Start with the emergency physician

Zhu Gaoyang looked a little excited, “Is it really possible?” ”

Zhou Yuan: …

“You were the first person to ask to see a doctor to operate on you.” Ocean said.

Zhu Gaoyang smiled: “That is!” Isn’t it just an operation? ”

Zhou Yuan carried a piece of the cut off sac wall and held it up, “Come, take a look…”

Zhu Gaoyang closed his eyes in fright, “Lie down!” Don’t look! It’s so bloody! ”

Ocean:……

“Actually, I was thinking, why don’t you put a TV in the operating room so that it won’t be boring.”

Zhu Gaoyang thought carefully and said, “You can also play crosstalk when you are in a bad mood.” ”

Zhou Yuan didn’t look up and said, “You’re not afraid of the doctor’s laughter and cut you something that shouldn’t be cut?” ”

Zhu Gaoyang was stunned for a moment, “Then I’ll listen alone.” ”

“Oh, eat alone.”

After Zhou Yuan finished speaking, he did not take care of Zhu Gaoyang again.

Next are the key steps.

“Pull the rope.”

After the spermatic cord is retracted, the underlying joint construction and inguinal ligaments are exposed in the surgical field.

“Needle forceps.”

The joint suture and inguinal ligament use intermittent sutures, four stitches, and the distance between each stitch is controlled to about one centimeter.

The needle is inserted from behind the inguinal ligament forward, which can avoid damage to the femoral artery and femoral vein and prevent intraoperative bleeding.

Haiyang looked at it and felt that something was not quite right, and asked: “Why are the needle entry points and needle exit points not on the same organization…”

The needle entry point and needle exit point selected by Zhou Yuan for each suture are in different planes, which is completely different from the previous suture method.

Zhou Yuan said: “If it is all in one plane, it is easy to stretch and cause the inguinal ligament to tear. ”

Saying that, Zhou Yuan dropped the last needle.

Zhou Yuan did not stitch too tightly, there was a fine cord in the place of the last stitch, and sewing too tightly would compress the fine cord.

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

Therefore, the consequences of oppression can be imagined.

The ocean trembled, seeing that Zhou Yuan had finished stitching, and put the fine cord down.

He touched it again and said, “It’s okay, it’s unblocked.” ”

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

At this point, the hernia has been eliminated and the operation is basically finished.

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

“Line 1.” Zhou Yuan chose the non-absorbable line.

Expertly pierce the skin, pull the lines, knot, suture, and then penetrate the skin.

“There is so little blood oozing…” the ocean boasted again.

Generally speaking, this kind of surgery with a lot of sutures often causes bleeding from the wound, and once the bleeding is too much, it is impossible to remove the sutures and start again, and only rubber sheets can be placed under the skin to drain the water.

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

However, Zhou Yuan’s suture almost did not appear bleeding, and after suturing the subcutaneous tissue and skin in turn, not a drop of blood was wasted.

“Okay.” Zhou Yuan put down his needle clamps and breathed a sigh of relief.

Although this operation does not endanger the patient’s life, it will threaten the patient’s small life, and Zhou Yuan is also cautious.

Zhu Gaoyang heard Zhou Yuan’s voice and quickly asked, “What’s wrong?” I’m okay, right? ”

“It’s okay. Lie flat after surgery with a pillow under your knee to bend your hip joint, and raise your scrotum to prevent tissue and organs from building up on the newly sutured wound. Zhou Yuan said.

Zhu Gaoyang kept nodding, waited until Zhou Yuan finished speaking, and 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 doesn’t have a girlfriend, and waiting outside is his good buddy, wearing a dress that looks like a team outfit, with a big dish word on it.

Zhou Yuan walked over and subconsciously said, “Rookie chicken team? ”

Brother Zhu Gaoyang was just about to come over to ask about the situation, and his face froze.

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

So he immediately defended: “It’s the abuse team!” No matter who fights us, there is only …”

“Cruel food?”

“It’s only a treat!” Zhu Gaoyang’s good buddy roared.

Zhou Yuan frowned, with an expression of “what are you doing 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 learning. ”

“There’s time to take you to fight two!” Zhu Gaoyang’s good buddy said with a smile.

My favorite is to bring this rookie chicken that has never played the game.

Zhou Yuan perfunctorily said two sentences: “Okay, have time to play together.” ”

With that, he returned to the office with the ocean.

He Jianyi still did not come down on the operating table, and only Zhou Yuan and Haiyang, who had just completed the operation, were still idle in the entire emergency department.

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

Lu Chenxi also seems to be accustomed to staying in the emergency department, and is seriously taking an electrocardiogram for an old man.

Seeing Zhou Yuan, Lu Chenxi smiled, but because there was a patient, he did not say hello.

Because they had just finished the operation, Zhou Yuan and Haiyang were a little tired, and they didn’t need to continue working unless it was an emergency, so the two lay in the lounge for a while.

Zhou Yuan took out another textbook of “Physiology” and studied it carefully.

By the way, he took out a handful of melon seeds from his pocket and stumbled.

The ocean on the opposite side looked over with longing eyes.

Zhou Yuan grabbed a handful and handed it to the ocean, and the two of them swallowed melon seeds.

“Zhou Yuan, you may need to go to hand surgery.” Ocean said as if remembering something.

“Hand surgery? What’s wrong. Zhou Yuan raised his head and asked.

Haiyang said, “Let’s do a teaching… I heard that the survival rate of amputated limb replantation in hand surgery is 90%, but it has been stuck at the 90 level and can’t pass, and there are many cases of failed finger amputation surgery that you are good at squeezing dissociation and replantation, so I want you to tell them about the details. ”

Zhou Yuan nodded: “I recently had an idea, that is, to use the fingers of my feet to recreate fingers, I don’t know if I can succeed.” ”

Ocean eyes lit up.

Although he was not well versed in amputated limb replantation, he did know that autologous transplantation was entirely possible.

“I feel like this works perfectly! Some fingers have been broken, but the broken finger cannot be found or has been contaminated and the chances of survival are small, and the less useful and more hidden toe can be transplanted to the finger! ”

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