Start with the emergency physician

“I… Go in and maintain discipline. He Jian smiled heartily.

Although He Jianyi is well-informed, he has never seen hemorrhoids with the size of eggs, not to mention an operation that shocked the proctology department.

Zhou Yuan smiled mysteriously.

The operating room was soon filled with people.

Zhihui was lying on the operating table, looking terrified, feeling like a guinea pig being watched.

Seeing that Zhou Yuan had changed his clothes and came, Zhihui quickly spoke to ease his tension: “Doctor Zhou, you tap!” My first time! ”

Zhou Yuan nodded calmly, “It’s also my first time.” ”

Zhihui just wanted to scold his mother, and Zhou Yuan stepped forward and wanted to rip off his pants.

Zhou Yuan pulled several times and wanted to take it off, but Zhihui stopped him.

There are too many people, sorry.

After waiting for dozens of seconds, Zhihui saw that Zhou Yuan had no reaction, and just wanted to be proud, but suddenly felt a cool feeling coming from the upturned fart Yueyun.

“Groove! What’s wrong! Zhihui was terrified.

I was about to look back, but I was held down by Zhou Yuan.

“Don’t move, I cut your pants open, and now I’m applying medicine.”

Iodophor and alcohol came up in turn, and then Zhou Yuan used some lidocaine for local infiltration anesthesia.

Zhihui sighed and gave up resistance.

He quietly waited for the anesthetic to come up and numb himself, but after waiting for a few minutes, his lower body did not feel anything, but his spirit was very full.

“Doctor Zhou! Didn’t you say I’ll sleep when the anesthesia comes? “Zhihui is not sleepy at all.

“I’m sorry, it’s also my first time, I forgot it was local anesthesia.” Zhou Yuandao.

“……”

“The operation begins.”

Without giving Zhihui time to react, Zhou Yuan, with the help of He Jianyi and others, introduced a special circular dilator into the inside of the anus.

“It’s started, it’s started!”

“Look! Expanded! ”

Zhihui listened to these shameful and shameful conversations, and his face turned red.

So, he went straight to sleep.

After the circular dilator enters the interior, both hemorrhoids and mucosal prolapse are replaced.

Zhou Yuan skillfully removed the inner part of the dilator, channeled the anoscopic sewage into the inner position, and then stitched it around the egg-sized hemorrhoid.

“Look, look! Egg size! ”

“My Nima’s, it’s really an egg!”

“How does this grow, and the nutrition is a little too rich!”

“I really want to poke it!”

Zhihui: …

Have you considered my feelings?

“Round hemorrhoidal stapler.” Zhou Yuan shouted.

Then, Zhou Yuan took out the anoscopic suture, unscrewed the round hemorrhoid stapler, slowly turned the nail on the stapler deep into the upper end of the suture, and knotted the suture that had already circled around the hemorrhoid.

Then, Zhou Yuan carefully pulled the suture and pulled the prolapsed mucosal layer with hemorrhoids into the cavity of the stapler.

This step is key, with special consideration given to technology.

The stapler has a sharp knife and a suture system, so that after H is positioned, the prolapsed mucosa can be excised, thereby removing the hemorrhoids on it.

Cut more waste, cut less may cut off the hemorrhoids, not everyone can grasp that degree.

Everyone widened their eyes and held their breath.

I saw Zhou Yuan shaking slowly, pulling the prolapsed mucosal layer into the cavity, and at the moment when the hemorrhoids entered the cavity, Zhou Yuan closed the stapler abruptly.

Click.

The prolapsed mucosa was cut off by a sharp knife on the stapler, and suddenly, the hemorrhoids fell into the cavity with the mucosa.

Because there are splanchnic nerves distributed here, and splanchnic nerves are not sensitive to pain, Zhihui will not feel pain after anesthesia.

After completing the first excision, Zhou Yuan took out the stapler containing hemorrhoids, and suddenly, a bunch of people gathered around.

“I’ll see, I’ll see!”

“Doctor Zhou, don’t throw this thing away, give us a souvenir!”

Hemorrhoids the size of eggs, which are really a scarce species.

Zhihui looked confused and could only pretend to be asleep.

Zhou Yuan continued to bury his head in work.

Zhihui’s three-degree mixed hemorrhoids are more serious, and there are several smaller hemorrhoids in it, some of which are bunched like grapes.

Zhou Yuan had a good mentality and cut off Zhihui one by one.

There are some external hemorrhoids that cannot be treated with the butt flower technique, and only a slight radioactive wound can be opened around the anus, the skin is cut, and the subcutaneous tissue is separated.

Then, carefully peel off the hemorrhoidal nucleus.

“Tissue scissors.”

Zhou Yuanzi carefully cleaned the emboli in the hemorrhoidal nucleus, once it is not clean, it will lead to postoperative recurrence in minutes.

“Yo, your human anatomy is quite complicated.” Zhou Yuan said.

Zhihui was stunned and woke up, “What’s wrong?” ”

“There is actually a blood vessel in this place, which almost broke it… Here, ligate first. ”

Zhihui suddenly had a picture of blood spraying from his butt.

“Don’t worry, it’s a vein.” As if knowing what Zhihui was thinking, Zhou Yuan added.

Soon, Zhou Yuan completed the cleaning of internal and external hemorrhoids.

He carefully stitched the wound, trimmed it smoothly and beautifully, and removed the expander.

A group of proctologists gathered around and marveled.

“Sure enough, it’s the presidential suite…”

“The director may not be able to repair it so well when he comes… I want to touch it! ”

Zhihui was shocked: “I’m still awake!” ”

“It’s okay, the fart moon is numb, it’s asleep, and it can’t feel it when you sneak it.”

“？？？”

Zhou Yuan continued his operation and said, “Hemostatic powder, gauze.” ”

Then, some other medicines to promote wound healing were wrapped in gauze, and the gauze was pressurized and bandaged.

“The operation is complete.” Zhou Yuandao.

The operation was not complicated and was completed in half an hour.

Zhihui seemed to have eliminated the big trouble in his heart, and the whole person was much more relaxed.

“Great, you won’t have to be tormented by hemorrhoids in the future!”

Zhou Yuan glanced at it and said a little unbearably: “Half a day or so after the operation is a nightmare…”

Zhihui was stunned, “What did you say?” ”

Zhou Yuan explained unhurriedly: “After the operation, your lower limbs will have no strength, in other words, you will not be able to urinate normally, and your bladder will be full by then, but you will not be able to urinate, it is very uncomfortable, and you will definitely use a urinary catheter at that time.” That kind of pain, you won’t want to try. ”

Zhihui’s eyes widened in horror.

“There is also a dressing change, after which these gauze need to be torn apart, re-dressed, and bandaged again…”

After speaking, Zhou Yuan clapped his hands and left the operating room, “Good luck.” ”

The three people outside the operating room saw Zhou Yuan come out and all stood up.

“Doctor, what’s wrong…” Zhihui’s wife was a little embarrassed.

“Don’t worry, minor surgery, very successful. Just pay attention to post-operative care. Zhou Yuan said.

Zhihui’s wife nodded happily.

The three were about to walk to the door of the operating room, when they saw one doctor after another, walking out of the operating room with a strange smile on their faces.

“This is … Do you cut one by one? Zhihui’s wife was stunned for a moment and guessed.