I run a clinic in the United States

Chapter 87
This is a laparoscopic minimally invasive surgery, the highlight is the single hole!
Because Billie is younger, only 15 years old, and there are still many days to come, Zhou Qiao chose this technique.

Utilizing the natural scars of the umbilical foramen, the surgical instruments are "single-handedly inserted", and then sutured skillfully after surgery, which can perfectly "hide" the surgical scars, thereby reducing the physical and psychological trauma of the patients.

In general gynecological laparoscopic surgery, the conventional method is to make 3 to 4 surgical incisions of about 0.5 to 1 cm in the abdomen of the patient, insert a cannula each, and all operations are performed 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 less pain for patients, one day after operation, postoperative intestinal adhesion, etc. The incidence of complications is reduced; the single incision is at the umbilicus, and the appearance is good after healing; it is not easy to be infected, and the postoperative recovery is faster.

Anesthesia method: endotracheal intubation plus intravenous inhalation combined general anesthesia, open peripheral veins, routine monitoring of NIBP, SPO2, HR, RR, etc.

The mask provides oxygen and nitrogen removal for several minutes, and rapid intravenous induction (0.3 mg of Changtonin, 2 mg of Liyuexi, 25 μg of sufentanil, 20 mg of etomidate emulsion, and 14 mg of cisbenzene)...

After success, the tracheal tube is inserted through the mouth under clear vision. After confirming that it is in the trachea (the inner diameter of the tube is 7mm and the depth of the incisors is 22cm), the tube and dental pad are properly fixed, and the anesthesia machine is connected to control breathing.

After anesthesia, routine time out...

Anesthetist, itinerant nurse, equipment nurse, surgical assistant, chief surgeon... one person will come here once.

Although Murphy has always been taciturn, at this time, with Zhou Qiao's encouragement, he had to speak up, otherwise, the process would not go forward.

Murphy is just autistic, not stupid.At a time like this, she wouldn't hold back.

After checking, the operation begins.

Maintenance was with inhaled sevoflurane and intravenous pump propofol and remifentanil.The operation was uneventful, with small-dose pump injection of Deximetin and monitoring of muscle relaxation.

……

I have to say that Murphy is worthy of being a medical genius. Even though it was his first practice, he performed extremely skillfully. He manipulated the instrument with dexterous hands. First, he made a 1.5cm incision in the center of the patient's navel, and then inserted the Single port laparoscopic trocar into the laparoscope.

At this time, it can be clearly observed on the electronic display that the patient has a large left mesosalpinx cyst and a right ovarian cyst with a smooth surface, and the left appendage has been twisted for 3 weeks.

Due to the intuitive imaging, Murphy does not need to waste brainpower to simulate holographic three-dimensional images. However, on the electronic display screen, one after another comment box appears, which is the virtual construction she is good at. Annotated drawings combined with images on electronic displays!
Pure imagination is condensed, only she can see it, and no one else can see it.

The first thing Murphy did was to remove the left mesenteric cyst, electrocoagulate the mesentery on the surface of the cyst, open the mesentery on the surface of the cyst, use bipolar electrocoagulation to coagulate the blood vessels between the mesentery and the cyst, and gradually separate...

Complete cyst removal...

Put it in the specimen bag and take it out...

Use 3-0 Vicryl (Vicryl) interrupted sutures to restore the mesangial structure...

During this process, Zhou Qiao naturally gave pointers, such as paying attention to hemostasis during the operation, removing the cyst too quickly, gradually separating the cyst from the mesangial space, and electrocoagulating the blood vessels between them to reduce bleeding and the mesangial surface after cyst removal. bleeding.

When the mesosalpinx is sutured, it is recommended that Murphy use interrupted sutures, which will help restore the normal structure of the mesosalpinx, and can effectively stop bleeding. During the suturing process, attention should be paid to the shape of the fallopian tube.

These key points, as Zhou Qiao explained, all appeared in Murphy's "note box" one by one.

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

Delicate, sophisticated, and effortless, the drum does not need a heavy hammer. Sometimes Murphy hesitates a little, but Zhou Qiao just gives a little hint, and Murphy immediately understands.

I have to say that teaching such a talented student is really super worry-free.

If you teach stupid students, you will probably get angry and curse them!

Subsequently, the right ovarian cyst was removed...

Ovary forming...

The entire operation lasted about 45 minutes, and the pelvic tumor in Billie's body was successfully removed.

After the operation, the drug was stopped, and Billie was pushed to the recovery room and gradually regained consciousness.

After waking up, Caroline, the anesthetist, asked some questions. Billie had a clear mind, answered the questions to the point, and made a strong fist.

Aspirate the tracheal tube and oral secretions. After resistance, remove the tracheal tube and observe for 10 minutes without oxygen inhalation. SPO2 is maintained above 95%.

Connect to PCIA, use an oxygen bag to maintain oxygen supply, and send the patient out of the resuscitation room.

Ariel was naturally very happy when she heard the news of the successful operation. As soon as she put away the bullet, she immediately helped to push it back to the Iris Clinic ward. The oxygen bag was no longer needed. The Iris Clinic ward has a dedicated oxygen pipeline.

Continue to monitor vital signs.

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

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

Billie was lying on the bed at Iris Clinic and said to Ariel: "Sister, the operation actually didn't hurt at all. It's so magical. I felt like I had a dream, a very strange and weird dream."

Zhou Qiao brought Murphy into the ward round, and Ariel thanked her, and then gave Murphy a big hug. Murphy didn't resist, but didn't respond either.

"Murphy, thank you so much! You will definitely become a great doctor in the future!" Ariel sincerely admired him.

I thought that Murphy is only 4 years older than my cousin, but his medical skills are already so superb, he deserves to be a disciple trained by Dr. Zhou!
I don't know where Dr. Zhou abducted 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. If you have something to do, Ariel, you can go and do it. Don't worry, we will take good care of her."

"Only five days?" Ariel was shocked, and Billie was also very happy.They thought they would stay in the hospital for a long time.

"Doctor Zhou, how much is the cost of this operation? I'll pay in advance!" Originally, it was necessary to wait until the time of discharge from the hospital to settle the bill, but Ariel felt that it was better to pay first.After all, the clinic had already done her a great favor.

If you give it early, the clinic's funds can be turned around. It's not good to let people advance money.

Zhou Qiao asked Ava to bring the bill, flipped through it carefully, and said, "Just give me 15000 dollars."

Ariel said: "Let's round up the number and give it 2."

As he said that, he readily took out 2 cash, saying that Zhou Qiao must accept it!
She knew the market situation. Billie had this disease and he didn't have medical insurance. If he went to other clinics or large hospitals, he wouldn't be able to afford $[-]. If he encountered some unscrupulous people, it might cost $[-] or even more.

(End of this chapter)