Doctor Peerless

Chapter 237
Is there a problem?

There will be problems if it is hung on the wall, so why open the door to hang it?

Facing Delia's question, Zhou Sheng was not complacent, and devoted himself to the operation. The first "outdoor" operation was not so easy...

But that's not outdoors either.

According to Ah Sang's original statement, it seems that Delia really had to undergo a real outdoor surgery?

It's too courageous, but it must be an emergency and there is no other choice.

It is precisely because of this that Delia, who does not play cards according to common sense, can accept Zhou Sheng, a rookie, more easily than Tang Aiyun.

After the wound was opened, look for the ulcerated appendix under the operating light...

The brightness of the surgical lamp is still sufficient, and the power consumption of other equipment can be reduced without affecting the doctor's surgical field of vision. Looking at the appearance of the lamp head, the price should not be cheaper than other parts, with less power consumption and high brightness, which is impressive science and technology.

Abdominal examination is a complicated job.

Even after the preoperative examination, it is necessary to conduct an orderly exploration and investigation, not to mention that this patient has not had a preoperative examination, and it will take more effort.

Only the wound was created according to the position of appendicitis, so it was extremely troublesome to explore the abdominal cavity through the narrow opening.

Delia didn't blame Zhou Sheng, because the pursuit of trauma surgery is that the trauma is as small as possible. He did nothing wrong, so the burden is all borne by the doctor. Trouble is trouble, but the smaller the wound, the faster the recovery. rate is relatively reduced.

The entire examination process lasted more than ten minutes, and finally Delia used pincers to clamp out the festering appendix.

The appendix has been perforated, and the bloody rotten intestines look like they have been eaten by mice.

Delia frowned, her expression was like that of an aunt in a deli, regretting that a good fat sausage was ruined.

Ok.

Zhou Sheng was a bit over-imagined and interpreted. Appropriate fantasies are also an interesting discovery for the doctor's operation process.

"Cut it off, and suture it for you."

To exchange tools, Zhou Sheng took the pincers. After Delia cut off the appendix little by little, a piece of rotten intestines was placed on the tray aside. Dan's cooperation was perfect, and the three seemed to have formed a tacit understanding. Out of crochet and sutures.

Suturing the appendix is ​​no different from most intestinal sutures, but Zhou Sheng still noticed the difference in texture.

The appendix is ​​softer, as if overcooked, no wonder it tends to rot easily...

But the small intestine needs a lot of strength. After stewed and sautéed, it will be charred on the outside and tender on the inside. It should still have a faint crisp feeling. Of course, the ingredients must be fresh.

Intestinal mattress suture is enough to deal with all intestinal suture problems, but Zhou Sheng is also considering whether to switch to another suture method. After all, mattress suture takes time, and the strong one is definitely strong, but at some point , It is not necessary to be too strong, but the operation time is more important.

"finished."

It's just an appendix, and it can be done in 3 minutes.

At this stage, the operation can basically be declared over.

If it's a tertiary hospital, the newcomer next to him who has just undergone surgery should be eager to try to close his abdomen.

Zhou Sheng is also a newcomer, so he is also very interested in abdominal closure. Of course, Delia will not veto it. They just wait for the completion of abdominal closure. Apply a wound patch containing rejuvenating fluid.

This thing is not expensive, consumables.

When purchasing mobile surgical devices, Delia ordered a large batch. After all, the volume of surgeries will increase dramatically in the future, and such consumption is inevitable. She is not worried about giving gauze and medical cotton to the locals.

Because you will soon see that the family members of the patient took the blood-stained cotton cloth and ran to the water basin and stream to start cleaning. gone."

then……

Here comes the devil.

"It's done! Take the patient back to the ward. Dan won't come in the next session. Zhou Lai and I will finish it. You should keep an eye on the ward. The Mu Le Department has no experience in taking care of surgical patients, and I'm afraid that other people will mess around. "

The implication is that Delia is of course also wary of that old hag.

And the old hag wasn't stupid, Delia was obviously her competitor, and if she tried to mess with the patients, things would get very bad.

"Okay, I will take good care of the patient, and then I will leave it to you."

After delivering the patient, hang up the fluid.

Outside the ward that had just been cleared earlier, a lot of onlookers had already gathered.

Sure enough, the old witch was among them, shaking her head as if she was commenting on something...

However, the chief at the side was also there, and he scolded a few words. The old witch could only retreat, and the class within the tribe was still very clear. The chief was the king, and even the priest who gained power was at most a national teacher.

Can the national teacher usurp the throne?

In fact, it rarely happens, because the ancestors of the black brothers are also very smart, offering sacrifices to descendants without heirs, they are considered to be the kind of old single households, except for curing diseases and casting spells and presiding over ceremonies, they always maintain a sense of God, or they are alienated from ordinary residents , in the way of adoption, the next generation of successors is selected. Without the incense transmission, the demand for rights will naturally be reduced, and of course it will only be reduced.

Before the priest left, she gave the three of them a vicious look. Obviously, she felt that her status had been affected.

Such a situation can be described as a great joy.

Dan said cheerfully: "If you want me to say, you should perform a great dance now, and then wait for the patient to recover, and then dance again. Everything depends on the sense of ritual."

"After all the patients have recovered, it will be decided who is stronger and who is weaker."

"From then on, there will be a legend and myth in the forest of heaven..."

"There is the ancestor of wizards, the spokesperson of God, the goddess of benevolence and the incarnation of the sun god of light 'Master Deliadi' who brings light and warmth to the world, and drives away diseases and demons..."

Master Di?
Zhou Sheng couldn't help laughing, his shoulders kept shaking.

Delia had no choice but to roll her eyes: "Are you two so funny?"

"Hahaha." Zhou Sheng finally couldn't hold back, and burst out laughing.

After the postoperative patient was settled, another patient was brought in. This time, only Delia and Zhou Sheng completed the operation, and Dan continued to take care of him in the ward.

There was still no preoperative examination and angiography. Delia briefly described the patient's condition, and finally gave the conclusion: "The possibility of appendicitis is still not ruled out, but I am more inclined to have colonic comoritis in the left colon."

Zhou Sheng used the A-level scan, and already had the answer in his heart.

But he didn't discuss it with Delia, because in the discussion before opening his stomach, it was difficult to explain the dialectical thinking. The public said that the public was right, and the mother-in-law said that the mother-in-law was right, and disputes inevitably arose.

During the silence, Zhou Sheng was also using the answers to reverse reason the patient's condition, and integrated this case into his own thinking...

Colon obstruction.

It is also caused by the clogging of the fecal ball.

The operation begins by opening the abdominal cavity.

The scale of the feces ball this time was not as large as that of Tang Aiyun and Dan's operation, and I don't know why I feel a little disappointed.

There were a lot of stones the size of glass beads, causing pain when falling down, but no intestinal ulceration and damage occurred, which relieved a lot of surgical burden for the two of them.

In addition to the process of incision, excision, and suture, the most important thing is cleaning and disinfection.

It is quite a troublesome process to flush the intestinal tract with a large amount of normal saline and clean up the fecal residues with excessive bacterial content.

For the first time, the obstacles in the operation are also highlighted...

The power of the simple suction machine is not enough, and the suction is extremely clumsy and extremely time-consuming. If it is a more complicated and heavy operation, it will inevitably delay a lot of time.

This is the process of accumulating experience. Next time, if there is a severe patient, it must be taken to the surgery cart of the Gray Worm Department for treatment.

After one case of surgery, it was noon.

in the afternoon.

The third instance begins.

This case of surgery is more interesting, abdominal wall tumor.

Delia's judgment must have been wrong again. Surgeons rely most on preoperative examinations, but there are obviously no examination equipment and examination conditions available here.

Zhou Sheng played a trick, deliberately slowed down the incision speed during the chat, and then 'coincidentally' found a tumor between the abdominal muscle layer and fascia.

Then, amidst Delia's complex emotions of wonder, doubt, incomprehension, and shock, she cut it off and wiped it out.

At the end of the whole day, both fatigue and harvest are equally important.

Delia may be mostly the former, but for Zhou Sheng, the operation is just a momentary pleasure.

Other people's hobbies may be driving, playing games, or exercising. For doctors, surgery is the best hobby. When people feel happy, they always feel that time passes quickly, as if fleeting.

I am a little bit sad...

(End of this chapter)