers to focus on the inner surface of the outer capsule to avoid squeezing the inner capsule.

After the inner and outer capsules were completely separated, Xiao Chu asked the anesthetist to inflate his lungs.

The purpose is to push out the whole cyst with the help of the surroundings of the inner capsule (especially the bottom surface of the inner capsule), the airflow in different directions, and the thrust of lung inflation, and then it can fall into the basin filled with normal saline.

According to Lin Yi's instructions, the old horse immediately inflated the patient's lungs.

At this time, a huge cyst could be seen. Under the expansion of the lungs, it was slowly squeezed out of the lungs, and then immediately fell into the basin of normal saline that had been prepared long ago.

Lin Yi carefully checked the condition of his lungs, wanting to see if there were any small cysts left over.

After the completion, it will soon be time to close the chest.

"Brother Yi, let me come."

Song Borui directly volunteered.

"okay."

Lin Yi nodded.

Song Borui could easily handle the operation of closing the chest.

So Lin Yi stood directly behind the operating table and asked Song Borui and nurse to deal with it.

Lin Yi picked up the basin containing the hydatid cyst from the side, and held it towards Chen Qiang and Wang Qiaoya.

"Look."

As he spoke, Lin Yi slowly cut open the outermost membrane of the cyst with a scalpel.

Immediately, many hydatid cysts the size of golden pearls were exposed from the large cyst.

Chen Qiang and Wang Qiaoya stared closely at the things in the basin, and couldn't help sighing:
"Brother Yi, this... is this the hydatid sac you mentioned?"

"However I look at this thing, it is quite crystal clear, like a pearl, very beautiful!"

"Hey! Qiaoya, can't it be like a pearl? This is something that grows out of the lungs!"

"That's right! I've never seen this kind of disease before, and such a thing can grow in the lungs! I want to touch it with my hands."

"This………"

After listening to Wang Qiaoya's words, Chen Qiang stared at him in surprise.

"I really can't tell, you still have such a heavy taste, you dare to touch this kind of thing."

Afterwards, Chen Qiang couldn't help but said to her.

"What's the matter? This thing looks pretty."

Wang Qiaoya didn't take it seriously, and said directly to Chen Qiang.

Lin Yi couldn't help smiling, and fiddled with a golden hydatid sac with a scalpel and said:
"You can't touch this thing casually, if you accidentally break it, it will spread the disease!"

After Lin Yi finished speaking, Wang Qiaoya suddenly showed a look of horror on her face, and asked Lin Yi:
"Is it true, Brother Yi?"

"If I accidentally break this thing, then it is very likely that I will have this thing in my lungs like him?"

Lin Yi nodded with a smile and said:
"Well, that's about it."

Wang Qiaoya took a step back instinctively, and immediately said:

"Then why don't you put it down quickly, how dangerous it is for you to hold it like this!"

At this time, Wang Qiaoya was completely different from just now, her face was full of fear.

"well."

Lin Yi couldn't help but find it funny seeing her like this.

So he handed the basin to a nurse and told her:

"These hydatid sacs need to be sterilized in the hospital immediately after they go out for the patient's family to see. They must not be thrown away casually, so as not to infect the disease!"

(End of this chapter)