Chapter 1408: Intestinal Duplication Malformation?

Chapter 1408: Chapter 1408: Intestinal Duplication Malformation?

Xu Yino slightly spread Liu Banxia’s plan, and the six little ones instantly felt the heavy love from Liu Banxia once again.

Liu Banxia is busy, and so are they. To earn some pocket money, they’ll have to frequently run to Jinshui District Hospital.

Usually, they are also diagnosing patients, following and observing surgeries, truly having no time to rest.

After all, their field of study is quite broad. It’s not just Liu Banxia’s surgeries; they also study Zhou Shuwen’s, Wei Yuan’s, and Shi Lei’s surgeries.

"Any thoughts?" Xu Yino asked.

"What thoughts could we have? We just go along with Teacher Liu’s arrangements. Later on, we need to think about what surgeries we should observe." Liu Yiqing said.

"Yeah, there are actually quite a few general surgery procedures, but it seems like some of our secondary surgeries haven’t really been touched, right? We need to study this." Huang Bo said.

"It’s also quite good; this should be Teacher Liu’s compensation for us." Su Wenhao added.

Xu Yino rolled her eyes, "Guys, do none of you have a spirit of resistance? Are you just going to let the Big Demon King boss us around?"

"Yino, you can try, we support you." Li Hao said with a smile.

"Right, I can even give you bonus food, like braised spare ribs." Miao Rui joined in.

Xu Yino deflated. "In a group battle, not a single one can take him on. If I go solo, won’t I just be sending myself to my death? I’m not saying the arrangement is bad, but we should also show our own stance."

"Looking back now, there are really many low-level surgeries we haven’t done. How come we didn’t realize before? Were we just focusing on NOSES and liver-related surgeries?"

"That’s why they say, trust in Teacher Liu and you won’t be wrong." Miao Rui said.

"Our starting point was too high. Even before we officially entered the profession, we were learning small incision appendectomy from Teacher Liu. Although we have done some gallbladder removal and inguinal hernia surgeries, in comparison, we still lack a bit."

"Actually, if you hadn’t just come back and mentioned this, I think even old Su wouldn’t have noticed it. To be honest, I was thinking of showing off when I became an attending physician."

"Now thinking about it, I feel a bit embarrassed. If I really become an attending physician and can’t even do a percutaneous arterial and venous balloon dilation, wouldn’t it be awkward?"

"That’s true, but this is not our fault, it’s Teacher Liu’s." Xu Yino said with a straight face.

"Who asked him to be so skilled and only play with high-end surgeries? We see that and easily overlook the small surgeries at our feet. Isn’t that right?"

"Well, what about it, it’s been a long time since I did any thyroid-related surgeries. After all, not many patients come to us with that, I have to add this to the list."

The others started laughing, and thinking about it now, they were truly grateful, grateful for Liu Banxia stepping on the brake.

Human memory is limited. They couldn’t have a dream space like Liu Banxia, where each surgical method was honed through countless practices.

They could only enhance this memory through limited participation, but the involvement in some surgeries was indeed limited.

Currently, the surgeries they remembered most were those they frequently practiced with Liu Banxia, like small incision appendectomy, laparoscopic cholecystectomy, and some liver-related surgeries, gastrointestinal trauma surgeries, etc.

The first two are the most common conditions seen in emergency abdominal pain patients, and the latter ones are frequently encountered in trauma emergencies.

For instance, thyroid-related conditions, although they do come to the emergency for a look, many are mainly about internal medicine, correcting electrolyte imbalances in the body.

Patients who need them to operate on aren’t that many.

Because these patients have reactions before they meet emergency standards and go to the inpatient department to see a specialist outpatient clinic.

Over here, Liu Banxia wasn’t thinking much, just going with his gut. While daydreaming, he saw Chen Hongyang waving at him from not far away with a big smile.

"Hurry over, seeing Dr. Chen smile so brightly means it’s probably surgery." Qi Wentai said with a smile.

Liu Banxia grinned, "How did it come so fast, honestly I really wasn’t quite ready."

Saying this, he quickly ran over.

"Just admitted a seven-day-old patient; ultrasound and CT indicate roughly cystic type intestinal duplication anomaly." Chen Hongyang said.

"Wow, that’s quite something, how come they just thought of doing it now? This should’ve been noticed in prenatal checkups, right?" Liu Banxia asked with a frown.

"It was noticed, but the local hospital didn’t have surgical conditions. Plus, post-birth everything seemed normal, so the parents thought it was fine." Chen Hongyang said.

"Yesterday, the baby started having intermittent crying fits and a lack of appetite, and only then did the parents get worried. They first went to the Third Hospital but seeing too many kids waiting, they took a cab here."

Liu Banxia nodded, "Let’s take a look at the films first, but it’s my first time handling such a case so you’ll need to lend a hand."

"Rest assured, if possible, can we do it today?" Chen Hongyang asked.

"How is the child’s condition?" Liu Banxia asked.

"It seems okay for now, but you’ll need to give a thorough examination later. Mainly, I’m worried that delaying could lead to an intestinal obstruction, and it doesn’t look small right now," Chen Hongyang said.

Liu Banxia didn’t say anything and followed him to the pediatric consultation room.

How big can a newborn baby be? It seems the baby had just finished crying and was now resting in the mother’s arms. There were also many worried family members gathered around.

"This is Director Liu from our emergency center, and he can perform pediatric surgery," Chen Hongyang said.

"Everyone, please don’t worry. Let me check the scans first," Liu Banxia quickly said.

The scans were very clear. Whether it was a barium meal X-ray, a CT scan, or an ultrasound, the mass at the ileocecal area was very obvious.

"Place the child on the examination bed, let me take a look," said Liu Banxia after examining the scans.

The baby’s mother quickly placed the child on the bed.

Liu Banxia observed carefully before opening the blanket wrapped around the child and listened to the heart and lung sounds. The lungs were clear, and there were no significant murmurs from the heart.

He also examined the baby’s abdomen carefully, which showed signs of distension. Gently pressing, he found the abdominal muscles were soft and did not feel a mass.

However, as he pressed, the baby began crying again.

Liu Banxia withdrew his hand and listened to the bowel sounds again. Feeling somewhat relieved, the bowel sounds were still vibrant.

"How has the baby’s bowel movement been in the past couple of days?" Liu Banxia asked.

"It’s been two days with no bowel movement," the baby’s mother replied.

"With the baby’s current condition, we can’t rule out intestinal duplication or a mesenteric cyst. We’ll know exactly what it is during surgery," Liu Banxia said.

"If it is a mesenteric cyst, it will depend on how it is connected to the surrounding intestines. If it’s an intestinal duplication, the abnormal section needs to be removed and reanastomosed with the rest of the intestine."

"Looking at the position of the mass now, it involves the ileocecal region and the colon. Whether it’s an intestinal duplication or a mesenteric cyst, it’s already affecting the child’s intestines to some degree."

"My recommendation is to perform surgery today. If we delay any further, there might be a risk of intestinal torsion or obstruction. However, these types of conditions are mostly benign, so there’s no need for excessive worry."

"Doctor, is it dangerous?" the baby’s mother asked heartbrokenly.

"We’re considering laparoscopic surgery, but judging from the current imaging, it’s impossible to extract the specimen through the puncture hole. We will make an incision in the abdominal wall according to the size of the specimen," Liu Banxia explained.

"All surgeries carry some risk, especially with a baby just seven days old. But this mass is affecting the baby’s health, and the only treatment is to remove it."

"Will this affect the baby in the future?" the baby’s father asked.

"To say it won’t at all would be false, but if the diet is balanced, the impact won’t be significant," Liu Banxia said.

"We also need to see what the situation really is. We lean towards an intestinal duplication. If it is just a mesenteric cyst, it might only need to be peeled away."

"But these details can only be confirmed during exploration. Although there are other methods to diagnose the baby, it’s too taxing for them, unlike adults."

"Moreover, regardless of the condition, the surgery is necessary. My inclination is towards intestinal duplication, as if it’s just a mesenteric cyst, the impact usually isn’t this significant."

"Let’s do it. The sooner it’s done, the sooner the baby won’t suffer," an elder family member spoke up.

"If that’s the case, Dr. Chen, let’s arrange for an enema first, to be cautious. Have you drawn blood? Are the relevant indicators tested?" Liu Banxia asked.

Chen Hongyang nodded, "Based on the pre-op blood test standards."

"OK, I’ll coordinate with the operating room. You can proceed with the procedures during this time," Liu Banxia said.

The operating room also needs to prepare, as it’s a surgery for a newborn, and the equipment can’t be the same as for adults.

"Teacher Liu, how is it?"

As soon as Liu Banxia stepped out, Xu Yino, waiting outside, curiously asked.

"You came just in time, join the operation, since you’re so proactive," Liu Banxia said.

Xu Yino was taken aback. She was simply curious and came to take a look, wanting to gather some news, not expecting to be roped in.

Even if she’s not the chief surgeon, just assisting doesn’t feel great.

But there’s no use arguing once called upon, she has to follow.