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Chapter 103 Preoperative Physical Examination

General Surgery Office, while Tang Lou was studying some cases of laparoscopic patients, Hu Jindong and his uncle walked into the office.

After being diagnosed with portal phlebitis, Hu Jindong completely recovered after using cefoperazone, sulbactam and vancomycin for 15 days.

The patient's uncle stood at the door of the office, looking in.

Wang Daquan and Ma En were responsible for the usual ward rounds, so Wang Daquan winked at Tian Linsheng proudly at the first moment. Hu Jindong was discharged from the hospital today. It seemed that he came to thank Dr. Ma and me.

Just as Wang Daquan brushed his hair a few times and was about to stand up to accept his thanks, the patient's uncle walked straight to the Tang Building and said enthusiastically: "Doctor Tang, Jin Dong will be discharged from the hospital today. He and I came here to thank you."

Hu Jindong's face was as rosy as a normal person. He smiled at Tanglou from behind and said, "Dr. Tang, thanks to you for discovering the cause of my illness, you were able to prescribe the right medicine. I'm cured so quickly."

After Hu Jindong finished speaking, the patient's uncle had already placed a basket of fruits on the table in the tenement building, obviously carefully selected.

"Dr. Tang, just to remind you, after what you said that day, our family felt relieved. It was rare for Yuanyuan to sleep peacefully for a night, unlike some people who didn't know anything and were almost anxious to death.

I can’t stop drinking. After Dr. Tang read it, Near East is getting better and better day by day. I really don’t know what to say. Anyway, I just want to thank you. Then we won’t bother you.”

The patient's uncle put down the fruit and turned to leave with Hu Jindong. He was obviously very upset about Wang Daquan's previous perfunctory treatment.

He completely ignored Wang Daquan. After all, this little doctor who didn't know anything about anything and always dealt with him gave him a bad impression.

It wasn't until the two of them walked out of the office that Wang Daquan blushed, but he didn't dare to break out.

After all, the patient has no right to ask who he is grateful to, but he is still aggrieved and dissatisfied inside, running along with himself without even a single kind word?

Inwardly, he cursed: "Isn't it just using Director Cheng's chicken feathers as an arrow to spread a message? It makes it look like it is the cause of the disease discovered in your Tanglou."

Wang Daquan sat down in his seat glumly, tapping the keyboard to vent his anger.

Looking at the fruit on the table, although it didn't cost much, it represented the patient's full recognition of the doctor. Tanglou was still very happy.

"Tian Linsheng, go wash the fruits and share them with everyone."

"Well, as expected, I got some fruit to eat with Dr. Tang."

Tian Linsheng picked up a handful of fruit and started washing it. He was already looking forward to the tenement building.

When Tian Linsheng finished washing the fruits, he met Qing Ping on the corridor.

"Doctor Qing, these are the fruits that Hu Jindong gave to Dr. Tang. They have just been washed. You can choose a few."

Qingping nodded slightly, took one casually, and at the same time handed a bunch of information in his hand to Tian Linsheng: "Originally, I was going to find Tanglou in person, so you should tell him that at one o'clock in the afternoon, there will be arrangements for the operating room No. 5

A laparoscopic appendectomy was performed, and you asked him to prepare to hold the endoscope, and you came to watch together to prepare for the future."

"Okay!"

Tian Linsheng's face lit up with joy, and he started to participate in laparoscopy. With Dr. Tang's learning ability, it seems that it won't be long before he can perform the surgery, and he can also play with the mirror if he doesn't do it well.

Thinking of this, Tian Linsheng was even more excited. Wang Daquan had described the beauty of holding a mirror to himself several times before.

Tap tap tap!

Tian Linsheng quickened his pace, ran to the door of the office, and shouted:

"Dr. Tang, Dr. Tang, good news. Dr. Qing will perform a laparoscopic appendectomy this afternoon. Please prepare for a laparoscopic appendectomy. This is the patient's information."

When passing Wang Daquan, Tian Linsheng randomly took an orange and put it on his table and went straight to the tenement building.

Laparoscopic appendectomy can be said to be a sign of a surgeon's growing career. Being familiar with laparoscopy will lay a solid foundation for subsequent difficult surgeries.

The development of laparoscopic appendectomy did not take long. In 1983, SEMMK reported the first laparoscopic resection of non-acute appendicitis. It was not until 1987 that it began to be used for the resection of acute appendicitis.

Compared with traditional open surgery, laparoscopic appendectomy (LA) has the characteristics of fewer complications, less damage, shorter hospitalization time, and faster recovery.

Laparoscopic appendectomy can improve the diagnosis rate of acute abdomen in the right lower quadrant. The scope of intraoperative examination is wider, and the operator can better observe the pelvic cavity, large and small intestines and most abdominal internal organs.

Moreover, there is almost no need for painkillers after laparoscopic appendectomy. Patients with non-perforated appendicitis can be discharged from the hospital 3-5 days after the operation and return to normal work and life.

Of course, the most important thing is that the abdominal wall incision scar of laparoscopic appendectomy is smaller and more in line with the needs of beauty. Especially for young women, especially in some special occupations, they can go to work more elegantly.

Of course, laparoscopic appendectomy cannot be performed blindly. For some acute appendicitis and perforated appendicitis, traditional laparotomy is safer.

In addition, considering the patient's conditions, the cost of laparotomy is much higher than that of traditional laparotomy. According to the current charging standards of Hecheng City No. 1 Hospital: video laparoscopy costs 3,500-4,000 yuan, while laparotomy costs only 2,500-3,000 yuan.

Tanglou took the patient's information and started reading it. Tian Linsheng stood obediently beside him.

Soon Tanglou learned about the patient's condition. The patient weighed more than 250 kilograms. Because he was particularly obese, if a McLaren incision was performed, the surgical incision would be very large, and the risk of postoperative incision infection was high, so Dr. Qingping decided

Had laparoscopic surgery.

After reading for a while, Tanglou ate a banana and then stood up: "Tian Linsheng, let's go to the ward to see the patient."

"Okay!"

Tian Linsheng held the record book and acted like a younger brother.

Wang Daquan pressed his fingernails on the orange peel, feeling a little sour: "It makes it look like you are the one doing the surgery. As for that, you also see the patients before the operation. You are just a mirror supporter. To put it bluntly, you are a high-level hook puller."

Who hasn’t done this and still needs to communicate with patients? Go, go, go, go, out of sight but out of mind!”

Tian Linsheng and Tang Lou ignored Wang Daquan's thoughts. As they walked, Tang Lou said:

"Although we are just assistants today, the entire process must be carried out according to the requirements of the chief surgeon."

Tian Linsheng nodded in admiration: "I know that only by making adequate preparations before the operation can you not panic during the operation."

After the last lesson of abdominal confinement, Tian Linsheng realized that it was impossible for him to catch up with Dr. Tang in terms of technology, but his habits and consciousness could be imitated.

The two of them arrived at the ward soon, and happened to meet Qingping communicating with the patients. When Tanglou and Tian Linsheng came in, Qingping was a little surprised, but also a little expected.

Qingping just nodded slightly and continued to communicate with the patient, pressing the patient's abdomen from time to time.

A few minutes later, Qingping saw that Tanglou and Tian Linsheng were still observing from the side, not impatient or impatient, and comparing the information he had provided before from time to time, and then he said:

"Tanglou, you are able to come here to understand the patient's condition in advance, which means that you already have the awareness of a surgeon. This is very good, Tian Linsheng, you also listen. Although what I say next is very simple to do, it can avoid future surgeries.
Chapter completed!
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