Dumped At The Start, The First Surgery Shocked The World

Chapter 882 Esophageal Dilation

At 9 o'clock in the morning, I had my first operation today in the summer.

Surgery for paraquat boys.

In just two days, he lost another 5 pounds, and he was almost a piece of paper.

Summer jokes.

"This time I finally succeeded in losing weight."

The boy smiled: "No one is laughing at me being fat. When I leave the hospital, I can go laugh at them."

"Jokes are fine, but paraquat can't be drunk anymore."

"I met me this time, but I won't have such good luck next time."

Summer took out the consent form for surgery.

And once again explained to him about the operation.

"There are two types of surgery: local anesthesia and general anesthesia."

"General hemp will cost hundreds of dollars."

"you can think about it."

The boy hesitated and asked weakly, "How much is it expensive?"

"About 500 yuan." Xia Xia said.

He was in trouble again, and asked worriedly, "Will it be painful if you have local anesthesia?"

"Have you ever had a gastroscope?" Xia Tian asked.

The boy nodded.

Xia Xia said: "Similar to a gastroscope, it takes longer than a gastroscope. Generally, objects enter the body, and only when they stay in the throat, there will be some pain. We will use some local anesthesia for the throat, and the painful process will take about a minute."

"Once it's over the throat, there's no pain."

"you consider it."

Without saying a word, the boy said directly, "Local anesthesia."

After saying that, he smiled awkwardly.

"I still have to save money to marry a wife."

"In order to treat my illness, she took out her savings, so I can save a little bit."

This young couple, although both parents are calculating each other, but the two are really in love. The consent form was opened in the summer and the boy signed it.

After half an hour.

The boy lay on the operating table.

With the help of the nurse, he lay on his side with his knees bent,

Pillow the head down and loosen the neckline.

Pharyngeal anesthesia with 2% to 4% lidocaine.

"Open your mouth," the nurse said.

The boy opened his mouth, and the anesthetic was sprayed directly on the throat.

At this time.

Summer is in.

Looking at the boy, he smiled and asked, "Are you nervous?"

The boy nodded: "Nervous."

Xia Tian smiled: "You have the courage to drink paraquat, it's just a small operation, no surgery, no medicine, why are you nervous?"

The little nurse exclaimed.

"Huh? Did you drink paraquat?"

The nurse on tour said: "Yes, he drank paraquat, but only one drop. Paraquat did not enter the body, and was spit out by Brother Tian's deep throat as soon as he reached the esophagus."

"sure."

"You can survive if you drink paraquat."

"Young man, my sister is optimistic about you."

The nurse's conversation made the boy a little embarrassed, and his nervousness relaxed.

"All right."

"Prepare to begin."

Xia Xia gave an order, and the two joking nurses immediately closed their mouths and did their jobs.

"Okay, relax."

"Prepare to do an endoscopy."

The thickness of the little finger of the endoscope enters the patient's mouth along the introducer, and when it reaches the throat, Xia Dao said. "When it reaches the throat, there will be some discomfort. Just bear with it and it will be fine soon."

When the endoscope touched the throat and the position of the small tongue, the patient had a strong nausea and his body trembled slightly.

Xia Tian stared at the screen and said softly.

"do not be afraid."

"It'll be fine soon."

The endoscope broke through the throat and entered the esophagus: "It's not painful now, is it?"

Once it passes through the throat, although there is a strong foreign body sensation, it will not be painful and unbearable.

Once the endoscope enters the esophagus, the narrowed esophagus can be seen immediately.

There are two types of esophageal dilation.

1: Sound bar expansion method.

2: Balloon dilation method.

In summer, the spud expansion method is used.

The total length of the esophagus is about 45-55cm, and the 25-27cm distance from the incisors belongs to the middle segment. It is the location of the aortic arch and the bifurcation of the organs. Generally, this location is more important, and esophageal cancers are often located in this location.

Because the patient spit out paraquat immediately after swallowing it, it did not reach the interruption.

The position 20cm from the incisors was cauterized and narrowed, about 3cm in length.

Endoscopy to determine location.

"Explore."

The instrument nurse, immediately sent the probe over.

The strip went into the throat, and Xia Xia comforted the patient: "Don't be afraid, now I'm going to widen the esophagus, there may be some pain, relax, don't move."

The spout enters the narrowed esophagus, opens the width of the spout, and uses the spout to spread the narrowed esophagus.

When it is open to 1cm, it will be closed in summer.

Looking back at the patient: "How is it?"

"It doesn't hurt, does it?"

The patient was unable to speak and blinked.

Generally, esophageal dilation will cause some mild pain, which is tolerable for adults.

5 minutes later.

Under endoscopy, the location of the esophageal stricture has been dilated to a width of 1 cm.

No bleeding, no perforation.

"Okay."

Take out the probe and endoscope.

Xia Xia patted the patient and said with a smile, "It's over."

The patient was shocked: "So soon?"

"Otherwise, how long do you want to think about it?" Xia Tian smiled and said: "Now that the esophagus has expanded by 1cm, you can eat a little something, such as rice porridge, vegetables and meat. You can eat it if you break it, but it must be broken. ."

"Because it's still very narrow."

The patient stroked his throat and felt nothing, and the whole process took only 20 minutes.

He asked: "Can't it be opened to 3cm in one operation?"

Xia Xia explained: "The esophagus is flexible, but the esophagus is also very fragile. If too much force is exerted, it will cause bleeding or even perforation of the esophagus. In order not to burden the esophagus, the operation is performed in three times."

"It's more secure."

The patient swallowed, and it was indeed much more comfortable than before.

"Then can I leave the hospital now?"

Xia Tian nodded: "Okay, 3-5 weeks later, come for the second operation."

As soon as he heard that he could be discharged from the hospital, the patient smiled and bowed deeply to Xia Xia.

"Thank you, Director Xia."

"You are my savior."

"Thank you very much."

Ding dong!

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