"Doctor, is my wife going to be okay? She's pregnant!"
The man, seeing the expression and tone, immediately became anxious.
"Don't worry just yet; bring the test results to me as soon as you get them!
Do you understand?"
Qin Feng heard the sound of a stretcher coming from the corridor and shook his head, saying.
The man nodded frantically like a pecking chick, clutching the test sheet tightly.
"The stretcher has arrived!"
Zhao Yitian and the head nurse Liu Juan had already rushed to the door with the stretcher.
The pregnant woman was then lifted onto the stretcher by four people, her face turning pale from the pain.
Large beads of sweat were falling continuously, and her back was already wet.
Watching the pregnant woman being pushed away, Qin Feng couldn't help but feel anxious.
"Qin Feng, what's going on?"
"Dr. Zhao, I suspect the pregnant woman has acute appendicitis."
Upon hearing Qin Feng's diagnosis, Zhao Yitian felt his scalp tingle instantly, mouth agape,
"What... what are the chances you're right?"
"Although it's not confirmed yet, the odds are pretty high, about eighty to ninety percent."
As Qin Feng finished speaking, Zhao Yitian also became nervous.
Acute appendicitis during pregnancy is life-threatening!
For ordinary people, appendicitis, whether chronic or acute, is easily resolved.
It's a minor surgery, something even attending physicians like Zhao Yitian can perform.
But acute appendicitis in a pregnant woman is very dangerous.
During pregnancy, acute appendicitis can easily spread, leading to necrosis, perforation, and peritonitis, with the condition progressing rapidly.
This is due to hyperemia of the pelvic organs during pregnancy, and the appendix also becoming hyperemic.
Meanwhile, the uterus keeps enlarging, pushing abdominal organs upward.
When the appendix becomes inflamed, the omentum cannot effectively wrap it, causing the inflammation to expand and worsen, leading to peritonitis.
The inflammation can stimulate the uterus, triggering contractions and leading to miscarriage or premature birth.
In severe cases, it can cause fetal hypoxia and even death!
"But abdominal pain in pregnant women can be caused by more than just appendicitis. Why are you so sure it's that?"
Zhao Yitian also grew concerned, furrowing his brow and asked.
"That's why we need to do basic checks and an ultrasound; she can't do a CT, so I also added an MRI (a multifunctional imaging technique).
Qin Feng nodded, confirming.
There are many causes of abdominal pain during pregnancy, such as premature birth, renal colic, placental abruption, and uterine fibroid degeneration.
Thus, diagnosing the condition is extremely important!
A misdiagnosis could put both the pregnant woman and her unborn child at risk.
Fortunately, it wasn't too crowded at night, and the machine was available.
He expedited the procedure, and in about ten minutes, the man returned breathlessly with a few test reports in hand.
"Doc... Doctor, the reports are here."
Qin Feng took the reports, glanced at the diagnostic results and images, and his expression suddenly turned grim.
He then handed the report to Zhao Yitian, speaking in a low voice.
"Take a look."
Zhao Yitian took the report, and his expression froze after just one glance.
It was indeed acute appendicitis!
Moreover, the appendix had become inflamed and ruptured, with bacteria-laden pus visibly seeping out, very close to the uterus.
This is a real problem!
"What do we do now? Director Zhou is still in surgery."
"There's no time to wait; we'll have to proceed with the surgery and get Director Zhou's signature afterward.
Dr. Zhao, please check which director is on duty in the obstetrics department tonight, just in case."
Qin Feng shook his head, speaking gravely.
He noticed via ultrasound that part of the pregnant woman's appendix was covered by the uterus.
In an ideal situation, the appendix could be safely removed without affecting the pregnancy.
But if the inflammation progresses or the uterine cover is severe, appendectomy might not be feasible.
If the appendix perforates, leading to diffuse peritonitis and pelvic infection, a cesarean section would have to be performed first.
Of course,
That's not the outcome he wished to see, but he was prepared for the worst-case scenario.
Even though Qin Feng had recently signed up for a [world-class cesarean technique], it's still better to let the obstetricians handle such operations.
"Alright then, I'll go contact the obstetrics department to be on standby."
Zhao Yitian nodded in agreement and quickly walked out.
"Sister Juan, arrange the operating room immediately, notify anesthesia, and prepare for surgery!"
"Okay, I'll do it right away!"
Upon hearing his words, Liu Juan didn't hesitate to turn and run off.
"Doctor, what's happening to my wife? She needs surgery?"
The man was thrown into a panic by his words, stepping forward and grabbing him, his voice shaking as he asked,
"My wife and baby won't have any problems, will they? They can't have any problems!"
"Don't panic just yet. We have confirmed that your wife has acute appendicitis, and the appendix needs to be removed now."
Qin Feng hastily reassured him,
"However, there are certain things I need to explain to you in advance.
The inflammation of the appendix has begun to spread, and if not treated in time, it might also affect the fetus.
If it really causes pelvic infection, there's a possibility of needing an early cesarean section, understand?"
"Early... cesarean section?"
The man felt as if he had been struck by lightning upon hearing those words!
He stood there with eyes wide open, mouth agape, not knowing what to say.
Tears instantly rolled down his cheeks.
"I'm begging you, please save my child!
Doctor, please make sure our child is safe!"
In an instant, the man knelt down like a flash of lightning.
"Rest assured, I will do my utmost to ensure the safety of your wife and child."
Qin Feng said solemnly and with certainty.
"Dr. Qin, the operating room is ready."
Just then, Liu Juan ran back in and said.
"Let's go!"
Upon hearing this, Qin Feng strode out, with the man stumbling and crying behind him.
Inside the operating room,
Zhao Yitian stood beside him, disinfecting his hands, and looked at him.
"Qin Feng, why are you so sure it's acute appendicitis?
Though guarded tenderness in the right lower abdomen and rebound pain are normal reactions, many conditions could cause these symptoms!"
He was curious, Qin Feng's diagnostic skills were simply remarkable.
With just a gentle touch, he had judged with near certainty. It was amazing!
If it were him, the pregnant woman would probably still be undergoing various tests, shuttling back and forth between machines.
Every second they delayed in addressing this acute condition increased the risk for the pregnant woman.
The sooner it is resolved, the better for the mother and the fetus.
"I felt the fetus and it seemed normal, with no signs of distress, and the pregnant woman wasn't bleeding.
So we can basically rule out other uterine conditions, including ectopic pregnancy.
The woman is eight months pregnant, so early pregnancy symptoms are unlikely. That leaves kidney issues and appendicitis.
Considering the basic symptoms, and you may not have noticed how quickly her condition developed from the time she entered the examination room to leaving.
This is most likely acute appendicitis."
As Qin Feng finished speaking, Zhao Yitian was stunned into silence.
Every word made sense!
But to come to this conclusion with just a gentle touch.
Even the experienced Director Zhou wouldn't dare to be this decisive and straightforward!
Is this really something an intern can do?
It's absurd!
"Hurry up, time waits for no one. Every second of delay increases the danger for the pregnant woman."
Seeing him frozen in shock, Qin Feng lightly nudged him with a calm smile.
Donning sterile uniforms and all necessary gear, the two entered the operating room.
"Dr. Qin, the patient has been administered continuous epidural anesthesia (local anesthetic injected into the epidural space, which does not affect the continuing development of the fetus)."
The anesthesiologist spoke to Qin Feng as they entered.
"Great, good job, Dr. Jiao.
However, you cannot leave yet. If a cesarean is needed, we'll need you for general anesthesia."
Qin Feng nodded towards him and stepped up to the operating table.
"No problem."
The anesthesiologist didn't refuse and stepped back to a corner of the operating room, waiting patiently.
Of course, that would be the worst-case scenario.
"It is now 1:52 AM, patient Xu Jing, performing emergency appendectomy for acute appendicitis during pregnancy.
Let's begin!"
As Qin Feng finished speaking, he extended his hand.
His first assistant, Zhao Yitian, promptly placed a puncture needle into his palm.
Even at this point,
he was still somewhat bewildered, initially planning to ask who was leading the surgery.
But seeing Qin Feng's confident demeanor, he refrained from asking.
Especially since last time, Qin Feng even saved his teacher; no one expected Qin Feng to handle such a high-difficulty surgery perfectly.
Although this operation also posed significant risks as an appendectomy during pregnancy,
it's definitely less complex than a carotid artery suture, so he remained silent.
Yet the mystery in his heart grew larger.
This intern, who seemed only to have his looks,
knows too damn much!
Suddenly, he felt he had studied medicine in vain for so many years.
Sorrow.....(⊙︿⊙)
At this moment,
Qin Feng had already swiftly made a one-centimeter incision in the pregnant woman's right lower abdomen and said in a low voice.
"Laparoscope."