Come on, Dr. Wu

Chapter 44 Surgery Day

As the seven o'clock bell rang, the rhythm of the trio slowed down. At this time, even Liu Wenyin was yawning nonstop.

Wu Xiaofu felt very fulfilled. Liu Wenyin hardly interfered in the later admissions of patients. She just let Wu Xiaofu do what he wanted. Unless there were mistakes or omissions, he would only give a few words of advice. Watching Wu Xiaofu's increasingly smooth treatment, Regarding treatment, medication, etc., Liu Wenyin wanted to leave the emergency room to Wu Xiaofu and go to bed by herself.

Now that she has a boyfriend again, she still needs her skin. Unfortunately, the conditions don't allow it. Wu Xiaofu is just an intern, not a regular employee of the First Affiliated Hospital. Being complained about will cause big problems.

Wu Xiaofu was naturally grateful to Liu Wenyin. At this pace, after a period of time, after he officially joined the staff, he could be on duty independently.

Today is already Thursday. During the morning meeting, Liu Wenyin found out that Wu Xiaofu and Duan Hao would have to have surgery for a whole day today, and she suddenly became a little worried.

"Can you do it?"

In fact, for emergency doctors like them, a one-day operation after a big night is actually nothing.

Twenty-four, thirty-six, even forty-eight in difficult times.

But after all, Wu Xiaofu had just arrived, and Liu Wenyin was very afraid to persuade this young talent to leave. She felt that with Wu Xiaofu's performance, it wouldn't be a problem to get an offer this time. When the time came, she would naturally hope that Wu Xiaofu would be admitted to the hospital. If she can go to the emergency room, after all, if there are more people, she may have more time to spend with her boyfriend.

It would be a pity if Wu Xiaofu was scared away because he was too tired and had to go to other departments, and the opportunity of first-come-first-served basis was wasted.

"Teacher, yes, you must, I am an Ox."

How could a man not do this? Wu Xiaofu even patted his chest as he spoke. Not to mention, Liu Wenyin really admired him. Wu Xiaofu’s spirit really made Liu Wenyin sigh that she was old. Seeing Wu Xiaofu still looking excited, Liu Wenyin was not satisfied. What are you worried about? Why does emergency department train people? It is because the pace of emergency department is fast. A day in other departments may be one day, but in emergency department, it takes two days or even more.

In the same amount of time, you have been trained twice as much, and it doesn’t matter if you don’t grow fast.

"Qu Ying, the resident doctors under Dr. Qiu Ying in the internal medicine team have gone to training. You can temporarily join the internal medicine team and follow Dr. Qiu Ying."

Ah!
  Qu Ying was startled when she heard this and looked at the doctor in the internal medicine team. A female doctor who was about the same age as Liu Wenyin smiled at Qu Ying. It was Dr. Qiu Ying. Qiu Ying and Liu Wenyin were the same age and entered the emergency department in the same group. , it’s just that one entered internal medicine and the other entered surgery.

Wu Xiaofu nodded to Qu Ying, and Qu Ying nodded quickly, "Okay."

In fact, Qu Ying is more suitable for internal medicine. Wu Xiaofu has also observed it in the past few days. Qu Ying has a good memory, a solid foundation, and solid basic knowledge. She can master the basics of medication and other things. During this period, although surgical operations have also been slowly trained, , but after careful comparison, you can find that it is more suitable for internal medicine.

What's more, Qu Ying is majoring in oncology, and will most likely go into medical oncology in the future. Lin Shaoyuan's arrangement is just right.

Liu Wenyin didn't have any unusual feelings. It seemed that she had been notified in advance.

After the morning meeting, Wu Xiaofu gnawed on his buns and began to prepare pre-operative information. There were a total of twelve surgeries scheduled today, all of which were gallbladder and appendix surgeries. At Duan Hao's speed, he could do two surgeries an hour, which would not be a problem. If everything goes well, I can get off work early in the afternoon.

For Wu Xiaofu, this is a rare opportunity to practice. In the operating room, there are anesthetist Liu Wengui, patrol nurse Xiao Jin, and instrument nurse Sister Ning. What a familiar configuration. It was these three that Wu Xiaofu worked as an assistant in the emergency operating room for the first time, and they are still these three now. It is easy to work with acquaintances. Son, "Hey, isn't this a coincidence?"

"It's just a coincidence."

Seeing that it was Wu Xiaofu, the three of them were willing to joke around. After a few words, the atmosphere in the operating room became warm. Duan Hao smiled a little more when he saw Wu Xiaofu blending in the team with ease. People with this kind of disease should stay in the operating room.

The first operation was laparoscopic cholecystectomy. The patient suffered from recurring pain in the right upper quadrant. Color ultrasound and CT were performed. The preoperative assessment was that the gallbladder contained multiple stones and acute cholecystitis. Gallbladder preservation was definitely not possible, so the surgery was scheduled for today. , because he was older, so he was ranked first.

Here I have to talk about the hospital's surgery schedule. Because it is necessary to fast and drink before the operation, when scheduling, the patients with more complications are usually placed forward, and those with mild symptoms and younger ones are moved back. .

Laparoscopy of the gallbladder and appendix is ​​basically performed under general anesthesia. Many people do not understand the meaning of fasting water. In fact, it is mainly related to anesthesia. If there is food in the stomach and vomiting occurs during the operation, the patient is unconscious at this time and it is easy to Accidental inhalation into the trachea can cause aspiration pneumonia, and the probability of death from suffocation is high, which is very dangerous.

At the beginning of the operation, three holes were made. The main reason is that the patient's inflammation is relatively severe. If it is a mild case, you can actually consider double holes or single holes. The location of the three holes is generally at the upper edge of the navel and the edge of the chest. , and one under the left breast.

Carbon dioxide pneumoperitoneum is an important operation. After reducing the abdominal pressure, the muscles can be relaxed, which is beneficial to improving the surgical field of vision.

Holding the mirror is naturally Wu Xiaofu's main task during this operation.

After the mirror went in, I could see very clearly. The adhesions around the gallbladder were very serious, and all that was stuck to it was the omentum.

This is also a normal mechanism of the human body. No matter which organ of the human body has inflammation, the omentum will migrate towards the site of inflammation to cover the localized inflammation, which can effectively avoid the spread of inflammation. However, after the inflammation subsides, the omentum will not move on its own. It disappears, so there will be retinal adhesion under the mirror.

What Duan Hao was doing at this time was to release the adhesions to fully expose the gallbladder, and Wu Xiaofu wanted to give Duan Hao the best view possible.

Once the adhesions are completely loosened and the gallbladder appears in view, the surgery is basically over.

The next step was to remove the gallbladder. Without damaging the bile duct, he ligated the cystic artery and removed the gallbladder. Duan Hao completed a set of actions in one go.

After taking out the gallbladder, you can see that the gallbladder in front of you is obviously swollen. After cutting it open, you will find that it is full of sand-like stones. If the technique is not good enough, the gallbladder will be punctured during the operation, and the stones inside will be removed. And bile falling into the abdominal cavity is actually very embarrassing.

The bile is quite clear and the gallbladder wall is smooth, which means that there is nothing wrong with the texture of the gallbladder itself. However, the pathology still has to be kept. Don't be afraid of ten thousand, just be afraid of the unexpected.

Most people have no problems after gallbladder surgery, but it is not without a knife. However, it is discovered that the patient may not only have gallbladder stones but also cholecystitis, and it is not impossible to cut out the king of cancers with one knife.

The mirror holes were made by Wu Xiaofuguan, and it only took a little over ten minutes from the beginning of drilling to the end of the drilling.

Duan Hao couldn't help but give Wu Xiaofu a look of approval. God knows how rare it is to have an assistant who can move the mirror according to his thoughts without reminding him!

(End of this chapter)