Start with the emergency physician

Aunt Zhihui was stunned.

She glanced back at Zhihui, who was lying in pain on the bed, under the open quilt, her right thigh was tied to a fixation plate, and her left thigh was swollen.

“Aunt…,” Zhihui shouted through gritted teeth.

Aunt Zhihui smiled at him, her expression softened, looked at Zhou Yuan, and said, “Since your doctor said to do surgery, let’s do it.” ”

Zhou Yuan nodded and gave some more medical orders.

Although hemorrhoidal surgery is only a minor operation, the necessary preoperative preparation is still necessary.

For example, patients are advised not to eat too coarse food, so as not to discharge stool during surgery and cause wound infection, such as not eating spicy food, so as not to stimulate the capillaries in the anorectal area, hyperemia, otherwise excessive intraoperative bleeding will occur and become small safflower.

Of course, the most important thing is to comfort the patient and exclude some incorrect thoughts in the patient’s head.

Zhihui fidgeted and listened to Zhou Yuan’s medical advice.

“No need to be nervous, what haven’t we met?” He Jianyi is still old ginger in the end, and he is well-informed.

After leaving the ward, He Jianyi looked at the medical record book and sighed: “In the face of such a patient’s family, you must be cautious, in case you quarrel with someone, and the operation fails, you will not be able to tell with a hundred mouths by then!” ”

Zhou Yuan and the two nodded.

“By the way, hemorrhoids are a matter of the proctology department, I will call someone from the proctology department to come and consult tomorrow, Zhou Yuan, you transfer the medical records to them.”

Zhou Yuan said, “Teacher, let me try it.” ”

He Jianyi was stunned and looked at Zhou Yuan in surprise: “You will still remove hemorrhoids?” ”

This is not a major operation, He Jianyi will also, but the proctology department is professional and cut beautifully.

According to legend, in the proctology department, the level of hemorrhoid repair may be divided into standard rooms, single rooms, single deluxe rooms, and so on. If it is a resident level, how to say that it is a standard room, if it is replaced by a chief physician, it may be able to build a presidential suite.

Zhou Yuan thought for a while: “Whatever… Presidential Suite to get started, right? ”

He Jianyi was even more surprised.

“Can you really?”

Zhou Yuan glanced at his master-level hemorrhoids and rectal mucosal prolapse, and nodded confidently.

“Okay, you do it!” He Jianyi’s expression was a little unmistakably excited.

That night, Zhihui slept restlessly.

The thought of going to the operating table tomorrow makes me feel a little excited.

At the same time, the proctology department went crazy.

“Have you heard! Someone over there in the emergency department is going to fix the presidential suite! ”

“What? Presidential Suite! That’s a big project that our director can do, how can someone do it in the emergency department? Director He? Or the new Director Jiang? ”

“Neither! It’s Zhou Yuan! ”

“Groove! Zhou Yuan? ”

“I also thought that I didn’t have the opportunity to see his operation, isn’t this the operation of our proctology department!” I have to be there tomorrow! ”

“Hehe, I haven’t seen the presidential suite for a long time, I must see it tomorrow!”

“+1！”

It’s no wonder that the doctors in the proctology department are so excited, the presidential suite belongs to the kind of thing that has no market.

When you get to the chief physician, it is possible to refine the presidential suite, but really at this level, how many people go back to do hemorrhoid surgery?

Therefore, it is rare to encounter an opportunity, and it is naturally impossible for everyone to let it go.

As a result, many doctors in the proctology department had an exciting night like Zhihui.

The next day, after completing his daily ward rounds, Zhou Yuan came to Zhihui’s ward.

When the latter saw Zhou Yuan, he was a little coquettish and shy.

“Ready?” Zhou Yuan asked.

“Ready.”

“Let’s wash the intestines first.” Zhou Yuandao.

Many patients with hemorrhoids have habitual constipation, enteritis and even prolapse, and if the feces in the intestine are not excreted before surgery, defecation too early after surgery will affect the recovery of the wound.

When Zhihui ran to the toilet to use Kaiserlu, Zhou Yuan recalled his master-level hemorrhoids and rectal mucosal prolapse again.

The so-called hemorrhoidal and rectal mucosal prolapse is actually PPH, the scientific name is stapler hemorrhoidal circumcision, which is suitable for all kinds of hemorrhoids, especially Zhihui’s serious mixed hemorrhoids.

The principle is very simple, under the condition of retaining the pad, part of the internal hemorrhoids and the mucosa and submucosal tissue of the hemorrhoids are anastomosed at the same time, and instantaneous anastomosis is carried out.

This can not only block the blood supply of hemorrhoids, prevent heavy bleeding during surgery, 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 procedure is called PPH because it requires a special instrument called “PPH”.

Zhou Yuan likes to call this thing a butt flower (PPH), which is a simple and crude name, and it is also appropriate.

The procedure is simply summarized by first widening the anus and suturing the rectal mucosa in a ring four centimeters above the dentate line at the junction of the rectum and canal.

Then, insert the butt flower stapler X into the anus, and the stapler can remove the prolapsed mucosal band.

Because the resected site is innervated by the visceral nerves, the patient hardly feels pain after surgery, and because the prolapsed belt of the rectal mucosa and the blood vessels of the arteriovenous at the end of the rectum are removed or blocked, the base of the hemorrhoids is removed, and the hemorrhoids are naturally gone.

“Doctor Zhou, I’m fine.”

After a while, Zhihui came out of the toilet with his butt.

Zhou Yuan nodded, “Let’s go, go to the operating room.” ”

Zhihui followed.

“Doctor Zhou, don’t blame my aunt, my aunt is a knife-mouthed tofu heart.”

“She is almost fifty years old, she has not yet married, she has lived her life alone, working alone, only my mother and one brother and sister, and only a junior like me. She was actually very lonely, and there was no one to accompany her. ”

“And, she was nice to the three of us. It is also very good for me, I went to see it as my own son! ”

Zhou Yuan nodded.

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

To Zhou Yuan’s surprise, there were already five or six doctors standing at the door of the operating room, all rubbing their hands, looking cheerful, staring at Zhou Yuan and Zhihui next to him.

“What’s the situation?”

He Jianyi’s voice sounded from behind: “Ahem… These are the residents and attending doctors of the proctology department. ”

“They… What are you doing? ”

He Jianyi: “They want to see how you operate. ”

Hearing these words, Zhihui was cold all over his body, and he was directly stunned.

“I… To be surrounded by a group of men with glowing eyes?! Zhihui plucked up the courage to ask.

“And the woman.” Zhou Yuan pointed to a female doctor who was belated.

“？？？”

Zhou Yuan pushed Zhihui and said, “Go in, you won’t feel anything after taking anesthesia at that time, don’t be shy, just sleep.” ”

Zhihui limped into the operating room.

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

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