Start as an Emergency Physician

After the skin tissue is exposed, the underlying external oblique aponeurosis also appears in the surgical field.

Zhu Gaoyang was a little surprised: "You can still see that I am a jungler?"

Zhou Yuan did not reply.

"Tissue scissors. "

Zhou Yuan took the tissue scissors, asked Haiyang to lift the aponeurosis on both sides, and slowly sneaked along the bottom of the aponeurosis with scissors, and then, cut the aponeurosis upwards, and cut the outer ring downward.

"This step can easily damage the ilioinguinal nerve of the nearby iliohypogastric nerve. Zhou Yuan reminded.

Zhu Gaoyang: "Be careful! It's all my treasures below!"

He shook his head, wanting to see what Zhou Yuan was doing, but there was a piece of cloth on the shelf in front of him, blocking his view.

At this time, his oxygen mask suddenly fell off.

Zhu Gaoyang's face turned pale with fright: "Doctor! Doctor! My oxygen mask has fallen off!"

Zhou Yuan frowned and glanced at it: "It's okay." "

"I'm going to get oxygen!"

Haiyang said helplessly: "Then do you feel any different now than just now?"

Zhu Gaoyang was stunned for a moment, calmed down, and sniffed: "No..."

Zhou Yuan calmly separated the iliohypogastric nerve and the ilioinguinal nerve, and said, "Originally, it was just to pretend, adding an oxygen mask to you, you wouldn't be so nervous, but you got rid of it." "

Zhu Gaoyang: ???

The anesthesiologist walked over, silently picked up the oxygen mask, and put it back on Zhu Gaoyang, "Are you comfortable now?"

Zhu Gaoyang: ...

"I'm feeling a little stuffy..."

"You've found out that this oxygen mask is useless, isn't it stuffy?" the anesthesiologist sighed.

Zhu Gaoyang sighed and glanced at it again, Zhou Yuan, Haiyang and the others were all working hard.

"Why do I have this disease? All of a sudden, it swelled, and I was scared to death. Zhu Gaoyang asked curiously.

"It's not a good life. Zhou Yuan said succinctly.

After saying this, he fell silent.

"Scalpel. "

"Vascular clamps. "

Zhou Yuan again separated the levator muscle of the cremaster and pellets, and the transverse fascia fibers, revealing the hernia sac.

It's an off-white thing, not very recognizable.

Zhou Yuan glanced at Zhu Gaoyang, who was in a daze, and said, "Cough." "

"Okay, let's think about it... Ahem!"

As a result of coughing, a part of the body protrudes with the spermatic cord, which is the hernia sac.

"The next step is to cut open the wall of the hernia. Zhou Yuandao.

Haiyang rubbed his hands beside him, "Senior Brother Zhou Yuan, give me a cut?"

Zhou Yuan nodded.

This surgery can be done by the hospital, and it is not a critical link now, so there is no problem in letting the ocean practice.

The ocean happily picked up the scalpel.

Zhou Yuan paused for a moment and said, "Don't cut the hernia wall directly, you can't control it well, first cut a small incision on the hernia wall, and then use scissors to slowly expand the incision." "

This is a trick to avoid damaging the hernia contents.

Ocean nodded excitedly.

Zhou Yuanyi frowned: "Your hands are a little shaky..."

Ocean smiled: "It's the first time... A little excited. "

The instrument nurse took a look, "It's like a beckoning cat." "

Zhou Yuan shook his head: "The beckoning cat only has one hand to tremble, this is the cafeteria aunt." "

Zhu Gaoyang, who heard the conversation, was stunned.

"Anesthesiologist, can you give me general anesthesia?"

The anesthesiologist nodded, and walked over with a finger-thick needle: "Are you sure?"

"Forget it. Zhu Gaoyang closed his eyes and looked at Zhou Yuan and the others who were struggling under his body in fear.

Except for the fact that Ocean shook for a while when he first held the knife, after the actual operation, Ocean's hand was still very steady.

Soon, the wall of the hernia sac was cut open by the ocean.

"Put your index finger in the abdominal cavity, feel the lower abdominal wall artery to avoid injury, and double-check for a second hernia. Zhou Yuandao.

The ocean happily put his hand in, touched it, closed his eyes in intoxication, and after a moment said, "No." "

As he spoke, he was ready to push the contents of the hernia back into the abdominal cavity.

Zhou Yuan stopped him: "Not yet, check whether the contents of the intestinal tube that fell from the hernia are necrotic." "

The ocean was stunned.

Zhou Yuan explained: "Once intestinal necrosis occurs, if you push it back, it will cause peritoneitis, which will be more serious at that time. "

"Okay, okay. "

Haiyang carefully checked the color of the intestinal tube and the pulse of the blood vessels, which were quite normal, and then pushed it back.

"Come on, junior brother!" the ocean retreated.

He was too addicted to it, and he was not sure about the next surgical steps.

Zhou Yuan nodded.

Zhu Gaoyang also breathed a sigh of relief.

"Scalpel. "

Zhou Yuan quickly cut off the hernia sac in the middle, "Hemostat." "

After completing the hemostasis, Zhou Yuan left the distal hernia sac in the scrotum.

"Don't you close the hernia sac?" asked Ocean.

"No, I can't. It can cause fluid or blood to accumulate in the hernia sac. "

Zhou Yuan continued the operation in hand.

"Did you cut my vas deferens?" Zhu Gaoyang seemed to be looking forward to it.

Zhou Yuan: ...

"Lift the proximal hernia sac with a hemostat. Zhou Yuan said.

After the ocean was lifted, Zhou Yuan put his left index finger into it, slowly dragging the inner surface of the proximal hernia sac, and his right index finger was wrapped in gauze, and turned around, peeling off the proximal hernia sac to the position of the neck of the sac.

"See if there are any spermatic cords and vas deferens here?" Zhou Yuan's eyes gestured.

The ocean nodded: "Do you want to cut it?"

“......"

Zhou Yuan: "I'm asking you to pay attention, don't get hurt." It's over when this thing breaks. "

Zhu Gaoyang was stunned: "Didn't you say that before going to the operating table!"

Zhou Yuan smiled and continued to operate.

"It's time to put it down, and then pull the lower edge of the internal oblique and transverse abdominis muscles outward and upward. "

The ocean did so.

Zhou Yuan found a good position and prepared to stitch it on the neck of the mountain sac.

After the sutures were completed, Zhou Yuan cut off the excess hernia sac wall, and then used needles and threads to pass through the transverse abdominis and internal oblique muscles from front to back, where they were ligated to fix the neck of the hernia sac.

Next, as long as the hernia is repaired, the organs in the abdominal cavity and the small intestine and large intestine will not flow down from this hole.

Zhou Yuan lifted the spermatic cord and passed a strip of gauze for traction underneath, and then separated the levator testicis muscle and transverse fascia around the spermatic cord.

"The defect here in the inner ring is large, and the transverse fascia here in the inner ring must be sutured before repairing. Zhou Yuandao.

Soon, the stitching of this step was also completed.

The ocean swallowed: "It's so fast." It's so dazzling. "

Zhu Gaoyang, who was yawning a little, glanced at Zhou Yuan and Haiyang helplessly.

"Doctor, I want to give you a piece of advice. Zhu Gaoyang said suddenly.

"What?"

"Don't you think the operating room is too boring?" said Zhu Gaoyang.

Zhou Yuan looked up: "Then what do you want?"