Start with an emergency physician

Zhihui's aunt was stunned.

She turned around and looked at Zhihui, who was lying on the bed in pain. Under the quilt, his right thigh was splinted and his left thigh was swollen.

"aunt……"Zhihui shouted through gritted teeth.

Zhihui's aunt smiled at him, her expression softened, she looked at Zhou Yuan and said,"Since your doctor said we need to do the surgery, then do it."

Zhou Yuan nodded and gave some more medical advice.

Although hemorrhoid surgery is only a minor operation, necessary preoperative preparations are still necessary.

For example, patients are advised not to eat too coarse food to avoid stool discharge during the operation and cause wound infection. For example, patients are advised not to eat spicy food to avoid irritating the capillaries in the anorectal area and causing excessive congestion. Otherwise, excessive bleeding during the operation will occur and turn into small red flowers.

Of course, the most important thing is to comfort the patient and eliminate some incorrect thoughts in the patient's mind.

Zhihui listened to Zhou Yuan's medical advice restlessly.

"Don't be nervous, we have seen everything."He Jianyi is an experienced man after all, and he has seen a lot.

After leaving the ward, He Jianyi glanced at the medical records and sighed,"When facing such patients' families, you must be very careful. What if you quarrel with them and the operation fails? You won't be able to explain yourself even if you have a hundred mouths!"

Zhou Yuan and the others nodded.

"By the way, hemorrhoids are a matter for the anorectal department. I will ask the anorectal department to come for a consultation tomorrow. Zhou Yuan, please hand over the medical records to them."

Teacher, let me try," said Zhou Yuan.

He Jianyi was stunned and looked at Zhou Yuan in surprise:"You can also remove hemorrhoids?"

This is not a major operation, He Jianyi can do it, but the anorectal department is professional, so they can cut it more beautifully.

Legend has it that in the anorectal department, the level of hemorrhoid repair may be divided into standard rooms, single rooms, single deluxe rooms, etc. If it is at the level of a resident doctor, it is at least a standard room. If it is replaced by a chief physician, it may be repaired into a presidential suite.

Zhou Yuan thought for a while:"At least it should start from... the presidential suite, right?"

He Jianyi was even more surprised.

"Can you really do it?"

Zhou Yuan glanced at his master-level hemorrhoid and rectal mucosal prolapse technique and nodded confidently.

"OK, you do it!" He Jianyi's expression was somewhat excited.

That night, Zhihui couldn't sleep well.

He couldn't help but feel a little excited when he thought about going to the operating table tomorrow.

At the same time, the anorectal department was going crazy.

"Did you hear that? Someone from the emergency department wants to repair the presidential suite!"

"What? The presidential suite! That's a big project that only our director can do. How could anyone in the emergency department do it? Director He? Or the new Director Jiang?"

"Neither! It's Zhou Yuan!"

"Holy shit! Zhou Yuan?"

"I was thinking that I didn't have the chance to watch his surgery. This time it's our anorectal surgery! I must be there to watch it tomorrow!"

"Hey, I haven’t seen the presidential suite for a long time. I must see it tomorrow!"

"+1!"

It's no wonder that the anorectal doctors were so excited. The presidential suite was something that was in short supply.

Only when you become a chief physician can you fine-tune a presidential suite. But, at this level, how many people would go back to perform hemorrhoid surgery?

So, since it was a rare opportunity, everyone naturally couldn't let it go.

So, like Zhihui, many anorectal doctors spent an exciting night.

The next day, after Zhou Yuan finished his daily ward rounds, he came to Zhihui's ward.

The latter saw Zhou Yuan and was a little shy.

"Are you ready?" Zhou Yuan asked

"Ready"

"Let's clean the intestines first." Zhou Yuan said.

Many hemorrhoid patients have habitual constipation, enteritis and even rectal prolapse. If the feces in the intestines are not discharged before the operation, defecation too early after the operation will affect the recovery of the wound.

When Zhihui ran to the toilet to use the enema, Zhou Yuan once again recalled his master-level hemorrhoid and rectal mucosal prolapse surgery.

The so-called hemorrhoid and rectal mucosal prolapse surgery is actually PPH, and its scientific name is stapled hemorrhoidectomy, which is suitable for all types of hemorrhoids, especially severe mixed hemorrhoids like Zhihui.

The principle is very simple.

While retaining the anal cushion, part of the internal hemorrhoids and the mucosa and submucosal tissues on the hemorrhoids are circularly excised and stapled at the same time, and anastomosed instantly.

This can not only block the blood supply to the hemorrhoids and prevent heavy bleeding during the operation, but also suspend and fix the slipped tissue to prevent affecting the surgical field, and restore the position of the rectum and other parts.

This operation is called PPH because it requires a kind of hemorrhoid circumference resection called stapler.

"PPH"A special instrument.

Zhou Yuan likes to call this thing PPH, which is a simple and rough name, but also appropriate.

The operation process can be simply summarized as follows: first, expand the anus, and suture the rectal mucosa in a circle four centimeters above the dentate line at the junction of the rectum and the anal canal.

Then, insert the PPH stapler into the anus, and the stapler can remove the prolapsed mucosal band.

Since the removed part is controlled by the visceral nerves, the patient will hardly feel any pain after the operation. Moreover, because the prolapsed band of the rectal mucosa and the blood vessels of the terminal arteries and veins of the rectum are removed or blocked, the base of hemorrhoids is removed, and the hemorrhoids will naturally disappear.

"Doctor Zhou, I'm fine now."

After a while, Zhihui came out of the toilet holding his buttocks.

Zhou Yuan nodded,"Let's go to the operating room."

Zhihui followed.

"Dr. Zhou, please don't blame my aunt. My aunt is a person with a sharp tongue but a soft heart."

"She is almost fifty years old and still unmarried. She has lived half her life alone, working hard on her own. She only has my mother as a sibling and I as a younger generation. She is actually very lonely, with no one to accompany her."

"Moreover, she is very good to the three of us. She is especially good to me, and treats me like her own son!"

Zhou Yuan nodded.

Soon, the two walked to the door of the operating room.

What surprised Zhou Yuan was that five or six doctors were standing at the door of the operating room, rubbing their hands, looking very excited, staring at Zhou Yuan and Zhihui beside him.

"What's going on?"

He Jianyi's voice sounded from the back:"Ahem... these are the residents and attending physicians of the anorectal department."

"What are they... coming for?"

He Jianyi:"They want to observe your surgery."

Hearing this, Zhihui felt cold all over and was stunned.

"I... want to be surrounded by a group of men with glowing eyes?!" Zhihui asked with courage.

"There are also women." Zhou Yuan pointed at a female doctor who arrived late.

"？？？"

Zhou Yuan pushed Zhihui and said,"Go in. You won't feel anything after the anesthesia. Don't be shy. Just think of it as a sleep."

Zhihui limped into the operating room. Just as

Zhou Yuan was about to go in, he saw He Jianyi had also changed his clothes and was ready to come in.

"Teacher, you are……"Zhou Yuan was stunned for a second before asking.