Start with the emergency physician

Zhou Yuan nodded, closed the curtain, and gave the patient an in-depth examination.

When you take off your pants, you can clearly see a lump in your groin.

“Lie in bed.” Zhou Yuandao.

The patient was anxious: “Doctor, don’t touch it, it hurts!” ”

“What kind of pain? Like a knife or like a hammer? Zhou Yuan asked.

“Like a hammer!”

Dull pain…

Zhou Yuan put on gloves and gently pressed the lump in the groin area.

“Cough.” Zhou Yuandao.

“I’m brewing it… Ahem! ”

Suddenly, Zhou Yuan felt a swelling impact from the lump.

Zhou Yuan pushed the lump outward and upward again, and after a slight resistance, the lump disappeared, but let go of his hand, and the lump appeared again.

At this point, Zhou Yuan has basically determined what it is, and for insurance, Zhou Yuan did another hernia ring examination, and sure enough: “It’s an oblique inguinal hernia.” ”

The patient sat up in fear and said, “What should I do?” Do I need surgery? ”

Zhou Yuan nodded: “Relatively mild hernias can be assisted by external force to assist in repositioning, but I have checked that your hernia is fast, solid and hard, and there is obvious tenderness, it is very likely that incarceration and strangulation have occurred, and surgery is required.” ”

Incarceration and strangulation, which are previously referred to as jamming and obstruction of blood circulation, are severe and can lead to death.

After Zhou Yuan explained, the patient’s face became even more ugly: “Doctor, hurry up with surgery!” Help me! ”

“I just learned this…” said Zhou Yuan.

“Then do it for me!” The patient is anxious.

This place is close to that thing, if something happens, the happiness of the man for the rest of his life is gone, and it can’t be delayed!

Zhou Yuan nodded and said, “First take a skin test, and do some physical examination, there is no problem before you can do the operation.” ”

The patient nodded and quickly ran out for the examination.

He Jianyi and Haiyang were a little surprised when they saw that it was Zhou Yuan’s patient.

“You also deal with oblique inguinal hernias?” He Jianyi asked.

Zhou Yuan nodded: “Just the Bassini repair method.” ”

“It’s quite miscellaneous…” He Jianyi glanced at Zhou Yuan enviously.

Learn everything, and learn everything!

This is what He Jianyi really feels terrifying.

Haiyang ran next to Zhou Yuan: “Junior Brother! This time I’ll be your help! ”

It just so happened that He Jianyi also had an operation, and he definitely couldn’t participate in Zhou Yuan’s operation.

Haiyang looked at the two helplessly and said, “My operation will not start in half an hour, go and see that inguinal oblique hernia patient.” ”

As soon as the patient returned to the observation room, he saw three large men with glowing eyes staring at him.

“Pants off.” Ocean said.

He Jianyi’s face changed slightly, glared at the ocean, and said, “Check it.” ”

The patient was relieved and handed over the blood routine, cardiopulmonary function, and other examinations to Zhou Yuan.

“Zhu Gaoyang?” Zhou Yuan glanced at the name.

The names are good, pigs, lambs, two small animals are accounted for.

“It’s me.” Zhu Gaoyang lay down and obediently took off his pants.

After examining for a while, He Jianyi asked, “Zhou Yuan, why did you choose the Bassini Repair Method?” ”

“Because I know Bassini patching.” Zhou Yuan told the truth.

“……”

He Jianyi patted Zhou Yuan, “Say it well!” ”

“Ocean, you know what?”

Ocean shook his head: “I don’t know much about this…”

How can he know so much as an emergency department doctor!

Zhou Yuan handed the film to He Jianyi and said calmly: “The Bassini repair method is suitable for young and middle-aged patients with defects in the posterior wall of the inguinal canal, and the patient Zhu Gaoyang is twenty-one years old and has a defect in the back wall, which is just suitable for Bassini repair method.” ”

There are four commonly used for the repair of oblique inguinal hernias.

The first is the Ferguson repair method, which is suitable for children and young adults with a relatively complete posterior wall of the inguinal canal.

The second is the Halsted repair method, which is suitable for elderly patients or those with obvious weakness of the posterior wall of the inguinal canal

There is also the Shouldice repair method, a multi-layer strengthening hernia repair technique that focuses on repairing the transverse fascia of the abdomen and strengthening the posterior wall of the inguinal canal.

Obviously, the Bassini repair method is more suitable for Zhu Gaoyang’s physical condition.

He Jianyi nodded appreciatively, and said to the ocean again: “Be careful when you are a helper, don’t cut the vas deferens.” ”

When the patient who was shouting pain on the hospital bed heard this, his voice stopped abruptly, and he sat up with a bang: “I lean!” ”

Zhou Yuan comforted: “Don’t worry, this kind of thing won’t happen!” Even if it is cut, I will sew it for you! ”

“Can it be the same on the sewn!”

“It’s really different, after the sewing we can strengthen the pressure of the vas deferens, which will make the vas deferens stronger.”

Zhu Gaoyang was silent, and after a while, he lay back again: “Let this doctor be a helper, it doesn’t matter if you cut it, just sew it up for me.” ”

After all the examinations and the signature of the family, Zhu Gaoyang was pushed into the operating room.

“Doctor, be careful, this place is more dangerous.” Zhu Gaoyang said nervously.

Zhou Yuan nodded: “Don’t worry, I’ve done many surgeries.” ”

“Stay on your back.” Zhou Yuan said.

Zhu Gaoyang lay down.

“Neuraxial anesthesia.”

Zhu Gaoyang was turned over again, and the anesthesiologist began to perform neuraxial anesthesia.

During anesthesia, Zhu Gaoyang raised his hand above his head, looking scared.

“Why are you putting your hands up?” Zhou Yuan wondered.

“Isn’t it anesthetizing my lower body? What if my palm runs to my lower body and numbs my hand as well? ”

Zhou Yuan’s face twitched: “So you raised it?” ”

Zhu Gaoyang: “Yes, is there a problem?” ”

Zhou Yuan shook his head: “No problem, hold it.” ”

Soon, the effect of the medicine worked, Zhu Gaoyang felt that his lower body was gone, so he put his hand on the operating table with confidence, and said with a sigh of relief: “Dodge!” ”

“Let’s start the operation.” Zhou Yuan stabbed Zhu Gaoyang’s lower limb, and after confirming that Zhu Gaoyang was anesthetized, he said.

“Doctor, can you chat with me? You guys are messing around with a knife under me, I still don’t feel anything at all, I’m so scared! Zhu Gaoyang said.

Zhou Yuan glanced at Zhu Gaoyang, “Worried that I cut you?” ”

“A little.” Zhu Gaoyang said weakly.

“Chat with me!” Zhu Gaoyang asked again.

While making a diagonal incision two centimeters above the midpoint of the inguinal ligament, Zhou Yuan asked, “Do you have a girlfriend?” ”

Zhu Gaoyang’s smile froze and he closed his mouth.

“Change… Change the subject…”

“What does it do?”

When Zhu Gaoyang heard this question, he smiled confidently: “I can answer the question you asked earlier by the way.” I’m an esports player and you don’t need a girlfriend for esports! ”

Esports?

The names are all small animals.

“Are you a hitsune?” Zhou Yuan cut open the skin and subcutaneous tissue and asked.