Start as an Emergency Physician

Zhu Gaoyang looked a little excited, "Is it really possible?"

Zhou Yuan: ...

"You were the first person to ask to see a doctor to operate on you. Ocean said.

Zhu Gaoyang smiled: "That's it, isn't it just an operation?"

Zhou Yuan carried a piece of the cut off surplus sac wall and lifted it up, "Come, take a look..."

Zhu Gaoyang closed his eyes in fright, "! Don't look at it! It's too bloody!"

Ocean:......

"Actually, I was thinking about why you don't put a TV on in the operating room so that you don't get bored. "

Zhu Gaoyang thought about it carefully and said, "When you're in a bad mood, you can still play cross talk." "

Zhou Yuan didn't look up, and said, "You're not afraid of the doctor's laughter, cutting off what shouldn't be cut for you?"

Zhu Gaoyang was stunned for a moment, "Then I'll listen alone." "

"Hehe, eat alone. "

After Zhou Yuan finished speaking, he didn't bother with Zhu Gaoyang again.

Next comes the crucial step.

"Pull away the spermatic cord. "

After the spermatic cord is retracted, the underlying symphysis and inguinal ligaments are exposed in the surgical field.

"Needle forceps. "

Sutures and inguinal ligaments are sutured with four stitches, and the distance between each stitch is controlled at about one centimeter.

The needle is inserted from behind the inguinal ligament to the front, so as to avoid damage to the femoral artery and femoral vein, and prevent intraoperative bleeding.

Haiyang looked at it and felt that something was not right, and asked, "Why are the needle entry points and needle exit points not on the same tissue..."

The needle entry and exit points selected by Zhou Yuan for each suture are in different planes, which are completely different from the previous suture methods.

Zhou Yuandao: "If it is all in one plane, it is easy to stretch and tear the inguinal ligament. "

As he spoke, Zhou Yuan dropped the last shot.

Zhou Yuan didn't sew too tightly, there was a spermatic cord at the last stitch, and sewing too tightly would compress the spermatic cord.

The spermatic cord is a soft round cord that provides blood supply, lymphatic reflux, and innervation to the high pills, epididymis, and vas deferens. Once the spermatic cord is traumatized or surgically severed, the testicles atrophy and become dysfunctional.

Therefore, the consequences of compression of the spermatic cord can be imagined.

The ocean trembled, saw that Zhou Yuan had finished stitching, and put the spermatic cord down.

He touched it again and said, "It's okay, it's unblocked." "

Zhou Yuan carefully took out the gauze strip that he had used to pull before, and put the spermatic cord back to its original position, and the nerve and blood vessels that were pulled back to its original position because of the loss of the gauze strip.

At this point, the hernia has been eliminated and the operation is almost complete.

Zhou Yuan began to rinse the wound, and then began to prepare for suturing the aponeurosis of the external oblique muscle.

"Line 1. "Zhou Yuan chose the non-absorbable line.

Expertly piercing into the skin, pulling lines, tying knots, suturing, and then piercing into the skin.

"There's so little bleeding," the ocean boasted again.

Generally speaking, this kind of surgery with a lot of sutures often occurs when the wound is bleeding, and once there is too much bleeding, it is impossible to remove the sutures and start over, so you can only place a rubber sheet under the skin to drain the water.

This will cause more pain to the patient and, of course, will certainly not be conducive to wound healing.

However, Zhou Yuan's sutures showed almost no bleeding, and after suturing the subcutaneous tissue and skin in turn, not a drop of blood was wasted.

"Alright. Zhou Yuan put down the needle holders and breathed a sigh of relief.

Although this operation is not life-threatening, it will threaten the patient's small life, and Zhou Yuan is also cautious.

Zhu Gaoyang heard Zhou Yuan's voice and hurriedly asked, "How is it?"

"It's okay. Lie flat after surgery with a pillow under your knees to flex your hips, and raise the scrotum to prevent tissue and organs from causing a backlog of tissue and organ pressure on the wound that has just been sutured. Zhou Yuan said.

Zhu Gaoyang kept nodding, waited until Zhou Yuan finished speaking, and asked, "Doctor, can you write it down, I didn't remember anything except raising the scrotum." "

Zhou Yuan: ...

"The operation is done, push him out for me. Zhou Yuan said.

After Zhou Yuan finished speaking, he walked out of the operating room.

Zhu Gaoyang really doesn't have a girlfriend, what is waiting outside is his good buddy, wearing a dress that looks like a team costume with a big dish on it.

Zhou Yuan walked over and subconsciously said, "Rookie team?"

Zhu Gaoyang's buddy was just about to come over to ask about the situation, and his face froze.

Zhu Gaoyang can die, but the dignity of the team must be maintained.

So he immediately defended: "It's the vegetable abuse team! No matter who fights us, it's only..."

"Abuse the food?"

"It's all the only ones who are treated as vegetables!" Zhu Gaoyang's good buddy yelled.

Zhou Yuan frowned, with an expression of "what are you yelling at and doing loudly", and said, "Don't worry, the operation was successful." "

"Thank you, thank you! Zhu Gaoyang is the main force of our team! By the way, doctor, do you play lol?"

Zhou Yuan shook his head: "I love to learn. "

"I have time to take you to play two!" Zhu Gaoyang's good buddy smiled.

My favorite is to bring this kind of rookie who hasn't played a game.

Zhou Yuan said perfunctorily: "Okay, we have time to play together." "

With that, he returned to the office with the ocean.

He Jianyi was still on the operating table and did not come down, and only Zhou Yuan and Haiyang, who had just completed the operation, were still idle in the entire emergency department.

Passing by an emergency department, I happened to see Lu Chenxi.

Lu Chenxi also seems to be used to staying in the emergency department, and is seriously taking an electrocardiogram for an elderly person.

Seeing Zhou Yuan, Lu Chenxi smiled, but because there was a patient there, he didn't say hello.

Because they had just finished the operation, Zhou Yuan and Haiyang were a little tired, and they didn't need to continue working unless it was an emergency, so the two of them lay down in the lounge for a while.

Zhou Yuan took out another textbook of "Physiology" and studied it carefully.

By the way, he took out a handful of melon seeds from his pocket and stumbled.

The ocean on the other side looked at it with a longing gaze.

Zhou Yuan grabbed a handful and handed it to the ocean, and the two of them swallowed melon seeds.

"Zhou Yuan, you may need to go to hand surgery. The ocean seemed to remember something, and said.

"Hand surgery? Zhou Yuan raised his head and asked.

Haiyang said: "Let's go and teach... I've heard people say that the survival rate of amputated limb replantation in hand surgery is 90%, but it has been stuck at the 90th hurdle, and there are many cases of failed finger amputation surgery that you are good at, so I would like to ask you to tell them about the details. "

Zhou Yuan nodded: "I recently had an idea to use the fingers of my feet to recreate my fingers, I don't know if it will succeed." "

The eyes of the ocean lit up.

Although he is not well-versed in amputated limb replantation, he does know that autologous transplantation is completely feasible.

"I feel that this method completely works! Some patients who have severed their fingers, but the severed fingers cannot be found or have been contaminated and have a small chance of survival, can transplant the less useful and more hidden toes to the fingers!"

"I think you should talk to Director Wu, Director Wang, or Dean Fang!"