Start as an Emergency Physician

He Jing stretched out her hand and looked up and said, "I'll take out the pedicle membrane..."

Dean Fang looked at Zhou Yuan.

Zhou Yuan didn't react, and continued to separate the submucosal tumor, and said: "Part of the pedicle is in the cervix, close to the sound duct, and it is difficult to touch the scalpel and tissue scissors, so it can be removed from the sound duct." "

Speaking of this, he glanced at He Jing with some surprise.

There is a lot of knowledge in the Department of Obstetrics and Gynecology that is specialized, and those in other departments may not know it, so let Dean Fang, the big man of hand surgery, go to deliver the baby, and he will still be in a hurry.

It's just that before he proposed that he needed to remove the pedicle membrane from the sound channel, He Jing had already guessed...

The other party's clinical surgery experience is indeed very rich.

"Did you take it out?" Zhou Yuan glanced at He Jing.

He Jing nodded, and slowly took out his hand, clutching a small piece of cellulite like fat.

"It's done. "

Zhou Yuan nodded: "Let's start the next step, cervical tumor removal..."

This is the final step.

After hesitating for a moment, Zhou Yuan said again: "He Jing, come over and help." "

He Jing was overjoyed and ran to He Jianyi's side.

"Open the bladder and fold the peritoneum. Zhou Yuandao.

He Jianyi was responsible for revealing his vision, while He Jing quickly handed over the scalpel, and at the same time used tissue forceps to separate the surrounding connective tissues so as not to block the line of sight.

Zhou Yuan was a little surprised.

He Jing's surgical level is not low...

With He Jing's help, Zhou Yuan's surgery was much easier.

After sharply separating the bladder to the lower and lateral edges of the tumor, Zhou Yuan lifted the scalpel and cut the anterior wall of the cervix again, extending the incision all the way to the surface of the tumor.

There is no direct resection of the tumor here, there are too many blood vessels, and it also happens to be the weak point of the tumor, which can easily cause surgical accidents.

"Vascular clamps. "

He Jing clamped the place where the tumor connected to the cells in the anterior wall of the cervix, and Zhou Yuan separated it again along the tumor capsule.

The basal tumor is densely vascularized, the capsule is fragile, and it is easy to damage the attached cervical cells, so Zhou Yuan chose blunt separation.

Soon, Zhou Yuan made a cut at the base of the tumor, and the tumor began to shake, and it was soon separated from the uterine police.

The last attachment point has finally been removed...

Zhou Yuan slowly breathed a sigh of relief.

Before the tumour can be completely removed, the cervix must be sutured. The tumor also has some adherent tissue that connects to the uterus, and the adherent tissue needs to be removed.

"Needle forceps. "

Suturing the cervical muscularis is a continuous mattress suture.

The needle and thread danced in Zhou Yuan's hand, and Lu Shao on the side was extremely frightened.

He himself is a textbook compiler, so he has seen too many textbook-style operations, but Zhou Yuan's actions... More textbooks than textbooks!

"Old Fang, this is your lack of thickness..."Lu Shao was silent for a while, and said quietly.

Dean Fang was stunned for a moment: "What's wrong with me?"

"Such a good talent, you are locked up in your hospital for surgery?

Lu Shao said again: "Anyway, we should also let him join the textbook editorial committee, right? Medical textbooks need fresh blood!"

Dean Fang smiled: "You see Zhou Yuan staying on the operating table, or compiling textbooks with your group of writers." "

Lu Shao stared at Zhou Yuan for a while, and finally sighed.

He guessed that Zhou Yuan was also the kind of person who was obsessed with technology, and it was unlikely that he would quit the front line.

"No matter what you say, you should let Zhou Yuan show his face in the medical community, to be honest, there are really few people in the medical community who know Zhou Yuan now. If Yang Shuxin hadn't told me, I wouldn't have known that there was another Zhou Yuan. Lu Shao said.

His idea was to let Zhou Yuan join the Z Country Medical Association and occupy a position in some authoritative medical organizations.

Dean Fang smiled: "It doesn't matter if you don't know him, the name Zhou Yuan will immediately cause a sensation in the entire medical community, and it will be difficult for someone to think about not knowing Zhou Yuan at that time..."

Lu Shao was stunned for a moment, and looked at Dean Fang with some puzzlement: "What do you mean?"

"Regenerative finger surgery... It's about to be successful!"

Dean Fang's tone was filled with pride.

Zhou Yuan is a doctor in his hospital, and as the director, he naturally feels that his face is bright.

Hearing this, Lu Shao turned his head sharply and stared at Zhou Yuan with an incredulous gaze.

......

After completing the suturing of the cervical muscularis, Zhou Yuan sutured the bladder peritoneal retroflexion site again.

"Scalpel"

"Tissue scissors. "

He Jing fixed the location of the tumor, and He Jianyi separated the various structures of the abdominal cavity to provide a good surgical field for Zhou Yuan.

It took nearly ten minutes to clean up the adhesions on the tumor, and finally, Zhou Yuan carefully held the tumor, took it out of He Lili's body, and put it on the operating plate.

Looking at this tumor the size of a children's football, a strong sense of accomplishment rose in everyone's hearts.

Zhou Yuan: I cut it.

He Jianyi: I helped cut it.

He Jing: I also helped cut it.

Dean Fang: The doctors in my hospital cut it.

Lu Shao: I watched it being cut.

"Cleaned up. "

Zhou Yuan came back to his senses and began to check He Lili's abdominal cavity again for bleeding sites, or if the residual tumor was missing.

The instrument nurse begins to count gauze and instruments.

There was a hospital where gauze and scissors were left in the abdominal cavity of a patient, and the patient died.

In order to avoid such a thing, the instruments need to be counted strictly before the operation and before the cavity is closed, and if you find that something is missing, especially if you can't find it after looking for a long time, the whole operating room will be scared crazy.

"The gauze and the equipment are all ready. "

Zhou Yuan also completed the final examination work at the same time, took out the extracorporeal drainage tube that had been placed in the body, and said, "Let's start to close the abdomen." "

There is a saying for cesarean section, which is called "half an hour for surgery, half an hour for suturing"

Cesarean section does not take a long time, but because of the complex intra-abdominal structure, it often takes a lot of time to separate and suture the tissues.

Zhou Yuan took the needle forceps and sutured from the innermost uterus.

The uterine muscles are sewn in one layer.

One layer of serual suture in the uterus.

One layer of peritoneal suture.

The anterior sheath of the abdominal wall has two or three layers, the subcutaneous tissue of the abdominal wall has two or three layers, and the fat has one or two layers

After that, the superficial rectus abdominis muscle is added to prevent the pregnant woman from accidentally causing muscle collapse when she is active.

Finally, another layer is sewn on the outer skin.

The outermost layer is made of non-absorbable threads, which are firm, but the stitches need to be removed.

About half an hour later, Zhou Yuan put down the needle holder.

Looking at He Lili's already empty abdomen, Zhou Yuan breathed a sigh of relief.

It's finally done...

He glanced at the operation time, three hours and fifteen minutes.

Zhou Yuan looked at He Lili's monitoring instrument again, and her blood pressure, heart rate, etc. were normal.

Zhou Yuan smiled and announced, "The operation is complete!"

The heavy atmosphere in the operating room suddenly relaxed, and everyone who had been suppressed for a long time breathed a sigh of relief.

He Jianyi took off his mask, his face was a little pale, and said, "It's really scary to have surgery with Zhou Yuan..."

This guy specializes in difficult surgeries, and it's not easy to be an assistant for him!

At this time, Lu Shao also took off his mask, looked at Zhou Yuan, and stopped talking.

It took a while for a negotiating voice to sound in the operating room. _

Feilu reminds you: there are three things to read - collection, recommendation, and points