Start with an emergency physician

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

Zhou Yuan:……

"You are the first person who asked to see a doctor to perform surgery on you." Haiyang said.

Zhu Gaoyang smiled and said,"Of course! Isn't it just an operation?"

Zhou Yuan held up a piece of the cut cyst wall and said,"Come, take a look.……"

Zhu Gaoyang closed his eyes in fear,"Fuck! I don't want to watch it! It's too bloody!"

Ocean:……

"Actually, what I was thinking is, why don't you put a TV in the operating room, so that I won't be bored."

Zhu Gaoyang thought about it carefully and said,"You can play crosstalk when you are in a bad mood."

Zhou Yuan didn't look up and said,"Aren't you afraid that the doctor will laugh and cut off something that shouldn't be cut off?"

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

"Haha, eating alone."

Zhou Yuan said, and ignored Zhu Gaoyang.

The next step is the key step.

"Retract the spermatic cord.

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

"Needle holding forceps."

The suture of the joint construction and inguinal ligament uses interrupted sutures, four stitches, and the distance between each stitch is controlled at about one centimeter.

The direction of needle insertion is from the back of the inguinal ligament to the front, which can avoid damaging the femoral artery and femoral vein and prevent intraoperative bleeding.

Haiyang felt that something was wrong as he watched, and asked,"Why are the entry and exit points not on the same tissue?……"

Zhou Yuan chose different planes for the needle entry and exit points for each suture, which was completely different from the previous suture methods.

Zhou Yuan said,"If all are in the same plane, it is easy to pull and cause the inguinal ligament to tear."

As he said that, Zhou Yuan dropped the last stitch.

Zhou Yuan did not sew too tightly. There was a spermatic cord at the place of the last stitch. Suturing too tightly would compress the spermatic cord.

The spermatic cord is a soft round cord that provides blood supply, lymphatic return and nerve innervation to the testicles, epididymis and vas deferens. Once the spermatic cord is traumatized or surgically severed, the testicles will atrophy and lose their function.

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

Haiyang shuddered all over and saw that Zhou Yuan had finished suturing and put the spermatic cord down.

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

Zhou Yuan carefully took out the gauze strip used for traction before, and put the spermatic cord back to its original position. The nerves and blood vessels that were pulled apart also returned to their original positions because they lost the traction of the gauze strip.

At this time, the hernia has been eliminated and the operation has basically come to an end.

Zhou Yuan began to rinse the wound, and then began to prepare to suture the external oblique aponeurosis.

"Line 1. Zhou Yuan chose a non-absorbable line. He skillfully inserted the line into the skin, pulled the line, tied a knot, sutured, and then inserted the line into the skin.

"Very little bleeding……"Haiyang praised again.

Generally speaking, this kind of surgery with a lot of sutures often causes bleeding from the wound. Once there is too much bleeding, it is impossible to remove the sutures and start over. You can only place a rubber sheet under the skin to drain the blood.

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

But Zhou Yuan's sutures almost did not cause bleeding. After suturing the subcutaneous tissue and skin in turn, not a drop of blood was wasted.

"" All right." Zhou Yuan put down the needle holder and breathed a sigh of relief.

Although this operation would not endanger the patient's life, it would threaten the patient's life, so Zhou Yuan was very cautious.

When Zhu Gaoyang heard Zhou Yuan's voice, he hurriedly asked,"What's going on? Am I okay?""

"It's okay. Lie flat after the operation, put a pillow under your knees to bend your hip joint, and raise your scrotum to prevent tissues and organs from compressing the newly sutured wound."Zhou Yuan said.

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

Zhou Yuan:……

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

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

Zhu Gaoyang really didn't have a girlfriend. The one waiting outside was his good buddy, wearing a piece of clothing that looked like a team uniform with a big word

"菜" on it. Zhou Yuan walked over and subconsciously said,"Rookie team?"

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

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

So he immediately argued,"It's a bully team! No matter who it is, they will only win if they fight us.……"

"A place to bully the weak?"

"You all deserve to be treated as weaklings and bullied!" Zhu Gaoyang's good buddy yelled.

Zhou Yuan frowned, with an expression that said"Why are you yelling so 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 study"

"I'll play with you when I have time!" Zhu Gaoyang's good friend said with a smile.

What he likes most is to play with this kind of rookie who has never played games.

Zhou Yuan perfunctorily said:"Okay, let's play together when we have time."

Then he took Haiyang back to the office.

He Jianyi was still on the operating table. In the entire emergency department, only Zhou Yuan and Haiyang, who had just completed the operation, were still idle.

Passing by an emergency internal medicine department, he happened to see Lu Chenxi.

Lu Chenxi seemed to be accustomed to staying in the emergency department and was seriously taking an electrocardiogram for an elderly man.

Seeing Zhou Yuan, Lu Chenxi smiled, but because there were patients, she did not say hello.

Because they had just finished the operation, Zhou Yuan and Haiyang were a little tired. Unless it was an emergency, they did not need to continue working. The two lay in the lounge for a while.

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

By the way, he took out a handful of melon seeds from his pocket, which made a clattering sound.

Haiyang on the opposite side looked over with eager eyes.

Zhou Yuan grabbed a handful and handed it to Haiyang,���People are eating melon seeds

"Zhou Yuan, you may need to go to the hand surgery department."Haiyang seemed to remember something and said

"Hand surgery? What's wrong?" Zhou Yuan raised his head and asked.

Haiyang said:"Go and give a teaching session... I heard from people that the survival rate of hand surgery for replantation of severed limbs is 90%, but it has been stuck at the 90% mark. There are many failed cases of severed finger surgeries that are the compression-induced replantation 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, which is to use the toes of my own feet to reconstruct fingers. I don't know if it will succeed." Haiyang's eyes lit up.

Although he was not proficient in the knowledge of replantation of severed limbs, he also knew that autologous transplantation was completely feasible.

"I think this method is totally feasible! For patients whose fingers are severed but cannot be found or are contaminated, which makes the chance of survival very low, the toes, which are less useful and more hidden, can be transplanted to the fingers!"

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