The road to the rise of great doctors

Chapter 61 What kind of knife is a knife?
As if a century had passed, Liu Dong looked away from her face and suddenly said something in his heart, "It seems that it is okay to fall in love? But at least the senior sister should be as beautiful as her, right?"

Well, yes, the people Liu Dong often thinks of range from classmates with friendly competition to patients in need of help, and now more and more people appear to be senior sisters.Because the gentle voice, the relaxed environment for communication and the tacit understanding feel so good!
But having never been in love before, he really didn't know how to express himself, and he was also a little worried about how he would get along with each other in the future if he was rejected.

Li Xiao said with some emotion, "I didn't expect that we could still talk about this."

Liu Dong said, "What's even more strange is that the fate of life allows us to sit here and chat."

"I fought for it." Li Xiao answered, then remembered and asked, "You said you were going to participate in the 'Kyoto Minimally Invasive Endoscopic Training Course and Competition'. When did you plan to leave and come back?"

"Leave one day in advance and come back the same evening."

"Can you share it with me over the weekend?"

"Okay." Liu Dong replied straightforwardly.

Li Xiao felt a little happy.

When she returned to the room, she lay on the bed and thought happily, they were already good friends, right?

The next day.

Liu Dong came to the ward early and read the night care records, medical orders and drainage volumes of the patients in the group. Then he went to the bedside and briefly communicated with them. Basically, he had already understood the situation of these people. But in the chest.

Seeing that there was still some time before shift handover, I went to prepare things and called the patients who needed dressing change to the dressing room in order to complete the dressing change.

Aseptic operation, no dead space, skilled suturing, and patients who are not too fat, the combined factors make this batch of surgical incisions look good, with no redness, swelling, hardness, or leakage.Just change the dressing and observe on time, wait for healing and remove the sutures.

After the shift is over, the medical team leader leads the team to check the wards.

Director Zhang has a calm demeanor, the sect leader has a kind attitude, and Liu Dong has everything in mind.

Walking beside the bedside of the patient undergoing surgery today, Liu Dong handed the medical record to Director Zhang and asked the patient to take out both the plain scan and the enhanced film of the computed tomography scan.

"Ms. Zhao, 45 years old, went to the hospital after she felt an abdominal mass for 5 days. Outpatient abdominal ultrasound examination revealed huge uterine fibroids combined with adenomyosis. She had had a cesarean section in the past. The preoperative examination has been completed and there are no contraindications to surgery. The previous conversation has been completed, and the informed consent form for surgery and blood transfusion were signed. Ms. Zhao has high requirements for her quality of life and is very resistant to another open surgery. She hopes to adopt minimally invasive surgical treatment. She also communicated during the preoperative conversation However, if the intraoperative exploration reveals that the problem cannot be solved by minimally invasive surgery, it may be converted to open surgery. She understands and agrees, but she still hopes to try to solve the problem with minimally invasive surgery as much as possible."

Liu Dong also memorized the medical history he asked himself, the medical records he wrote, and the examination results. He also reviewed the relevant parts of the textbook on this disease.Be calm when reporting medical records.Dr. Zong had also read the information and could not see any change in his expression.

After listening, Director Zhang felt that he had basically covered everything he said, so he briefly communicated with the patients and their families.

Uterine fibroids are the most common benign gynecological tumors, affecting about 20% of women. It is more common between the ages of 30 and 50 and less common under the age of 20.Like many benign tumors, the tumor is small in size in the early stage, and generally there is no discomfort, and it is easy to be ignored.Early tumors can only be found incidentally through physical examination or ultrasound examination when looking at other diseases.

In Ms. Zhao's case, because she had a cesarean section, it was a second operation on the uterus, and there would be some adhesions and other normal postoperative changes after each operation.Therefore, the normal anatomical layers of the area where the surgery is performed may not be clearly displayed, making the surgery more difficult.

If an open laparotomy is performed, an incision scar of more than ten centimeters will be left on the abdomen, and recovery after surgery will be slow.If you do laparoscopic surgery, you will make 3-4 small holes in the abdomen. The diameter of each small hole is about 5-10 mm. The scar of the incision will not be obvious after healing, and the postoperative recovery will be very fast. But the problem is The difficulty of the operation will obviously increase, which poses a huge challenge to the surgeon and assistants.

However, these are not problems for Director Zhang.

Having been a doctor for more than 30 years, he is quite proficient in laparoscopic surgery, and he has rich experience in open surgery for more than 30 years as a support. This requirement does not go beyond the conventional scope.For doctors, the safety of patients is the most important thing. As long as they can step down, it is not a big deal.But when something goes wrong on the operating table, that's where it gets trickiest.

"The older you get, the more timid you become." Having experienced a lot, I have seen and heard about all kinds of strange situations, and I have also encountered too many strange people and things.Although Director Zhang was confident, he once again explained to the patient and family the possibility of converting to open surgery, as well as the prevention and response measures.

At about [-] o'clock in the morning, the patient was received in the operating room.

As expected, the local adhesions were quite severe, and normal anatomical levels could not be found at all, and could only be separated bit by bit.

However, under the leadership of the experienced Director Zhang, after about three and a half hours of hard work, it was successfully completed laparoscopically.

This was the first time Liu Dong saw the difficulty of re-operation in gynecology, and his understanding of surgery and anatomy has deepened a lot.After the main steps were completed, Liu Dong also participated in the placement of drainage tubes. He found that there were some slight differences in the placement of drainage tubes in different departments.

Director Zhang did not step down immediately after the main steps were completed, but stood aside and watched.He looked at Liu Dong. For this intern who had just arrived in the department, his cooperation last time showed that he had a certain level of surgical awareness.After the main steps of this operation were completed, Director Zhang handed over the position of surgeon to Dr. Zong, and Liu Dong became the mirror supporter. In his opinion, Liu Dong's performance was also remarkable.Moreover, when he occasionally came to the ward to see the drainage status of patients after surgery, he could see that Liu Dong was very attentive to patient management, such as changing dressings and recording disease processes.

After stopping the bleeding and counting the number of things, there was no problem. Liu Dong also got the opportunity to suture the incision as he wished.The skillful and fast suturing also left a good impression on Director Zhang and Dr. Zong, and they felt that they were relatively trustworthy.

"It seems that this young man has a good foundation in school and will probably perform well in the Department of Urology. If he doesn't choose a department, he can also be recruited into the Department of Gynecology after meeting the conditions." Director Zhang thought.Of course, for him, there are many people who want to stay in the Obstetrics and Gynecology Department of the Medical College Affiliated Hospital, and the entire time of being an undergraduate intern is still a little far away.What he thinks now is that it was just Liu Dong's performance that triggered his love and cherishment of talents.As for how long it will remain, it's hard to say.

(End of this chapter)