Start as an Emergency Physician

Aunt Zhihui was stunned.

She glanced back at Zhihui, who was lying on the bed in pain, under the lifted quilt, his right thigh was fixed on the plate, and his left thigh was swollen.

"Auntie...," Zhihui shouted through gritted teeth.

Aunt Zhihui smiled at him, her expression softened, she looked at Zhou Yuan, and said, "Since your doctor said that you would do surgery, then do it." "

Zhou Yuan nodded and gave some more medical orders.

Although hemorrhoid surgery is only a minor operation, it is necessary to prepare for the surgery.

For example, the patient is advised not to eat too coarse food, so as not to pass stool during the operation, causing wound infection, such as not eating spicy food, so as not to stimulate the capillaries in the anorectal area and overcongestion, otherwise excessive intraoperative bleeding will occur and turn into a small safflower.

Of course, the most important thing is to comfort the patient and remove some incorrect thoughts from the patient's head.

Zhihui fidgeted and listened to Zhou Yuan's medical advice.

"Don't be nervous, what haven't we seen?" He Jianyi is still an old Jiang after all, and he is well-informed.

After leaving the ward, He Jian looked at the medical record book and sighed: "In the face of such a patient's family, you must be cautious, in case you quarrel with someone, and the operation fails, you will not be able to tell a hundred mouths at that time!"

Zhou Yuan and the two nodded.

"By the way, hemorrhoids are a matter of the anorectal department, I will call someone from the anorectal department to come over tomorrow for consultation, Zhou Yuan, you transfer the medical records to them." "

Zhou Yuandao: "Teacher, let me try it." "

He Jian was stunned and looked at Zhou Yuan in surprise: "Will you still remove hemorrhoids?"

This is not a major surgery, and He Jianyi will do it too, but the anorectal department is professional and cut beautifully.

Legend has it that in the proctology department, the level of hemorrhoids may be divided into standard rooms, single rooms, single deluxe rooms, and so on. If it is a resident-level doctor, it is a standard room, and if it is replaced by a chief physician, it may be able to be repaired into a presidential suite.

Zhou Yuan thought for a while: "What's the matter... The Presidential Suite is starting with it, right?"

He Jianyi was even more surprised.

"Can you?"

Zhou Yuan glanced at his master-level hemorrhoids and rectal mucosal prolapse surgery and nodded confidently.

"That's okay, you can do it!" He Jianyi's expression was a little unbelievably excited.

That night, Zhihui slept restlessly.

I can't help but feel a little excited at the thought of going to the operating table tomorrow.

At the same time, the proctology department went crazy.

"Have you heard! Someone in the emergency department wants to repair the presidential suite!"

"What? Presidential Suite! That's a big project that only our director can do, how can someone from the emergency department do it? Director He? Or is it the new Director Jiang?"

"It's neither! it's Zhou Yuan!"

"it!Zhou Yuan?"

"I'm still thinking that I won't have a chance to see his surgery, isn't this the surgery of our anorectal department!

"Hehe, it's been a long time since I've seen the presidential suite, and I have to see it tomorrow!"

“+1！"

It's no wonder that the doctors in the proctology department are so excited, the presidential suite belongs to the kind of thing that has no price.

When you get to the chief physician, it is possible to refine the presidential suite, but at this level, how many people go back for hemorrhoid surgery?

Therefore, it is rare to encounter an opportunity, and it is naturally impossible for everyone to let it go.

As a result, many doctors in the anorectal department, like Zhihui, spent an excited night.

The next day, after Zhou Yuan completed his daily ward rounds, he came to Zhihui's ward.

When the latter saw Zhou Yuan, he was a little coquettish and shy.

"Are you ready?" asked Zhou Yuan.

"Ready. "

"Let's cleanse our bowels first. Zhou Yuandao.

Many patients with hemorrhoids have habitual constipation, enteritis and even prolapse, and if the feces in the intestine are not expelled before surgery, too early defecation after surgery will affect the recovery of the wound.

When Zhihui went to the toilet to use Kaisero, Zhou Yuan recalled his master hemorrhoids and rectal mucosal prolapse surgery again.

The so-called hemorrhoidal and rectal mucosal prolapse, in fact, is PPH, the scientific name is stapler hemorrhoidal circumcision, which is suitable for all kinds of hemorrhoids, especially Zhihui's serious mixed hemorrhoids.

The principle is very simple, under the condition of retaining the pad, part of the internal hemorrhoids and hemorrhoids are placed on the mucosa, and the submucosal tissue is annually excised and anastomosed at the same time, and the instantaneous anastomosis is carried out.

This can not only block the blood supply of hemorrhoids and prevent heavy bleeding during surgery, but also suspend and fix the slippery tissue to prevent it from affecting the surgical field, and also restore the position of the rectum and other parts.

This surgery is called PPH because it requires a special instrument called "PPH".

Zhou Yuan likes to call this thing a pph, a very simple and crude name, and it is also appropriate.

The procedure can be summarized as follows: first, the anus is widened, and the rectal mucosa is sutured in a loop four centimeters above the dentate line at the junction of the rectum and canal.

Then, put the butt flower stapler X into the anus, and the stapler can remove the prolapsed mucosal band.

Because the excised part is innervated by the splanchnic nerve, the patient hardly feels pain after the operation, and because the prolapse zone of the rectal mucosa and the blood vessels of the arteries and veins at the end of the rectum are removed or blocked, the base of the hemorrhoids is removed, and the hemorrhoids are naturally gone.

"Dr. Zhou, I'm fine. "

After a while, Zhihui came out of the toilet with his buttocks.

Zhou Yuan nodded, "Let's go, go to the operating room." "

Zhihui followed.

"Doctor Zhou, don't blame my aunt, my aunt is a knife-mouthed tofu heart. "

"She is almost fifty years old, she has not yet married, she has lived by herself for half her life, working alone, only my mother is a brother and sister, and only I am a descendant. She was actually very lonely, and there was no one to accompany her. "

"And, she was very nice to the three of us. It's very good for me, I went to see it as my own son!"

Zhou Yuan nodded.

Soon, the two walked to the door of the operating room.

To Zhou Yuan's surprise, there were five or six doctors standing at the door of the operating room, all rubbing their hands and looking elated, staring at Zhou Yuan and Zhihui next to him.

"What's the situation?"

He Jianyi's voice sounded from behind: "Ahem... These are all resident and attending doctors in the anorectal department. "

"They... What are you doing here?"

He Jianyi: "They want to observe your surgical process. "

Hearing this, Zhihui was cold all over his body, and he was directly stunned.

"I... To be surrounded by a group of men with glowing eyes?!" Zhihui asked with courage.

"And women. Zhou Yuan pointed to a female doctor who was belated.

“？？？"

Zhou Yuan pushed Zhihui and said, "Go in, you won't feel anything after the anesthetic, don't be shy, just sleep." "

Zhihui limped into the operating room.

Zhou Yuan was just about to go in, but saw He Jianyi also change his clothes and prepare to come in.

"Teacher, what are you—" Zhou Yuan was stunned for a second before asking.