Start as an Emergency Physician

Zhou Yuan nodded, closed the curtain, and gave the patient an in-depth examination.

When you take off your pants, you can clearly see a lump in the groin area.

"Lying in bed. Zhou Yuandao.

The patient was anxious: "Doctor, don't touch it, it hurts!"

"What kind of pain, like a knife or like a hammer?" Zhou Yuan asked.

"Like a hammer!"

Dull pain...

Zhou Yuan put on gloves and gently pressed the lump in the groin area.

"Cough. Zhou Yuandao.

"I'm going to brew it... Ahem!"

Suddenly, Zhou Yuan felt a feeling of swelling and impact from the lump.

Zhou Yuan pushed the lump outward and upwards again, and after slight resistance, the lump disappeared, but let go of his hand, and the lump reappeared.

At this point, Zhou Yuan has basically determined what it is, and for insurance, Zhou Yuan did another hernia ring examination, and sure enough: "It's an oblique inguinal hernia." "

The patient sat up in fear and said, "What should I do? Do I need surgery?"

Zhou Yuan nodded: "A relatively slight hernia can be assisted by external force to assist in reduction, but I have examined your hernia quickly, it is firm and hard, and there is obvious tenderness, it is very likely that incarceration and strangulation have occurred, and surgery is required." "

Incarceration and strangulation, as previously referred to as entrapment and obstruction of blood circulation, are severe and can lead to death.

After Zhou Yuan explained, the patient's face became even more ugly: "Doctor, hurry up and operate! Help me!"

"I just knew this..."Zhou Yuan said.

"Then help me do it!" the patient was anxious.

This place is close to that thing, if something happens, the happiness of the rest of a man's life will be gone, and he can't be delayed!

Zhou Yuan nodded and said, "Conduct a skin test first, and do some physical examinations, and then you can do surgery if there is no problem." "

The patient nodded and hurried out for an examination.

He Jianyi and Haiyang were a little surprised when they saw that it was Zhou Yuan's patient.

"Do you also deal with oblique inguinal hernias?" He Jianyi asked.

Zhou Yuan nodded: "It just happens to be a Bassini repair method." "

"It's quite miscellaneous..."He Jianyi glanced at Zhou Yuan enviously.

Learn a lot, and learn everything well!

This is what He Jianyi really finds terrifying.

Haiyang ran to Zhou Yuan's side: "Senior brother, I'll be your helper this time!"

It just so happened that He Jianyi also had an operation, and he would definitely not be able to participate in Zhou Yuan's operation.

Haiyang looked at the two helplessly and said, "My operation will not start in half an hour, let's go see the patient with oblique inguinal hernia." "

As soon as the patient returned to the observation room, he saw three large men with glowing eyes staring at him.

"Take your pants off. Ocean said.

He Jianyi's face changed slightly, glared at the ocean, and said, "Check it." "

The patient breathed a sigh of relief and handed over the blood routine, cardiopulmonary function, and other examinations to Zhou Yuan.

"Zhu Gaoyang?" Zhou Yuan glanced at the name.

The name is good, the pig, the lamb, the name of the two small animals are all occupied.

"It's me. Zhu Gaoyang lay down and obediently took off his pants.

After checking for a while, He Jianyi asked, "Zhou Yuan, why did you choose the Bassini repair method?"

"Because I'm going to Bassini tinkering. Zhou Yuan told the truth.

“......"

He Jianyi patted Zhou Yuan, "Say it well!"

"Ocean, you know what?"

Haiyang shook his head: "I don't know much about this..."

How can he, an emergency doctor, know so much!

Zhou Yuan handed the film to He Jianyi and said calmly: "The Bassini repair method is suitable for young adults or elderly patients with posterior inguinal canal defects, and the patient Zhu Gaoyang is twenty-one years old and has a defect in the back wall, which is just suitable for the Bassini repair method." "

For the repair of oblique inguinal hernias, there are four commonly used.

The first is the Ferguson repair method, which is suitable for children and young adults who have a relatively intact posterior wall of the inguinal canal.

The second is the Halsted repair method, which is suitable for elderly patients or those with significant weakness of the posterior wall of the inguinal canal

There is also the Shouldice repair method, which is a multi-layered enhanced hernia repair technique that focuses on repairing the transverse fascia and strengthening the posterior wall of the inguinal canal.

Obviously, the Bassini repair method is more suitable for Zhu Gaoyang's physical condition.

He Jianyi nodded appreciatively, and said to the ocean: "Be careful when you are a helper, don't cut off other people's vas deferens." "

When the patient on the hospital bed screamed in pain heard this, his voice stopped abruptly and sat up with a bang: "Damn!"

Zhou Yuan comforted: "Don't worry, this won't happen! Even if it's cut, I'll sew it for you!"

"It's the same when you sew it!"

"It's really different, after the stitches we can increase the pressure on the vas deferens, it will make the vas deferens stronger. "

Zhu Gaoyang was silent, and after a while, he lay back again: "Let this doctor be a helper, it doesn't matter if you cut it, just sew it up for me." "

After all the examinations were completed and the family signed, Zhu Gaoyang was pushed into the operating room.

"Doctor, be careful, this place is dangerous. Zhu Gaoyang said nervously.

Zhou Yuan nodded: "Don't worry, I've had many surgeries." "

"Stay in the supine position. Zhou Yuan said.

Zhu Gaoyang lay down.

"Spinal anesthesia. "

Zhu Gaoyang was turned over again, and the anesthesiologist began to administer neuraxial anesthesia.

When anesthetized, Zhu Gaoyang raised his hand above his head, looking scared.

"Why are you raising your hands?" Zhou Yuan wondered.

"Isn't it anesthetizing my lower body? What if my palm runs to my lower body and numbs my hand?"

Zhou Yuan's face twitched: "So you lifted it?"

Zhu Gaoyang: "Yes, is there a problem?"

Zhou Yuan shook his head: "No problem, hold it." "

Soon, the effect of the medicine took effect, and Zhu Gaoyang felt that his lower body was gone, so he put his hand on the operating table with confidence, and said with a sigh of relief: "Dodge!"

"Let's start the operation. Zhou Yuan stabbed Zhu Gaoyang's lower limbs, and after confirming that Zhu Gaoyang was anesthetized, he said.

"Doctor, can you talk to me? You guys are messing around under me with a knife, and I don't feel it at all, I'm so scared!" Zhu Gaoyang said.

Zhou Yuan glanced at Zhu Gaoyang, "Worried that I cut you?"

"A little. Zhu Gaoyang said with a weak heart.

"Chat with me!" Zhu Gaoyang asked again.

Zhou Yuan made an oblique incision two centimeters above the midpoint of the inguinal ligament and asked, "Do you have a girlfriend?"

Zhu Gaoyang's smile stiffened and he closed his mouth.

"Change... Change the subject..."

"What do you do?"

When Zhu Gaoyang heard this question, he smiled confidently: "I can answer the question you had in front of me by the way." I'm an esports player, and I don't need a girlfriend for esports!"

Esports?

The names are all small animals.

"Are you a jungler?" asked Zhou Yuan as he cut open the skin and subcutaneous tissue.