"When the patient first came to the hospital, the hip skin had been eroded, and the' earthwork' burned the skin badly." Lin Wu, a doctor in general surgery, said. It is reported that eight years ago, Uncle Li had a sebaceous cyst on his hip, also known as "powder tumor". Speaking of this knot in one's heart, Uncle Li regrets it very much. At that time, the lump was big and he didn't care. After the swelling, he chose to stick to the "secret recipe" herbs. The unknown prescription gave the cyst enough nutrients. Instead of disappearing, the lump grows faster and bigger, and it is difficult to eat, sit up straight and sleep at night.
"The patient's large tumor must be removed as soon as possible, but the patient is 74 years old, and surgery is a challenge for him and the doctor." After consultation, I learned that Uncle Li also suffers from hypertension grade 3, atrial fibrillation, coronary heart disease and other diseases. Accidents such as cardiovascular and cerebrovascular diseases are prone to occur during the operation, which will "upgrade" the original difficulty of the operation. After multi-disciplinary consultation in general surgery, cardiovascular medicine and anesthesiology, it was decided to replace the long-acting anticoagulant "aspirin enteric-coated tablets" that Uncle Li routinely took to prevent thrombosis with the short-acting anticoagulant "low molecular weight heparin" injected subcutaneously five days before operation, so as to reduce the concentration of anticoagulant in patients and reduce the risk of bleeding during operation. After improving the preoperative preparation, he performed "left hip tumor resection and flap plasty" for Uncle Li. Through sharp separation, the cyst with the diameter of 10cm was completely removed and peeled off, and the operation was successfully completed.
"Sebaceous gland cysts are mainly caused by blocked hair follicles, which mostly occur in areas with strong oil secretion, such as face, neck, groin area and buttocks. Sebaceous gland cysts generally do not disappear by themselves. Once a small nodule is formed, it can only be completely removed if it is to be completely cured. At first, it was usually only the size of a thumb, and only a small range of local anesthesia was needed. If the treatment is delayed, it will gradually grow into a small lump or even become a huge cyst. At this time, the risk of surgery is much greater. " The doctor said that it is not a case to go to the hospital like Uncle Li. When the tumor was still small, most of them ignored the treatment, and when the condition became more and more prominent, they were afraid of surgery. So at that time, it was hearsay that superstition of "indigenous methods" led to severe burns and ulceration of the skin at the tumor site, which led to infection, expanded the scope of surgical resection and increased the risk of postoperative incision infection.
Folk remedies refer to some prescriptions with unknown sources, which are circulated among the people and welcomed by the people because of their simple medication, low price and unique curative effect. There is also a saying among the people that "small folk remedies annoy famous doctors". "The folk' earthwork' is basically folk experience, but most of them have no scientific basis, and the curative effect varies from person to person. Therefore, even if remedies can cure diseases, they can only be used on the premise of dialectical treatment. " Lin Wu suggested that if ordinary people are unwell, they should not blindly trust folk remedies and earthwork. They should go to a regular hospital as soon as possible and take medicine under the guidance of a professional doctor. Don't let these folk remedies that "might as well try" turn minor illnesses into serious illnesses.
Guangzhou Daily all-media reporter: Chen Zhijia correspondent Wei Jingyu
Guangzhou Daily All Media Photojournalist: Chen Zhijia