Start as an Emergency Physician

The excision of the tail of the pancreatic body is not particular, and it is enough not to hurt the mesangium and the capsule.

He Jianyi and the others looked at Zhou Yuan's smooth movements, and their expressions were extremely shocked.

On the operating table, a casual action, a simple sentence of "excision", may contain hundreds of surgeries and decades of experience.

Don't hurt the mesangium and the tunica, to put it mildly, when you really remove it, you will find that the scalpel is difficult to fall.

The reason why surgical specialists are particularly expensive, and the salary is almost several times that of doctors with the same title, is precisely because of this.

Therefore, whether it is a deputy chief physician like He Jianyi, or an instrument nurse or anesthesiologist, they can't understand how this body in his twenties can have the professionalism, proficiency and agility that experts in their fifties and sixties may not have.

"The excision is complete. "

When these words sounded, everyone woke up like a dream, staring at Zhou Yuan in a daze.

"Start cleaning the blood vessels. Zhou Yuan didn't notice the expressions of the others.

It is easier to clean blood vessels, lymphatic vessels, etc., and each doctor has his own habits and has a different cleaning order.

As long as it can be cleaned completely, it is a good way.

"Wipe your sweat. "

As soon as Zhou Yuan's words fell, the beautiful little nurse was about to raise her hand, Sun Meng took a step forward and gently wiped Zhou Yuan's forehead.

"The cleaning is complete. "

This sentence after a long time made everyone present breathe a sigh of relief.

"Total gastrectomy complete. Zhou Yuan did not relax.

The completion of the excision does not mean that the surgery is complete.

After the removal of the stomach, the digestive tube must be reconstructed so that the patient's digestion and absorption function can be maintained in the future.

Zhou Yuan chose the esophageal and duodenal interspersed triphecal jejunal method in the triplemic jejunal sac gastric substitution.

He took a proximal section of the jejunum of about 40 centimeters to preserve the blood supply in his mesangium.

Next, the upper opening of the jejunum is sutured and anastomosed to the esophagus, the lower opening is anastomosed to the duodenum, and the middle intestinal segment is folded into three segments, each remaining approximately 10 centimeters.

"No. 1 silk thread. Zhou Yuandao.

The three folded jejunum segments must be sutured together to make them fixed, and the three jejunal sacs formed can replace the lost stomach cavity and delay the emptying of food, which is conducive to the absorption of nutrients and the maintenance of body weight.

Because it is a three-stage, the front and back segments are the same as the original jejunum, all of which are peristalsis, and the middle intestinal segment forms a natural reverse peristalsis due to the change of position, which makes the food stay longer and can improve the digestion and absorption rate.

"It's done. Zhou Yuan slowly held the needle forceps and left his abdominal cavity with his hands.

All of them were relieved.

"Check the gauze. Zhou Yuandao.

Ocean: "One, two, three..."

Sun Meng: "One, two, three..."

After the numbers were correct, the two and the instrument nurse counted the scalpels, intestinal forceps, etc., and there was no shortcoming.

Zhou Yuan checked the broken end of the previous suture again, and although he was confident that he would not leak, it was a necessary step before suturing the abdominal cavity.

"No problem. Prepare to close the abdomen. "

As soon as the ocean wandered, he accidentally heard it as "no problem, ready to pretend".

I saw Zhou Yuanfei needle into the skin, the needle was like a dragon's head, the needle thread was like a dragon's body, and the sound of piercing the flesh seemed to be a dragon's groan.

The ocean closed his eyes in enjoyment: "It's still enjoyable to watch Senior Brother Zhou Yuan's stitching..."

I am afraid that Jiang Xiaoqi was the most shocked.

It was her first time to have surgery with Zhou Yuan, although he had stitches before, but they were all intermittent, and many of them were actually finished with a few stitches, this was the first time Jiang Xiaoqi had seen Zhou Yuan systematically suture.

"fu, ck..." Jiang Xiaoqi was excited, and subconsciously said a sentence in English.

His eyes were staring at Zhou Yuan's hand holding the needle pliers.

The fingers were slender, smooth, straight...

No, it's mainly the wiring. Routing is fast and in one go!

Before Jiang Xiaoqi could enjoy it, Zhou Yuan had already put down the needle forceps, and said in a relaxed tone: "The abdomen is closed." "

Zhou Yuan, He Jianyi and others began the final inventory.

After confirming that it was correct, Zhou Yuan glanced at the time and announced, "The operation is complete!"

Zhou Yuan took off his mask, revealing a slightly pale face.

A single operation is extremely draining on energy and physical strength, especially for a major operation such as total gastrectomy, which requires full attention throughout the process.

glanced at He Jianyi and the others, they were all waiting for themselves to walk out of the operating room.

Zhou Yuan smiled, walked ahead, and pushed open the door of the operating room.

On the chair outside the operating room, Yang Wei's wife was covering her face, her eyes were red, and she had obviously been crying for a long time.

Hearing the voice, she immediately stood up, but because she had been sitting for too long, her eyes were dark, and she almost fell to the ground.

Zhou Yuan walked over quickly, helped Yang Wei's wife up, and joked: "Don't just rescue your husband, you fell down again." "

Yang Wei's wife didn't react at first, and was about to ask about the operation, when she suddenly froze: "You... You said it was saved, and the operation was successful!".

Zhou Yuan nodded and said with a smile: "The operation was successful!"

In the thousand thanks of Yang Wei's wife, Zhou Yuan, He Jianyi and others left.

"I really wish I could hear the words of thanks from the patient's family all the time, which means that our surgery was a success. Ocean laughed.

Several people changed out of their soaked lead clothes and prepared to go back to the office to rest for a while.

But as soon as I walked out of the locker room, I found that the emergency department hall was already a mess and noisy.

"What's wrong?" Zhou Yuan and He Jianyi asked at the same time.

This situation is not like some patient suddenly fainting, but more like a trouble!

———

Ten watches are over, rest!

Monthly pass, there is still the last distance from the first place, brothers work hard!

read books on Friday and have fun!Charge 100 and get 500 VIP coupons!

to rush immediately(Event Period: April 29 to May 3)