The Enhanced Doctor-Chapter 840: There Really Is a Connection

(Thanks to Overseas Sword, sugar’s eSports Dream, You Open Up, Above the Stream and Mountain, 14 Watches, Evening Wind for encouraging me with their monthly tickets)

"Teacher Liu, the patient from yesterday has completed the colonoscopy."

The following morning, while Liu Banxia was performing a liver abscess incision and drainage, Xu Yino entered the operating room.

"Alright, I’ll go take a look once I’m done here. How do you feel about it?" Liu Banxia asked.

"It seems somewhat risky. The size is not small," Xu Yino replied.

"I’ll take a look after I’m finished. Your task now is to stabilize the patient’s emotions." Liu Banxia said.

Xu Yino nodded and then walked out.

"Actually, the operation of liver abscess incision and drainage is quite simple. This is also why it’s classified as a Level II surgery even though it’s a liver procedure," Liu Banxia said while operating.

"The difficulty of this surgery is not high. The important points are the potential postoperative complications, such as biloma, poor drainage, residual cysts, etc."

"Therefore, we must be meticulous during the surgery, conduct corresponding post-operative checks, and constantly monitor the drainage tube’s output."

"We cannot entirely rely on the patients and their families, nor can we rely on the nurses. Because everyone can be negligent at times, our negligence could lead to serious consequences for the patient."

"This is actually a situation we’ll frequently encounter in future surgeries. Many surgical complications are daunting, but if we detect them in time and intervene early, we can achieve a good outcome."

"Alright, Su Wenhao, wrap things up. I’ll go and see that patient. Prepare the operating room, and after handling the preliminary tasks, I’ll come back and perform the inguinal hernia repair."

"Okay," Su Wenhao nodded.

The interns nearby were quite envious. For them, Level II surgeries were quite significant. Su Wenhao had primarily performed the key operations in this surgery with guidance from Liu Banxia.

It seems that the upcoming inguinal hernia repair will follow a similar process.

How could they not be envious? It’s not as if you can immediately start performing surgeries once you’ve signed with the hospital. Most of the time, you’re just observing. But at this emergency center, you really can get many additional opportunities.

Of course, they were also well aware that it requires having enough competence.

Arriving outside, Liu Banxia returned directly to the emergency center’s hall.

"How’s the pain today?" Liu Banxia asked the patient.

"It’s still very painful," the patient replied.

"Don’t worry. I just came from surgery; let me bring up the colonoscopy images first," Liu Banxia said.

Xu Yino immediately assisted with the operation.

After examining carefully, Liu Banxia furrowed his brow.

He had encountered many cancer patients before, and from appearances, this one suspiciously looked like a malignant tumor.

However, when observing the surroundings of the tumor base during the colonoscopy, it seemed impeccably clean.

This was intriguing because, typically, tumors often have vertical and horizontal infiltrations. This is why when performing radical surgery for rectal cancer, a wider margin is usually excised.

Given the current situation, we really need to wait for the pathology results.

That would be the most accurate, but it requires time. Given the peculiarity of this tumor, it stirred many thoughts in Liu Banxia’s mind.

"Can you recall if there’s any pattern to your pain?" Liu Banxia pondered and then asked.

"I asked you yesterday, and you mentioned it only hurts significantly during your menstrual period, and otherwise it doesn’t affect you much. Is it always this pattern, although sometimes the intensity varies?"

The patient thought for a moment and nodded, "It’s like this, which is why it was delayed and I didn’t take it seriously before. I also pay attention to my diet, avoid spicy food, and don’t drink alcohol because I have hemorrhoids."

"Teacher Liu, do you have any thoughts?" Xu Yino asked.

"It’s much like what I pondered yesterday. The tumor is this large now, and usually it wouldn’t be small, so it couldn’t have grown this big in just a few days. It would definitely affect bowel movements," Liu Banxia frowned.

"Uh... Recently, because I’m eating less, it does seem to affect me somewhat, causing difficulty in bowel movements. But it’s not too difficult. Hmm... It wasn’t like this before."

"See, this is a new situation," Liu Banxia’s eyes lit up.

"And could you recall any other symptoms? Hmm... Xu Yino, why don’t you chat with her, and then relay it to me?"

After speaking, Liu Banxia walked outside the consultation room.

Xu Yino hesitated for a moment and then blinked.

For Liu Banxia to avoid certain questions, they must be quite personal. This matter requires a private inquiry.

Just as she thought, Liu Banxia indeed had some ideas about this. Mainly because the current situation was very complicated, and they had removed many foreign objects during consultations.

If a certain foreign object remains and causes tissue proliferation, this seems to fit the current situation very well.

Even though they’re diagnosing whether it’s cancer, there are some things that female patients won’t discuss in front of male doctors.

After waiting for over ten minutes, Xu Yino came out from inside.

"Hmm..., well, Teacher Liu, she’s still very normal in her methods and hasn’t tried anything else. But there’s a little situation; she’s had two abortions," Xu Yino said.

"Two abortions? That shouldn’t be it. Eh? Was it a medication abortion or a surgical one?" Liu Banxia muttered to himself and then quickly asked.

"I’ll go back and ask again." Xu Yino left a sentence and went back into the consultation room.

Liu Banxia almost wanted to go in too; it might just be the breakthrough he needed.

"Teacher Liu, it was a surgical abortion." Less than two minutes later, Xu Yino came out.

"Alas..., tell her not to worry. It’s probably just endometriosis," Liu Banxia said with a bitter smile.

"I just knew something felt off. Ask her about symptoms related to endometriosis. If they match up, adjust her body a bit and get the surgery done when you have time."

Xu Yino blinked and then went back inside.

Liu Banxia didn’t delay either; he hurried to the operating room since there was another surgery waiting for him. Su Wenhao could actually do it independently, but for them, a certain degree of support was still needed.

Moreover, Liu Banxia felt that this particular period was critical. When the juniors are overconfident, if someone makes a mistake that delays the patient, it could really knock them down.

Because the handling below was quite fast, when they got back to the operating room, Su Wenhao had just finished the prep work.

"Teacher Liu, did you finish handling the situation below?" Su Wenhao asked.

Liu Banxia nodded, "We have to save some time for lunch. Once the afternoon surgery is done, you guys can review more. How are the four of you understanding the inguinal hernia surgery?"

"Teacher Liu, we previewed it last night," Chen Hongmei said.

"That’s right, whether you’re an intern or an assistant, you must fully grasp all surgeries. This comprehensive grasp includes not just surgical procedures but also understanding the patient’s surgery," Liu Banxia nodded.

"So here’s the question, Zhang Hongfei, tell me, what are the operational principles of this surgery? Countdown, five, four, three, two, one, begin."

Listening to him, Wang Lei, who was on stage today with him, looked at Liu Banxia with a familiar amused expression.

"First, you need good exposure, then ligate the hernia sac to prevent recurrence," Zhang Hongfei quickly said.

"What you said is okay, but it’s overly concise," Liu Banxia said with a smile.

"In our impromptu questioning, such an answer won’t earn points because what you said is really just routine phrasing that could apply to any surgery," Liu Banxia commented.

Hearing Liu Banxia’s review, Zhang Hongfei felt a bit embarrassed.

Indeed, he got a bit flustered just now and his mind went blank.

"Do you know why I asked this question?" Liu Banxia asked again.

Not just the four interns, even Su Wenhao was puzzled.

"Looks like Old Wang already knows what’s going on; his eyes glowing with an unusual light have already betrayed his soul," Liu Banxia said.

"It’s simple, because back then when your Teacher Liu first did this surgery, Shi Lei also quizzed him," Wang Lei laughed and said.

"At that time, he was just there to watch the fun, but his answer was perfect. After all, Shi Lei is quite picky, isn’t he? There was no chance to pick faults with him."

"Now you know? I’m actually pretty amazing. I didn’t even have time to prepare then; it was a sudden test from Dr. Shi," Liu Banxia said proudly.

"Remember, it’s actually very simple. Proper exposure is a must, with the detailed requirement being the incision needs to be above the inferior epigastric artery so the neck of the sac is fully exposed."

"Next is the ligation position of the hernia sac. It needs to be high enough to eliminate the peritoneal pouch protrusion and prevent hernia recurrence."

"Again, there’s hemostasis, which is something every surgery must pay attention to. If hemostasis is not done carefully, it can easily cause hematoma or postoperative infection."

"For this surgery, an additional task is reinforcing the weak section of the abdominal wall. Otherwise, if we fix the problem this time, we’ll be getting poor reviews when familiar patients return with the same issue,"

The interns nodded and were very impressed with Liu Banxia.

With so many surgical procedures, Liu Banxia is now tackling advanced surgeries yet remembers the principles of inguinal hernia surgery so precisely.

Even though they were prepared, they couldn’t come up with a perfect answer.